Prevalence and correlates of condom use at last sexual intercourse pre- and post-COVID-19 lockdown among adolescent girls and young women in central and western Kenya

Syovata Kimanthi, Maricianah Onono, George Otieno, Ruanne V. Barnabas, Betty Njoroge, Ouma Congo, Charlene Biwott, Nelly Mugo, Elizabeth K. Harrington

Abstract

We investigated condom use at last sexual intercourse among adolescent girls and young women (AGYW) to determine the prevalence and correlates of condom use pre- and post-COVID-19 lockdown. Condom use was compared pre- and post-COVID-19 lockdown using a single group interrupted time series analysis. Multivariable Poisson regression was used to determine the correlates of condom use at last sexual intercourse. We found a statistically significant decrease in prevalence of condom use at last sexual intercourse post-COVID-19 lockdown. Condom use at last sexual intercourse was associated with younger age, current
contraceptive use, and higher education. AGYW in concurrent relationships were less likely to use condoms, as were owners ofmobile phones. These findings suggest a disconnect between youth knowledge of HIV prevention and their actual condom use, particularly in concurrent sexual partnerships. Future research should explore how dynamic fertility intentions, mobile phoneaccess, concurrent sexual partnerships and empowerment influence condom use among sub-Saharan AGYW.

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