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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
3243.0: Monday, December 12, 2005 - Board 9

Abstract #116101

Safer Sex with Risky Partners in Uganda: Examining Trends in Knowledge and Consistent Condom Use from 1995-2001

Anne Stangl, Department of International Health and Development, Tulane School of Public Health and Tropical Medicine, 1440 Canal Street, Suite 2200, New Orleans, LA 70112, 504-988-1978, astangl@tulane.edu

Background: HIV prevention efforts in Uganda have focused on three key preventive behaviors: abstaining from sexual activity, mutual monogamy and condom use. Much debate exists surrounding the role of these preventive behaviors in the declining prevalence observed in Uganda. While it is difficult to tease out the contribution of individual prevention methods, it is important to understand the factors influencing each behavior and monitor trends over time. This study evaluates whether consistent condom use increased among Ugandan men and women and whether type of sexual partner and proximity to people living with HIV/AIDS are significant predictors of such change over time.

Methods: Probit regression analyses were conducted on pooled data from the male and female questionnaires of the 1995 and 2000-01 Demographic and Health Surveys.

Results: Significant percentage point increases in knowledge of condoms as a means to avoid HIV occurred for both men (38.0%) and women (34.0%). While consistent condom use did not increase for either sex, a significant interaction was found between type of sexual partner at last sex and survey year, indicating that condom use varied by partner type. The predicted probability of condom use with a non-cohabiting partner increased 5.0% points for men and 2.0% points for women. Predictors of consistent condom use for both sexes included: a non-cohabiting partner at last sex, urban residence, secondary education, high socioeconomic status and daily radio listening.

Conclusions: These results indicate that prevention programs have been successful at altering condom use behavior during risky sex in Uganda.

Learning Objectives: At the conclusion of the session, participants will be able to

Keywords: Condom Use, Behavior Modification

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Global Perspectives on HIV/AIDS

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA