nach oben

Erschienen in:

01.07.2006 | Original Paper

Sexual Behavior, Psychosocial and Knowledge Differences between Consistent, Inconsistent and Non-Users of Condoms: A Study of Female Bar and Hotel Workers in Moshi, Tanzania

verfasst von: Katherine K. Tassiopoulos, George R. Seage III, Noel E. Sam, Trong T. H. Ao, Elisante J. Masenga, Michael D. Hughes, Saidi H. Kapiga

Erschienen in: AIDS and Behavior | Ausgabe 4/2006

Einloggen, um Zugang zu erhalten

Abstract

Understanding psychosocial, sexual behavior and knowledge differences between never, inconsistent and consistent condom users can improve interventions to increase condom use in resource-poor countries, but they have not been adequately studied. We examined these differences in a cohort of 961 female hotel and bar workers in Moshi, Tanzania. Forty-nine percent of women reported no condom use; 39% reported inconsistent use, and 12% reported consistent use. Women with multiple sexual partners in the past five years were less likely to be consistent rather than inconsistent users as were women who had ever exchanged sex for gifts or money. Inconsistent users had higher condom knowledge and higher perceived acceptability of condom use than did never users, but they did not differ from consistent users by these factors. There are important differences between women by level of condom use. These findings can help inform interventions to increase condom use.

Adetunji, J., & Meekers, D. (2001). Consistency in condom use in the context of HIV/AIDS in Zimbabwe. Journal of Biosocial Sciences, 33, 121–138.CrossRef

Adetunji, J. (2000). Condom use in marital and nonmarital relationships in Zimbabwe. International Family Planning Perspectives, 26, 196–200.CrossRef

Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckman (Eds.), Action-Control: From Cognition to Behavior (pp. 11–39). Heidelberg: Springer.

Ao, T., Sam, N., Manongi, R., Seage, G., & Kapiga, S. (2003). Social and behavioral determinants of consistent condom use among hotel and bar workers in Northern Tanzania. International Journal of STD and AIDS, 14, 688–696.PubMedCrossRef

Bandura, A. (1977). Self-efficacy: Towards a unifying theory of behavior change. Psychological Review, 84, 191–215.PubMedCrossRef

Blecher, M. S., Steinberg, M., Pick, W., Hennink, M., & Durcan, N. (1995). AIDS knowledge, attitudes and practices among STD clinic attenders in the Cape Peninsula. South African Medical Journal, 85, 1281–1286.PubMed

Brien, T. M., Thombs, D. L., Mahoney, C. A., & Wallnau, L. (1994). Dimensions of self-efficacy among three distinct groups of condom users. Journal of American College Health, 42, 167–174.PubMedCrossRef

Buve, A., Lagarde, E., Caraël, M., Rutenberg, N., Ferry, B., Glynn, J. R., et al. (2001). Interpreting sexual behavior data: Validity issues in the multicentre study on factors determining the differential spread of HIV in four African towns. AIDS, 15(Suppl 4), S117– S126.PubMedCrossRef

Catania, J. A., Kegeles, S. M., & Coates, T. J. (1990). Towards an understanding of risk behavior: An AIDS Risk Reduction Model (ARRM). Health Education Quarterly, 17, 53–72.PubMed

Cohen, J., & Cohen, P. (1975). Applied Multiple Regression Correlation Analysis for the Behavioral Sciences. New York: Wiley.

Crosby, R. A., Yarber, W. L., Sanders, S. A., & Graham, C. A. (2004). Condom use as a dependent variable: A brief commentary about classification of inconsistent users. AIDS and Behavior, 8, 99–103.PubMedCrossRef

Dare, O. O., & Cleland, J. G. (1997). Reliability and validity of survey data on sexual behaviour. Health Transition Review 4(Suppl), 93–110.

Davis, K. R., & Weller, S. C. (1999). The effectiveness of condoms in reducing heterosexual transmission of HIV. Family Planning Perspectives, 31, 272–27.PubMedCrossRef

Demographic and Health Surveys. Tanzania AIS Final Report 2003. Retrieved September 2005, from http://www.measuredhs.com/pubs/pdf/FR162/08Chapter08.pdf.

Gysels, M., Pool, R., & Nnalusiba, B. (2002). Women who sell sex in a Ugandan trading town: Life histories, survival strategies and risk. Social Science Medicine, 54, 179–192.PubMedCrossRef

Kapiga, S. H., & Lugalla, J. L. P. (2003). Male condom use in Tanzania: Results from a national survey. East African Medical Journal, 80, 181–190.PubMed

Kapiga, S. H., Sam, N. E., Shao, J. F., Renjifo, B., Masenga, E. J., Kiwelu, I. E., et al. (2002). HIV epidemic among female bar and hotel workers in northern Tanzania: Risk factors and opportunities for prevention. Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology, 29, 409–417.

Kerrigan, D., Ellen, J. M., Moreno, L., Rosario, S., Katz, J., & Celentano, D. D., et al. (2003). Environmental-structural factors significantly associated with consistent condom use among female sex workers in the Dominican Republic. AIDS, 17, 415–423.PubMedCrossRef

Mgalla, Z., & Pool, R. (1997). Sexual relationships, condom use and risk perception among female bar workers in north-west Tanzania. AIDS Care, 9, 407–416.PubMed

Mnyika, K. S., Klepp, K. I., Kvale, G., & Ole-Kingori, N. (1997). Determinants of high-risk sexual behaviour and condom use among adults in the Arusha region, Tanzania. International Journal of STD and AIDS, 8, 176–183.PubMedCrossRef

Morris, M., Podhisita, C., Wawer, M. J., & Handcock, M. (1996). Bridge populations in the spread of HIV/AIDS in Thailand. AIDS, 10, 1265–1271.PubMedCrossRef

Nagot, N., Ouangre, A., Ouedraogo, A., Cartoux, M., Huygens, P., Defer, M. C., et al. (2002). Spectrum of commercial sex activity in Burkina Faso: Classification model and risk of exposure to HIV. Journal of Acquired Immune Deficiency Syndromes, 29, 517–521.PubMed

Norman, L. R. (2003). Predictors of consistent condom use: A hierarchical analysis of adults from Kenya, Tanzania and Trinidad. International Journal of STD and AIDS, 14, 584–590.PubMedCrossRef

Nuwaha, F., Faxelid, E., & Hojer, B. (1999). Predictors of condom use among patients with sexually transmitted diseases in Uganda. Sexually Transmitted Diseases, 26, 491–495.PubMedCrossRef

Oladosu, M. (2001). Consistent condom use among sex workers in Nigeria. 129th Annual Meeting of the American Public Health Association, Atlanta [abstract 22125].

O’Leary, A., & Martins, P. (2000). Structural factors affecting women's HIV risk: A life-course example. AIDS, 14(Suppl 1), S68–S72.PubMedCrossRef

Peterman, T. A., Lin, L. S., Newman, D. R., Kamb, M. L., Bolan, G., Zenilman, J., et al. (2002). Does measured behavior reflect STD risk? An analysis of data from a randomized controlled behavioral intervention study. Sexually Transmitted Diseases, 27, 446–451.CrossRef

Pettifor, A. E. (2004). Sexual power and HIV risk, South Africa. Emerging Infectious Diseases, 10, 1996–2004.PubMed

Riedner, G., Rusizoka, M., Hoffmann, O., Nichombe, F., Lyamuya, E., Mmbando, D., et al. (2003). Baseline survey of sexually transmitted infections in a cohort of female bar workers in Mbeya Region, Tanzania. Sexually Transmitted Infections, 79, 382–387.PubMedCrossRef

Sedyaningshi-Mamahit, E. R., & Gortmaker, S. L. (1999). Determinants of safer-sex behaviors of brothel female commercial sex workers in Jakarta, Indonesia. Journal of Sex Research, 36, 190–197.CrossRef

Shlay, J. C., McClung, M. W., Patnaik, J. L., & Douglas, J. M. (2004). Comparison of sexually transmitted disease prevalence by reported level of condom use among patients attending an urban sexually transmitted disease clinic. Sexually Transmitted Diseases, 31, 154–160.PubMedCrossRef

Soler, H., Quadagno, D., Sly, D. F., Riehman, K. S., Eberstein, I. W., & Harrison, D. F. (2000). Relationship dynamics, ethnicity and condom use among low-income women. Family Planning Perspectives, 32, 82–88.PubMedCrossRef

Sumartojo, E. (2000). Structural and environmental factors in HIV prevention: Concepts, examples, and implications for research. AIDS, 14(Suppl 1), S3–S10.PubMedCrossRef

Turner, C. F., & Miller, H. G. (1997). Zenilman's anomaly reconsidered. Fallible reports, ceteris paribus, and other hypotheses. Sexually Transmitted Diseases, 24, 522–527.PubMedCrossRef

Ukwuani, F. A., Tsui, A. O., & Suchindran, C. M. (2003). Condom use for preventing HIV infection/AIDS in sub-Saharan Africa: A comparative multilevel analysis of Uganda and Tanzania. Journal of Acquired Immune Deficiency Syndromes, 34, 203–213.PubMedCrossRef

UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance. Epidemiological Fact Sheet 2004. Retrieved September 2005 from http://www.childinfo.org/eddb/hiv_aids/ factsheets/pdfs/Tanzania_en.pdf.

Van Rossem, R., Meekers, D., & Akinyemi, Z. (2001). Consistent condom use with different types of partners: Evidence from two Nigerian surveys. AIDS Education and Prevention, 13, 252–267.PubMedCrossRef

Wee, S., Barrett, M. E., Lian, W. M., Jayabaskar, T., & Chan, K. W. R. (2004). Determinants of inconsistent condom use with female sex workers among men attending the STD clinic in Singapore. Sexually Transmitted Infections, 80, 310–314.PubMedCrossRef

Titel: Sexual Behavior, Psychosocial and Knowledge Differences between Consistent, Inconsistent and Non-Users of Condoms: A Study of Female Bar and Hotel Workers in Moshi, Tanzania
verfasst von: Katherine K. Tassiopoulos
George R. Seage III
Noel E. Sam
Trong T. H. Ao
Elisante J. Masenga
Michael D. Hughes
Saidi H. Kapiga
Publikationsdatum: 01.07.2006
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 4/2006
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-006-9112-8

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2006

Why are People Getting Tested? Self-Reported Reasons for Seeking Voluntary Counseling and Testing at a Clinic in Chennai, India

Uganda's HIV/AIDS Epidemic: Guest Editorial

The Babel Effect: Community Linguistic Diversity and Extramarital Sex in Uganda

How Uganda Reversed Its HIV Epidemic

Perceptions About the Acceptability of Assessments of HIV Medication Adherence in Lilongwe, Malawi and Chennai, India

Condom Use Among South African Adolescents: Developing and Testing Theoretical Models of Intentions and Behavior