Estimating the Prevalence and Predictors of Incorrect Condom Use among Sexually Active Adults in Kenya: Results From a Nationally Representative Survey
BACKGROUND:
Condom use
continues to be an important primary prevention tool to reduce the acquisition and
transmission of HIV and other sexually transmitted infections. However, incorrect use of condoms can reduce their effectiveness.
METHODS:
Using data
from a 2012 nationally representative cross-sectional
household survey conducted
in Kenya,
we analyzed a subpopulation ofsexually active adults and estimated the percent that used condoms incorrectly
during sex, and the type of condom errors.
We used multivariable logistic regression to determine variables to be independently
associated with incorrect condom use.
RESULTS:
Among 13,720
adolescents and adults, 8014 were sexually active in
the previous 3 months (60.3%). Among those
who used a condom with
a sex partner, 20% experienced at least one instance of incorrect condom use in the previous 3 months. Of incorrect condom users, condom breakage
or leakage was the most common error. Factors found to
be associated with incorrect condom use
were multiple sexual partnerships in the past 12 months and reporting symptoms of a sexually transmitted
infection.
CONCLUSIONS:
Incorrect condom use
is frequent among sexually active Kenyans
and this may translate into substantial HIV transmission. Further understanding
of the dynamics of condom use
and misuse, in the broader context of other prevention strategies, will aid program
planners in the delivery of appropriate interventions aimed at limiting such errors.
- 1From the *Global Health Sciences (http://globalhealthsciences.ucsf.edu/), University of California, San Francisco, San Francisco, CA; †Prevention Branch, DGHA, CDC-Kenya, Nairobi,Kenya; ‡National AIDS and STI Control Program, Nairobi, Kenya; and §Kenya Medical Research Institution, Nairobi, Kenya.
- Sex Transm Dis. 2016 Feb;43(2):87-93. doi: 10.1097/OLQ.0000000000000393.
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