141st APHA Annual Meeting and Exposition

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292665
An examination of barriers to condom use among ghanaians


Tuesday, November 5, 2013

Andrew Owusu, PhD, Department of Health and Human Performance, Middle Tennessee State University, Murfreesboro, TN
Amanda R. Cole, MS, Department of Health and Human Performance, Middle Tennessee State University, Murfreesboro, TN
Brittney D. Oliver, Ph.D.
Amber Dorsey, BS, Department of Health and Human Performance, Middle Tennessee State University, Murfreesboro, TN
Introduction: Ghana has a relatively low and stable HIV prevalence rate of 1.5%. However in-country variation in infection prevalence dictate need to explore condom use barriers; an impediment to lowering HIV transmission. This study explores the relationship between perceived condom use barriers and condom use among Ghanaians.

Methods: Data from 3,517 sexually active individuals from the Condom Barrier Scale (CBS) were analyzed. Exploratory factor analysis (EFA) was employed to identify latent-factors among 29 items. Standardized factor scores were used to create categorical variables based on tertiles for each factor. Binary logistic regression predicted condom use based on latent-factors.

Results: Thirteen items were removed via series of EFAs leaving 16 items and subsequent extraction of three latent factors; partner barrier (PB), effect on sexual experience (ESE) and motivational barriers (MB). Participants in higher tertiles of PB were more likely to report condom use compared to 1st tertile (OR= 1.31, CI 1.05-1.64, for 2nd tertile; and OR= 2.50, CI 1.96-3.13, for 3rd tertile). MB-participants in higher tertiles were more likely to report condom use compared to 1st tertile (OR= 1.51, CI 1.21-1.89, for 2nd tertile; and OR= 4.10, CI 3.24-5.19, for 3rd tertile). For ESE, participants in higher tertiles were less likely to report condom use compared to 1st tertile (OR= .57, CI.46-.70, for 2nd tertile; and OR= .57, CI .46-.71, for 3rd tertile).

Discussion: Partner barriers, effect on sex, and motivational barriers are significant constructs to consider as part of interventions to reduce condom use barriers among Ghanaians.

Learning Areas:

Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify significant constructs representing barriers to Condom use among Ghanaians

Keyword(s): HIV Interventions, Theory

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-PI of the national level project from which the data for this study came from. In addition, I am the country (Ghana) coordinator for the Ghana Global School-based Student Health Survey; a collaboration between Ghana, the World Health Organization and US Centers for Disease Control and Prevention.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4359.0: Poster Session 1: Monitoring & Evaluation in International Health