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Sexual Activity and Condom Use in Lusaka, Zambia
International Family Planning Perspectives
Vol. 24, No. 1 (Mar., 1998), pp. 32-37
Published by: Guttmacher Institute
Stable URL: http://www.jstor.org/stable/2991917
Page Count: 6
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Context: Condom social marketing is among the AIDS prevention strategies being attempted in Lusaka, Zambia, a country where women generally are of low socioeconomic status relative to men, and where the prevalence of sexually transmitted diseases is high. Methods: The 1996 Lusaka Sexual Behavior and Condom Use Survey gathered data on sexual activity in Lusaka from 806 respondents; multiple regression analysis was performed to identify factors that predicted men's and women's condom use. Results: Most respondents reported that their most recent intercourse was with their marital partner (62% of women and 43% of men) or with a regular partner (20% of women and 23% of men); almost one-quarter of men (24%), however, reported having last had intercourse with a casual partner. Overall, 17% of women and 24% of men had used a condom at last intercourse. Multivariate logistic regression analysis found that women whose last intercourse was with a regular or casual partner rather than a marital partner were significantly more likely (odds ratios, 2.8 and 3.1, respectively) to have used a condom, as were those who recalled hearing a social marketing advertising message for condoms (2.8). For men, use of condoms was elevated among those who were younger than 30 (odds ratios, 3.3-3.8), who had an education beyond the secondary level (2.2) and who had easy access to condoms (1.9). Conclusions: Because of gender inequity, programs directed at men are more likely to succeed in encouraging condom use than are those aimed at developing women's skills in negotiating condom use.
International Family Planning Perspectives © 1998 Guttmacher Institute