Social and behavioural determinants of consistent condom use among hotel and bar workers in Northern Tanzania

Int J STD AIDS. 2003 Oct;14(10):688-96. doi: 10.1258/095646203322387956.

Abstract

Bar and hotel workers (n=519) in Moshi, Tanzania were interviewed to obtain information about potential predictors of condom use. Samples were collected for the diagnosis of sexually transmitted diseases (STDs), including HIV. Consistent condom use was defined as always using condoms with sexual partners in the past five years. Overall consistent condom use in this population was 14.1%. In multivariate analyses, consistent condom use was inversely associated with low condom self-efficacy (adjusted odds ratio [AOR], 0.20; 95% confidence interval (CI), 0.06-0.71), low condom knowledge (AOR, 0.11; CI, 0.01-0.80), and having more than three children (AOR, 0.23; 95% CI, 0.09-0.54). Other significant predictors included perceived condom acceptability and using condoms when last exchanged sex for money or gift. These results indicate that increased specific condom knowledge, improved self-efficacy, and reduced social stigma could be effective strategies in the promotion of condom use in this population.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Condoms / statistics & numerical data*
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / microbiology
  • HIV Infections / prevention & control
  • HIV Infections / virology
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interviews as Topic
  • Male
  • Prevalence
  • Sexual Behavior*
  • Sexually Transmitted Diseases / epidemiology*
  • Sexually Transmitted Diseases / microbiology
  • Sexually Transmitted Diseases / prevention & control*
  • Sexually Transmitted Diseases / virology
  • Surveys and Questionnaires
  • Tanzania / epidemiology
  • Workplace*