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Determinants of condom use by men in extramarital relationships in Nigeria

BACKGROUND: Extramarital sex is a high-risk behavior in terms of Human Immunodeficiency Virus (HIV) transmission, yet condom use in extramarital relationships is an understudied area in Africa, and Nigeria in particular, where such liaisons are not uncommon. This study highlights key determinants of...

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Autores principales: Ankomah, Augustine, Adebayo, Samson B, Anyanti, Jennifer, Ladipo, Olaronke, Ekweremadu, Bright
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668959/
https://www.ncbi.nlm.nih.gov/pubmed/23737677
http://dx.doi.org/10.2147/HIV.S38965
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author Ankomah, Augustine
Adebayo, Samson B
Anyanti, Jennifer
Ladipo, Olaronke
Ekweremadu, Bright
author_facet Ankomah, Augustine
Adebayo, Samson B
Anyanti, Jennifer
Ladipo, Olaronke
Ekweremadu, Bright
author_sort Ankomah, Augustine
collection PubMed
description BACKGROUND: Extramarital sex is a high-risk behavior in terms of Human Immunodeficiency Virus (HIV) transmission, yet condom use in extramarital relationships is an understudied area in Africa, and Nigeria in particular, where such liaisons are not uncommon. This study highlights key determinants of condom use among men who engage in extramarital sex in Nigeria. METHODS: Results are based on a subsample of 642 married men from a combined dataset from three waves of the National HIV/AIDS and Reproductive Health Survey (NARHS), a set of multiround nationally representative surveys. Logistic regression was employed to explore possible determinants of condom use in extramarital sex. The motivation, opportunity, and ability model was applied in selecting the determinants. RESULTS: HIV risk-reduction knowledge was found not to be associated with condom use. At the full logistic regression model, being of the Yoruba tribe, having no misconception about HIV transmission, ability to discuss condom use, and ability to wear condoms were the key variables significantly associated with condom use in extramarital sex. CONCLUSION: Implementing HIV risk-reduction behavior change requires more than knowledge. Behavioral skills in condom use are critical. Intervention efforts should move away from knowledge about risk to concentrate on improving skills on how to discuss condom use and wear condoms correctly.
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spelling pubmed-36689592013-06-04 Determinants of condom use by men in extramarital relationships in Nigeria Ankomah, Augustine Adebayo, Samson B Anyanti, Jennifer Ladipo, Olaronke Ekweremadu, Bright HIV AIDS (Auckl) Original Research BACKGROUND: Extramarital sex is a high-risk behavior in terms of Human Immunodeficiency Virus (HIV) transmission, yet condom use in extramarital relationships is an understudied area in Africa, and Nigeria in particular, where such liaisons are not uncommon. This study highlights key determinants of condom use among men who engage in extramarital sex in Nigeria. METHODS: Results are based on a subsample of 642 married men from a combined dataset from three waves of the National HIV/AIDS and Reproductive Health Survey (NARHS), a set of multiround nationally representative surveys. Logistic regression was employed to explore possible determinants of condom use in extramarital sex. The motivation, opportunity, and ability model was applied in selecting the determinants. RESULTS: HIV risk-reduction knowledge was found not to be associated with condom use. At the full logistic regression model, being of the Yoruba tribe, having no misconception about HIV transmission, ability to discuss condom use, and ability to wear condoms were the key variables significantly associated with condom use in extramarital sex. CONCLUSION: Implementing HIV risk-reduction behavior change requires more than knowledge. Behavioral skills in condom use are critical. Intervention efforts should move away from knowledge about risk to concentrate on improving skills on how to discuss condom use and wear condoms correctly. Dove Medical Press 2013-05-24 /pmc/articles/PMC3668959/ /pubmed/23737677 http://dx.doi.org/10.2147/HIV.S38965 Text en © 2013 Ankomah et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Original Research
Ankomah, Augustine
Adebayo, Samson B
Anyanti, Jennifer
Ladipo, Olaronke
Ekweremadu, Bright
Determinants of condom use by men in extramarital relationships in Nigeria
title Determinants of condom use by men in extramarital relationships in Nigeria
title_full Determinants of condom use by men in extramarital relationships in Nigeria
title_fullStr Determinants of condom use by men in extramarital relationships in Nigeria
title_full_unstemmed Determinants of condom use by men in extramarital relationships in Nigeria
title_short Determinants of condom use by men in extramarital relationships in Nigeria
title_sort determinants of condom use by men in extramarital relationships in nigeria
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668959/
https://www.ncbi.nlm.nih.gov/pubmed/23737677
http://dx.doi.org/10.2147/HIV.S38965
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