predictors of condom use by using health belief model

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Addis Abeba Universty


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 viii 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.



predictors of condom use