Patterns and Correlates of Condom Use among Unmarried Male Youths in Nigeria: NDHS 2008

Stephen A. Adebowale, Bukola V. Ajiboye, Oyedunni Arulogun

Abstract

The HIV/STDs constitute public health problem. Condom use during sexual intercourse has been proved to be a good means of protection against HIV/STDs. Unmarried male youths which constitute a high proportion of Nigerians will be at risk of HIV/STDs if they fail to use condom. Reducing HIV/STDs in Nigeria will be difficult if research on condom use among youths is neglected. This retrospective cross-sectional design study utilized 2008 NDHS dataset. It focused on unmarried male youths aged 15-24 (n=1575) who ever had sexual intercourse (vaginal, oral and anal). The dependent variables were ever used and current use of condom. Data was analyzed using Chi-square and logistic regression (α=5.0%). Mean age of the respondent was 20.5±2.4, 62.0% ever used condom and 49.5% currently using condom. Among the sexually active; age, region, residence, education, wealth index, ever undergone HIV test and total life-time number of sexual partners were significantly associated with current use of condom. Living in the southern regions of Nigeria promotes the use of condom. The odds of ever use of condom was higher among male youths who were in the middle (OR=2.36; C.I=1.48-3.78), richer (OR=2.93; C.I=1.81-4.72) and richest (OR=3.52; C.I=2.07-6.00) wealth quintiles than the poorest. Ever undergone HIV test increased the likelihood of using condom.  Condom use among unmarried male youths in Nigeria is low. Distribution of condom at no cost and undergoing HIV test will increase utilization of condom among unmarried male youths in Nigeria. (Afr J Reprod Health 2013; 17[3]: 149-159).

 

Résumé

 

Le VIH / MST constitue un problème de santé publique. Il a été prouvé que l'utilisation du préservatif lors des rapports sexuels est  un bon moyen de protection contre le VIH / MST. Les jeunes hommes célibataires, qui constituent une forte proportion de Nigérians  vont courir le risque du VIH / MST s’ils ne parviennent pas à utiliser un préservatif. Il sera difficile de réduire le VIH / MST au Nigeria  si la recherche sur l'utilisation du préservatif chez les jeunes est négligée. Cette étude de conception transversale rétrospective s’est servie de données de l’ENDS de 2008. Elle s'est concentrée  sur les jeunes hommes célibataires de 15-24 ans (n = 1575) qui ont déjà eu des relations sexuelles (vaginales, orales et anales). Les variables dépendantes sont avoir jamais utilisés et l'utilisation actuelle du préservatif. Les données ont été analysées par la régression Chi-carré et logistique (α = 5,0%). L'âge moyen des interviewés était de 20,5 ± 2,4, 62,0% pour ceux qui ont  jamais utilisé le préservatif  et 49,5%  pour ceux qui utilisent actuellement le préservatif. Parmi ceux qui sont sexuellement actifs, l'âge, la région, le domicile, l'éducation, l'indice de richesse, le test du VIH qu’on a jamais subi et le nombre total de partenaires sexuels qu’ils ont eu toute leur vie étaient significativement associés à l'utilisation actuelle du préservatif.  Le fait de résider dans les régions du sud du Nigeria encourage l'utilisation des préservatifs. La possibilité de jamais utiliser le condom était plus élevée chez les jeunes hommes qui se trouvaient au milieu (OR = 2,36, IC = 1,48 à 3,78), plus riche (OR = 2,93, IC = 1,81 à 4,72) et les plus riches (OR = 3,52, IC = 2,07 à 6,00) quintiles de richesse que les plus pauvres. Le fait d’avoir jamais subi le test du VIH a  augmenté la probabilité d'utiliser le préservatif. L'utilisation du préservatif chez les jeunes hommes célibataires au Nigeria est faible. La distribution des préservatifs gratuitement et le fait de subir le test du VIH vont augmenter l'utilisation des préservatifs chez les jeunes hommes célibataires au Nigeria. (Afr J Reprod Health 2013; 17[3]: 149-159).

 

Keywords: Male condom, Unmarried male youths, Sexual intercourse

 

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