Determinants of condom use by men in extramarital relationships in Nigeria

Augustine Ankomah,1 Samson B Adebayo,2,3 Jennifer Anyanti,3 Olaronke Ladipo,3,&dagger; Bright Ekweremadu31Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana; 2Directorate of Planning, Research and Statistics, National Agency for t...

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Autores principales:	Ankomah A, Adebayo SB, Anyanti J, Ladipo O, Ekweremadu B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/60d5e0e336f04262b2adc0432fae450e
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spelling	oai:doaj.org-article:60d5e0e336f04262b2adc0432fae450e2021-12-02T02:17:46ZDeterminants of condom use by men in extramarital relationships in Nigeria1179-1373https://doaj.org/article/60d5e0e336f04262b2adc0432fae450e2013-05-01T00:00:00Zhttp://www.dovepress.com/determinants-of-condom-use-by-men-in-extramarital-relationships-in-nig-a13148https://doaj.org/toc/1179-1373Augustine Ankomah,1 Samson B Adebayo,2,3 Jennifer Anyanti,3 Olaronke Ladipo,3,&dagger; Bright Ekweremadu31Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana; 2Directorate of Planning, Research and Statistics, National Agency for the Control of Food and Drugs Administration and Control, Abuja, Nigeria; 3Society for Family Health, Abuja, Nigeria&dagger;Olaronke Ladipo passed away on 30/10/2012Background: 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.Keywords: married men, extramarital sex, condom use, motivation, opportunity, NigeriaAnkomah AAdebayo SBAnyanti JLadipo OEkweremadu BDove Medical PressarticleImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol 2013, Iss default, Pp 97-109 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Immunologic diseases. Allergy RC581-607
spellingShingle	Immunologic diseases. Allergy RC581-607 Ankomah A Adebayo SB Anyanti J Ladipo O Ekweremadu B Determinants of condom use by men in extramarital relationships in Nigeria
description	Augustine Ankomah,1 Samson B Adebayo,2,3 Jennifer Anyanti,3 Olaronke Ladipo,3,&dagger; Bright Ekweremadu31Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana; 2Directorate of Planning, Research and Statistics, National Agency for the Control of Food and Drugs Administration and Control, Abuja, Nigeria; 3Society for Family Health, Abuja, Nigeria&dagger;Olaronke Ladipo passed away on 30/10/2012Background: 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.Keywords: married men, extramarital sex, condom use, motivation, opportunity, Nigeria
format	article
author	Ankomah A Adebayo SB Anyanti J Ladipo O Ekweremadu B
author_facet	Ankomah A Adebayo SB Anyanti J Ladipo O Ekweremadu B
author_sort	Ankomah A
title	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_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_sort	determinants of condom use by men in extramarital relationships in nigeria
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/60d5e0e336f04262b2adc0432fae450e
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Determinants of condom use by men in extramarital relationships in Nigeria

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