228664 Determinants of condom use in Pakistan

Wednesday, November 10, 2010

Sohail Agha, PhD , Population Services International, Karachi, Pakistan
Dominique Meekers, PhD , Dept. of International Health and Development, Tulane University SPHTM, New Orleans, LA
In Pakistan, condom social marketing programs are an important component of efforts to reduce unplanned pregnancies. Nevertheless, relatively little is know about the determinants of condom use. This study analyzes data from a 2009 survey of Pakistani men (n=1606) to identify the factors that affect condom use, which the aim of informing the design of future social marketing campaigns.

Preliminary results show that men under age 40 are 2.4 times more likely than older men to report current condom use (p<.05). Condom use is also higher among men who want no more children (OR=2.8), who believe condoms are effective (OR=1.2), approve of family planning (OR=2.2), and who recently discussed family planning (OR=1.8). It is lower among men who believe condoms reduce sexual pleasure (OR=.93), and who are embarrassed purchasing condoms (OR=.96).

Consistent condom use was found to be positively associated with the desire to delay the next child (OR=2.7), approval of family planning (OR=3.1), and daily TV watching (OR=1.8). It is negatively associated with embarrassment to purchase condoms (OR=0.9).

The findings suggest that programs should promote the effectiveness of condoms for family planning, encourage men to discuss family planning, and aim to make it more socially acceptable to purchase condoms.

Learning Areas:
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Describe the factors affecting use of condoms in Pakistan Identify barriers to condom use in Pakistan

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have over 20 years experience in international health research
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
GreanStar Social Marketing Program evaluation Consultant

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.

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