predictors of condom use by using health belief model
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Date
2005-06
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Addis Abeba Universty
Abstract
Background:- the few earlier studies conducted among freshman college
students in Ethiopia at the Gonder college of medical science practiced sexual
intercourse and half of that sexual contact to have been with prostitutes or with
causal individuals among these, most did not use condoms.
Although there is no adequate information about the situation among
Ethiopia college students, one study from western culture has indicated that
college students fit in to either of the three sexual subculture: free
experimentation of sexual act, monogamy, or abstinence. However, prevention of
sexual transmission of HIV requires either abstinence from unprotected sexual
intercourse or modification of relevant behavior with proper knowledge and
attitude.
Objectives:- the objectives of this study is to asses predictors of condom use
using Health belief model.
Methods:- Across-sectional self-administered based survey was conducted at
Alemaya University from September, 2004 to April, 2005. The study population
was selected randomly in four departments namely Law, accounting, plan
science and history after they have been stratified based on their batches. The
data collection tool was designed in such way that health belief model variables
and AIDS-index behavior were used. Data analysis was computed by SPSS.
Ethical clearance was secured from Addis Ababa university, medical faculty and
from the study university. Participants in this study was voluntary and based on
informed consent.
Result:- More female 21 (57%) had never used condom as compared to 47 (39%)
of sexually active male students, who had never used condom. On the other
hand more male 74(82.2%) had used condom as compared to 16(17.8%) of
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female sexually active students , who had used condom at least once. The
theoretical constructs with the intention to use condom and past condom use
was tabulated among male and female students. Thus, bivariate correlation
analysis showed that past condom use was significantly associated with
perceived behavioral control (r = 0.197, P<0.05), normative belief (r = 0.971,
P<0.05), and self-efficacy (r = 0.194, P<0.01) among male University Students.
On the other hand, past condom use was significantly associated with normative
belief (r = 0.144, P<0.05), Self-efficacy (r = 0.109, P<0.05) and perceived
behavioral control (r = 0.106, P<0.05) among female University Students.
Similarly regression analysis predicting intention to use condom among
male university students showed that perceived benefit (b = 0.158, T = 1.014)
outcome evaluation (b = 0.241, T = 1.764), self-efficacy (b = 0.265, T = 1.892)
and perceived behavioral control (b = 0.361, T = 2.865) were significantly
associated with future intention to use condom, while among female University
Students, perceived benefit (b = 0.183, T = 2.285) normative belief (b = 0.204, T
= 2.593) Perceived barrier (b = 0.214, T = 2.181) , self-efficacy (b = 0.194, T =
2.428), and perceived behavioral control (b = 0.165, T = 2.036) were significantly
associated with intention to use condom.
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Keywords
predictors of condom use