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Determinants of condom use by men in extramarital relationships in Nigeria

Authors Ankomah A, Adebayo SB, Anyanti J, Ladipo O, Ekweremadu B

Received 9 October 2012

Accepted for publication 18 January 2013

Published 24 May 2013 Volume 2013:5 Pages 97—109

DOI https://doi.org/10.2147/HIV.S38965

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3


Augustine Ankomah,1 Samson B Adebayo,2,3 Jennifer Anyanti,3 Olaronke Ladipo,3,† Bright Ekweremadu3

1Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana; 2Directorate of Planning, Research and Statistics, National Agency for the Control of Food and Drugs Administration and Control, Abuja, Nigeria; 3Society for Family Health, Abuja, Nigeria

Olaronke Ladipo passed away on 30/10/2012

Background: Extramarital sex is a high-risk behavior in terms of Human Immunodeficiency Virus (HIV) transmission, yet condom use in extramarital relationships is an understudied area in Africa, and Nigeria in particular, where such liaisons are not uncommon. This study highlights key determinants of condom use among men who engage in extramarital sex in Nigeria.
Methods: Results are based on a subsample of 642 married men from a combined dataset from three waves of the National HIV/AIDS and Reproductive Health Survey (NARHS), a set of multiround nationally representative surveys. Logistic regression was employed to explore possible determinants of condom use in extramarital sex. The motivation, opportunity, and ability model was applied in selecting the determinants.
Results: HIV risk-reduction knowledge was found not to be associated with condom use. At the full logistic regression model, being of the Yoruba tribe, having no misconception about HIV transmission, ability to discuss condom use, and ability to wear condoms were the key variables significantly associated with condom use in extramarital sex.
Conclusion: Implementing HIV risk-reduction behavior change requires more than knowledge. Behavioral skills in condom use are critical. Intervention efforts should move away from knowledge about risk to concentrate on improving skills on how to discuss condom use and wear condoms correctly.

Keywords: married men, extramarital sex, condom use, motivation, opportunity, Nigeria

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