Comparing Condom Use with Different Types of Partners : Evidence from National HIV Surveys in Africa

Based on nationally representative samples from 13 Sub-Saharan African countries, this paper reinforces and expands previous findings that condom use in general is low in this region, men report using condoms more frequently than women, and unmarried individuals report they use condoms more frequently than married individuals with their spouse. Based on descriptive, bivariate, and multivariate analyses, the authors also demonstrate to a degree not previously shown in the current literature that married men from most countries report using condoms with extramarital partners about as frequently as unmarried men. However, married women from most countries included use condoms with extramarital partners less frequently than unmarried women. This result is especially troubling because marriage usually ensures regular sexual intercourse, providing more opportunities to pass HIV from extramarital partner to spouse than an unmarried person who may also have multiple partners but not as regular sexual intercourse.

Bibliographic Details

Main Authors:	Kline, Rachel, de Walque, Damien
Language:	English
Published:	2009-11-01
Subjects:	ACCESS TO RESOURCES, AIDS AWARENESS, AIDS CARE, BEHAVIOR CHANGE, BIOLOGICAL MARKERS, CASUAL PARTNERS, CASUAL SEX, COMMERCIAL SEX, COMMERCIAL SEX WORKERS, CONDOM, CONDOM USE, CONDOM USE AMONG MEN, CONDOMS, CONSISTENT CONDOM USE, CONTRACEPTION, CONTRACEPTIVE USE, CULTURAL BARRIERS, DISEASE, DISEASES, DIVORCE, EFFECTIVENESS OF CONDOMS, EPIDEMIC, EXTRAMARITAL RELATIONS, EXTRAMARITAL SEX, FAMILY PLANNING, FAMILY PLANNING PERSPECTIVES, FEMALE, FEMALE CONDOM, FEMALES, GENDER, GENDER DIFFERENCES, GENDER ROLES, GENDERS, HETEROSEXUAL INTERCOURSE, HETEROSEXUAL TRANSMISSION, HIGH-RISK, HIGH-RISK BEHAVIOR, HIGH-RISK SEXUAL BEHAVIOUR, HIV, HIV INFECTION, HIV POSITIVE, HIV TRANSMISSION, HIV/AIDS, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HUSBAND, HUSBANDS, IMMUNODEFICIENCY, INFECTION RATES, INFERTILITY, INTERCOURSES, INTERNATIONAL POPULATION, INTERNATIONAL POPULATION CONFERENCE, JOURNAL OF EPIDEMIOLOGY, LACK OF CONDOM USE, LEVELS OF CONDOM USE, MALES, MARITAL PARTNERS, MARITAL PARTNERSHIPS, MARITAL STATUS, MARRIED COUPLES, MARRIED MEN, MARRIED WOMAN, MARRIED WOMEN, MEDICINE, MIGRANT, MIGRANT WORKERS, MINISTRY OF HEALTH, MULTIPLE PARTNERS, MULTIPLE SEXUAL PARTNERS, PATIENTS, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, POLYGAMY, POPULATION AND DEVELOPMENT, POPULATION INFORMATION, POPULATION INFORMATION PROGRAM, POPULATION STUDY, PREVALENCE RATES, PREVENTION EFFORTS, PREVENTION STRATEGIES, PRIMARY HEALTH CARE, PROCREATION, PROGRESS, PUBLIC HEALTH, PUBLIC SERVICES, RATE OF CONDOM USE, REPRODUCTION, REPRODUCTIVE HEALTH, RISK BEHAVIOR, RISK BEHAVIOURS, RISK FOR INFECTION, RISK OF AIDS, RISK OF INFECTION, RISK SITUATIONS, RISK TAKING, RISK TAKING BEHAVIOUR, RURAL POPULATION, SAFER SEX, SCIENTIFIC STUDY OF POPULATION, SEX WORKERS, SEXUAL ACTIVITY, SEXUAL BEHAVIOR, SEXUAL BEHAVIORS, SEXUAL BEHAVIOUR, SEXUAL ENCOUNTER, SEXUAL ENCOUNTERS, SEXUAL INTERCOURSE, SEXUAL PARTNERS, SEXUAL PARTNERSHIP, SEXUAL RISK, SEXUAL RISK BEHAVIOUR, SEXUALLY ACTIVE, SEXUALLY TRANSMITTED DISEASE, SEXUALLY TRANSMITTED DISEASES, SEXUALLY TRANSMITTED INFECTIONS, SINGLE WOMEN, SOCIAL PRESSURE, SOCIAL SCIENCE, SOCIAL WELFARE, SPOUSE, SPOUSES, STD, STDS, TRADITIONAL BELIEFS, UNMARRIED FEMALES, UNMARRIED MALES, UNMARRIED MEN, UNMARRIED WOMEN, UNPROTECTED SEX, UNPROTECTED SEX ACTS, URBAN COMMUNITIES, USE OF CONDOMS, USE OF FAMILY PLANNING, WILL, WIVES, WOMAN, YOUNG ADULTS, YOUNG FEMALES, YOUNG MALES, YOUNG WOMEN, YOUTH,
Online Access:	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20091116092821 https://hdl.handle.net/10986/4322
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