Predictors of condom use among patients with sexually transmitted diseases in Uganda.

ABSTRACT

PIP: A cross-sectional survey was undertaken among 138 sexually transmitted disease (STD) patients in Mbarara Hospital, Uganda, to understand the predictors of condom use among patients with STDs with a view of suggesting measures for increased condom use. Data were collected on sociodemographic situations, STD symptoms, type of sexual partners, and use of condoms. Multivariate logistic regression models were used to identify independent predictors of condom use. Results showed that of the 138 patients (58 men, 80 women), 87 (42 men, 45 women) knew how to use a condom; 81 had ever used a condom, 34 had used a condom at least once in the previous 3 months, 20 had used one during the last intercourse, and 80 had accepted a free supply of condoms. Reasons among the 57 patients for not using condoms were: having a regular partner or spouse (28.49%); partner does not approve (30%); reduced sexual pleasure (9%); and no answer (12%). The results also showed that the predictors of condom use were: being a man; not having a regular partner; having had sex with a casual partner; able to read English; having a secondary education; and using electricity for lighting. Therefore, the results suggested that providing health promotion in local languages would improve condom use in the area. Furthermore, a complementary HIV prevention strategy is needed for women and regular sexual partners.