Calzavara L, Burchell A, Myers T, Bullock S, Cockerill R, Marshall V; International Conference on AIDS.
Int Conf AIDS. 1996 Jul 7-12; 11: 327 (abstract no. Th.C.4470).
HIV Social, Behavioural, and Epidemiological Studies Unit, University of Toronto, Toronto, Ontario, Canada. Fax: 416-971-2704. E-mail:aburch@pmb.med.utoronto.ca.
Objective: To determine the prevalence of condom use and its association with sociodemographic characertistics, sexual behaviour, birth control, and attitudes. Methods: A cross-sectional survey of 658 Aboriginal men and women living in 11 reserve communities in Ontario, Canada was conducted using a stratified random sample. Individuals who had more than one sex partner and who had sexual intercourse in the last 12 months were included in the analysis (n=159). Descriptive statistics (weighted by age, sex, language, and region) and multiple logistic regression were used to analyze condom use in the last 12 months. Odds ratios were adjusted for age, sex, and marital status if confounding was present. Results: Forty-one percent never, 50% sometimes, and 9% always used condoms. Condom use "sometimes or always" was significantly greater among males (OR=2.6), individuals under the age of 30 (OR=2.5 for males, OR=7.7 for females), and among those who were very familiar with the traditional way of life (OR=4.0). The use of a condom for STD prevention was significantly associated with males (OR=3.0), age less than 30 (OR=4.2), females with five or more sex partners (OR=4.6), use of condoms for birth control (OR=100), and worry about pregnancy (OR=2.4). Of the 84 people who used condoms for STD prevention, 90% also used them for birth control. Condom use for either STD prevention or birth control was not significantly associated with community remoteness, education, marital status, having a steady sex partner, time with a steady sex partner, using birth control other than condoms, worry about STDs or AIDS, or self-perceived risk of AIDS. Being with a steady sex partner was the most common reason for not using a condom. Conclusions: The use of condoms for birth control was the strongest predictor of condom use for STD prevention. This suggests that efforts to increase condom use in this population should address pregnancy concerns and ensure that individuals at risk of STDs or AIDS do not discontinue using condoms if they switch to another method of birth control. In view of the fact that familiarity with the traditional way of life was an important predictor of condom use, a better understanding of the effect of culture on condom use may be useful in developing prevention programs.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Attitude
- Canada
- Condoms
- Contraception
- Contraception Behavior
- Counseling
- Cross-Sectional Studies
- Culture
- Female
- Health Knowledge, Attitudes, Practice
- Hispanic Americans
- Humans
- Male
- Ontario
- Population Groups
- Pregnancy
- Risk-Taking
- Sexual Behavior
- Sexual Partners
- Sexually Transmitted Diseases
Other ID:
UI: 102220723
From Meeting Abstracts