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MALE CONDOM USE IN TANZANIA: RESULTS FROM A NATIONAL SURVEY

S.H. KAPIGA, J.L.P. LUGALLA

Abstract


ABSTRACT
Objective: To determine factors associated with male condom use in Tanzania.
Methods: Data from the 1996 Tanzania Demographic and Health Survey (TDHS) was used.
In this survey, a national representative sample of sexually active men (N= 1898) and women
(N=7027) were interviewed to obtain information about potential predictors of sexual
practices and condom use.
Results: Two hundred and ninety (4.1%) women and 288 (15.2%) men had used condoms
during their last sexual encounter. Men aged 20-24 years and women aged 15-19 years
reported the highest rate of condom use. In both men and women, condom use increased with
increasing level of education. Residents of large urban centers were more likely to have used
condoms among both women [adjusted OR=1.8, 95% Cl=1.2-2.8] and men (adjusted O=2.0,
95% Cl=1.3-3.1). Condom use was significantly increased among women (adjusted OR=6.2,
95% Cl=4.4-8.8) and men [adjusted OR-5.9, 95% Cl=3.2-8.8) practising high-risk sexual
behaviour. Similarly, condom use was significantly increased among men who were never
married and in those who had ever tested for AIDS.
Conclusions: Condom promotion activities have been less successful in Tanzania. Additional
efforts to increase condom acceptability and use are urgently needed.

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The East African Medical Journal is published monthly by Kenya Medical Association.

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