Assessment Of Sexual Behaviour And Condom Use Among Married Or Cohabiting Couples In Nekemte Town East Wollega Ethiopia

BACKGROUND: Rates of human immunodeficiency virus (HIV) infection among married women orrnthose in committed partnerships are increasing rapidly. Most HIV infection in sub-Saharan Africa occursrnduring heterosexual intercourse between couples in a relationship. The primary mode of HIV transmissionrnin Ethiopia is via heterosexual contact. Over 90% of adult cases of HIV in Ethiopia are attributable tornheterosexual activity.rnOBJECTIVE: The objective of this study was to assess sexual behavior and condom use among married /rncohabiting couples in Nekemte town.rnMETHODS: A community based cross sectional survey was conducted from February to March, 2010 inrnNekemte town. The data was collected through quantitative and qualitative methods. Two multistagernsampling techniques were used. In the first stage, simple random sampling technique was used to selectrnthe kebeles. In the second stage, systematic random sampling was used to select 768 couples (768 malesrnand 768 females) and 1536 individuals from 768 households were interviewed.rnRESULTS: The prevalence of premarital sexual intercourse was 30.6% among married/cohabiting menrnand 19.7% among women. However, the transition of premarital sex to marriage among those who hadrnpremarital sex (235 men Vs 151 women) was low, 40 (17.0%) among men and 40 (26.5%) among women.rnAbout seven percent of males and 2.1% of females’ respondents reported that they had extramaritalrnpartners and about 4% of males reported having had more than one sexual partner in last 12 months.rnDespite this the prevalence of ever use of condoms was 5.4% (95% CI 4.3, 6.5%) and 4% (95% CI 3.0,rn5%) in the past 12 months. In multivariate analysis, number of life time sexual partners, perceived risk ofrnHIV infection, suspecting spouse having extramarital partner and discussion about condom had significantrnassociation with condom use in both sexes.rnCONCLUSION: Despite the fact that some married /cohabiting people engaged in risky sexual behaviorsrnor extramarital partner, condom use among couples has remained very low

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