Determinants of condom use among monogamous men in Ondo State, Nigeria.

Abstract

This study examined the factors that influence condom use among monogamous men in Ondo State, Nigeria. Such information can help improve the design of male-involvement interventions in reproductive health and campaigns to reduce the spread of HIV among the general population. Overall, analysis was restricted to 394 men who were in their first union and reported a monogamous marriage at the time of interview. The analysis used logistic regression models for predicting the effects of selected socioeconomic background characteristics on ever-use of a condom and reasons for its use. Findings showed that 30% of monogamous men had ever used a condom, while about 15% of men were currently using the method. The findings further showed that prevention of pregnancy was a concern among monogamous men, much more than prevention of sexually transmitted infections (STIs), including HIV/AIDS. The logistic regression models indicated that ever-use of a condom was associated with age, education, and having been counselled on family planning, while place of residence, frequency of television-watching, and exposure to family-planning counselling were factors associated with motivation for condom use. Although prevention of pregnancy is a major motivation for condom use, many men would use a condom for protection against STIs and prevention of pregnancy simultaneously. Therefore, programme interventions aimed at promoting the use of condoms among men should convey both pregnancy and STIs/HIV/AIDS-prevention messages in one programme.