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01-08-2010 | Original Paper

Determinants of Consistent Condom Use Vary by Partner Type among Young Men in Kisumu, Kenya: A Multi-level Data Analysis

Authors: Nelli Westercamp, Christine L. Mattson, Michelle Madonia, Stephen Moses, Kawango Agot, Jeckoniah O. Ndinya-Achola, Evans Otieno, Nicholas Ouma, Robert C. Bailey

Published in: AIDS and Behavior | Issue 4/2010

Abstract

To evaluate whether determinants of consistent condom use vary by partner type among young sexually active Kenyan men, we conducted a cross-sectional assessment of lifetime sexual histories from a sub-sample of men enrolled in a clinical trial of male circumcision. 7913 partnerships of 1370 men were analyzed. 262 men (19%) reported never, 1018 (74%) sometimes and 92 (7%) always using a condom with their partners. Condoms were always used in 2672 (34%) of the total relationships—212 (70%) of the relationships with sex workers, 1643 (40%) of the casual and 817 (23%) of the regular/marital relationships. Factors influencing condom use varied significantly by partner type, suggesting that HIV prevention messages promoting condom use with higher-risk partners have achieved a moderate level of acceptance. However, in populations of young, single men in generalized epidemic settings, interventions should promote consistent condom use in all sexual encounters, independently of partner type and characteristics.

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Title: Determinants of Consistent Condom Use Vary by Partner Type among Young Men in Kisumu, Kenya: A Multi-level Data Analysis
Authors: Nelli Westercamp
Christine L. Mattson
Michelle Madonia
Stephen Moses
Kawango Agot
Jeckoniah O. Ndinya-Achola
Evans Otieno
Nicholas Ouma
Robert C. Bailey
Publication date: 01-08-2010
Publisher: Springer US
Published in: AIDS and Behavior / Issue 4/2010
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-008-9458-1

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