IDEAS home Printed from https://ideas.repec.org/a/spr/joprea/v35y2018i1d10.1007_s12546-017-9195-2.html
   My bibliography  Save this article

Condom use among married and cohabiting women and its implications for HIV infection in Mahikeng, South Africa

Author

Listed:
  • Godswill N. Osuafor

    (University of Venda
    North-West University)

  • Sonto Maputle

    (University of Venda)

  • Natal Ayiga

    (North-West University)

  • Akim J. Mturi

    (North-West University)

Abstract

Married and cohabiting women have been neglected in the promotion of condoms as the most effective prevention method of sexually transmitted infections (STIs) and HIV. As a result, HIV prevalence is increasing in this population group in high HIV prevalence settings. The study assesses the prevalence of and identifies the predictors of consistent use of male condoms among married and cohabiting women, and examines its implications for HIV transmission. The data used were obtained from a cross-sectional survey on sexual and reproductive health conducted among women aged 18–49 years of age in Mahikeng Local Municipality in 2012 using mixed methods. A structured questionnaire and in-depth interview guide were used to collect quantitative data from 568 and qualitative data from 33 married or cohabiting women. The data were analysed using logistic regression and thematic content analysis methods. The results show that only 16.2% of the women consistently used condoms. Women having no and 1–2 surviving children, educated women, women in relationships in which most sexual decisions were jointly made with husbands/partners, women having high risk perceptions of STIs and HIV infection and women who negotiate condom use with and know the HIV status of their husbands/partners were significantly more likely to have consistently used condoms. However, women who perceived that condoms reduce sexual pleasure, feared they would be blamed for infidelity by husbands/partners, trusted that their husbands/partners were faithful and feared condoms could lead to relationship instability used condoms inconsistently. We conclude that the prevalence of consistent use of condoms by married and cohabiting women in the study is low, indicating that promotion of condoms among married or cohabiting women is neglected, which could increase the risk of HIV transmission. Based on our findings, we recommend the review of condom programmes with a view to targeting married or cohabiting couples as an important group for condom promotion and uptake.

Suggested Citation

  • Godswill N. Osuafor & Sonto Maputle & Natal Ayiga & Akim J. Mturi, 2018. "Condom use among married and cohabiting women and its implications for HIV infection in Mahikeng, South Africa," Journal of Population Research, Springer, vol. 35(1), pages 41-65, March.
    • Handle: RePEc:spr:joprea:v:35:y:2018:i:1:d:10.1007_s12546-017-9195-2
    DOI: 10.1007/s12546-017-9195-2
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s12546-017-9195-2
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s12546-017-9195-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Chimbiri, Agnes M., 2007. "The condom is an 'intruder' in marriage: Evidence from rural Malawi," Social Science & Medicine, Elsevier, vol. 64(5), pages 1102-1115, March.
    2. Damien De Walque, 2007. "Sero‐Discordant Couples in Five African Countries: Implications for Prevention Strategies," Population and Development Review, The Population Council, Inc., vol. 33(3), pages 501-523, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Desgrées-du-Loû, Annabel & Brou, Hermann & Traore, Annick Tijou & Djohan, Gerard & Becquet, Renaud & Leroy, Valeriane, 2009. "From prenatal HIV testing of the mother to prevention of sexual HIV transmission within the couple," Social Science & Medicine, Elsevier, vol. 69(6), pages 892-899, September.
    2. Anglewicz, Philip & Clark, Shelley, 2013. "The effect of marriage and HIV risks on condom use acceptability in rural Malawi," Social Science & Medicine, Elsevier, vol. 97(C), pages 29-40.
    3. Michelle Poulin & Adamson S. Muula, 2011. "An inquiry into the uneven distribution of women’s HIV infection in rural Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 25(28), pages 869-902.
    4. Wilson, Nicholas, 2021. "Why is ageing associated with lower adoption of new technologies? Evidence from voluntary medical male circumcision and a structural model," The Journal of the Economics of Ageing, Elsevier, vol. 19(C).
    5. Eva Deuchert, 2011. "The Virgin HIV Puzzle: Can Misreporting Account for the High Proportion of HIV Cases in Self-reported Virgins?," Journal of African Economies, Centre for the Study of African Economies, vol. 20(1), pages 60-89, January.
    6. Philip Anglewicz, 2012. "Migration, Marital Change, and HIV Infection in Malawi," Demography, Springer;Population Association of America (PAA), vol. 49(1), pages 239-265, February.
    7. Aureo de Paula & Gil Shapira & Petra E. Todd, 2008. "How Beliefs about HIV Status Affect Risky Behaviors: Evidence from Malawi, Fifth Version," PIER Working Paper Archive 10-023, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania, revised 10 Jul 2010.
    8. Poulin, Michelle, 2007. "Sex, money, and premarital partnerships in southern Malawi," Social Science & Medicine, Elsevier, vol. 65(11), pages 2383-2393, December.
    9. Paul Mkandawire & Isaac Luginaah & Rachel Bezner-Kerr, 2011. "Deadly divide: Malawi’s policy debate on HIV/AIDS and condoms," Policy Sciences, Springer;Society of Policy Sciences, vol. 44(1), pages 81-102, March.
    10. Jeremy Greenwood & Philipp Kircher & Cezar Santos & Michèle Tertilt, 2019. "An Equilibrium Model of the African HIV/AIDS Epidemic," Econometrica, Econometric Society, vol. 87(4), pages 1081-1113, July.
    11. Cordero Coma, Julia, 2014. "HIV prevention and marriage: Peer group effects on condom use acceptability in rural Kenya," Social Science & Medicine, Elsevier, vol. 116(C), pages 169-177.
    12. Adeline Delavande & Hans-Peter Kohler, 2012. "The Impact of HIV Testing on Subjective Expectations and Risky Behavior in Malawi," Demography, Springer;Population Association of America (PAA), vol. 49(3), pages 1011-1036, August.
    13. Bornstein, Marta & Gipson, Jessica D. & Failing, Gates & Banda, Venson & Norris, Alison, 2020. "Individual and community-level impact of infertility-related stigma in Malawi," Social Science & Medicine, Elsevier, vol. 251(C).
    14. Rebecca L. Thornton & Hans-Peter Kohler, 2017. "Making marriages last: trust is good, but credible information is better," WIDER Working Paper Series 173, World Institute for Development Economic Research (UNU-WIDER).
    15. Mark Gersovitz, 2011. "Infectious Diseases: Responses to the Security Threat Without Borders," Chapters, in: George Mavrotas (ed.), Security and Development, chapter 9, Edward Elgar Publishing.
    16. Ibrahim Kasirye, 2016. "HIV/AIDS Sero-prevalence and Socio-economic Status: Evidence from Uganda," African Development Review, African Development Bank, vol. 28(3), pages 304-318, September.
    17. Sterck Olivier, 2013. "Why are Testing Rates so Low in Sub-Saharan Africa? Misconceptions and Strategic Behaviors," Forum for Health Economics & Policy, De Gruyter, vol. 16(1), pages 219-257, September.
    18. Beegle, Kathleen & de Walque, Damien, 2009. "Demographic and socioeconomic patterns of HIV/AIDS prevalence in Africa," Policy Research Working Paper Series 5076, The World Bank.
    19. Adeline Delavande, 2012. "HIV/AIDS-related Expectations and Risky Sexual Behavior in Malawi," 2012 Meeting Papers 90, Society for Economic Dynamics.
    20. Lucia Corno & Damien de Walque, 2012. "Mines, Migration and HIV/AIDS in Southern Africa," Journal of African Economies, Centre for the Study of African Economies, vol. 21(3), pages 465-498, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:joprea:v:35:y:2018:i:1:d:10.1007_s12546-017-9195-2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.