In Ghana, Young Men's Condom Use is Linked to Lack of Barriers, Perceived Susceptibility to HIV Infection

Abstract

This article summarizes findings from a 1994-95 household survey among 601 sexually active males 15-24 years old from Yilo-Krobo district in rural Ghana. Findings indicate that 1 in 5 men used condoms at every sex act; 1 in 4 used condoms at last intercourse. The odds of condom use at last intercourse rose with age at first intercourse. Likelihood of condom use at the last intercourse was associated with young men who rarely or never drank alcohol men who believed themselves at high risk of HIV infection and men who were confident of their ability to use condoms consistently. 65% of young men had used a condom at least once since becoming sexually active. Only 21% used condoms consistently during sexual intercourse. 25% had used condoms at last intercourse. Men 20-24 years old were 2.4 times more likely than younger men to have ever used a condom. Men who perceived fewer barriers to condom use were 2.4 times more likely to have used condoms. Men who were confident of their ability to use condoms were 2.5 times more likely to ever use condoms. Men who had strong social support for condom use were 70% more likely to have ever used them. Findings suggest that AIDS prevention programs for youth in Ghana or similar countries should emphasize personal risk of contracting AIDS. Promotion should include information on correct condom use and ease of use over time.