Using improved predictors of condom use to better target Swazi youth with regular partners

Megan Klein Hattori, Brown University
Navendu Shekhar, Population Services International (PSI)
Dhaval S. Patel, Society for Family Health/ Population Services International

In sub-Saharan Africa youth are the most vulnerable group for HIV infection. Using the Swaziland 2005-06 baseline tracking survey of youth aged 15 to 24, we assess three categories of predictors for protective behavior: socio-demographic; past experiences; and opportunity, ability, and motivation. Adding indicators of individuals' opportunity, ability, and motivation improves our ability to describe condom use with regular partners. Specifically, condom use self-efficacy (OR= 1.38, p<.01; OR= 1.31, p<.01) and condom beliefs (OR= 1.75, p<.01; OR= 1.85, p<.05) are associated with condom use at last sex and consistent use. Condom attitudes (OR= 1.39, p<.05) were associated with use at last sex, and condom availability (OR= 1.36, p<.01) was associated with consistent use. We recommend targeting improved self-efficacy, condom beliefs, and, as indicators of past experiences are significant, targeting youth before their sexual debut in order to delay their first sex and ensure that that their first sex is protected.

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Presented in Poster Session 3