Understanding the association between exposure to family planning messages and consistent condom use among never married men in Ghana

Despite considerable efforts to promote condom use, sexually active people in sub-Sahara Africa still engage in risky sexual behaviours, with condom use relatively low. With this high vulnerability of these persons to HIV and sexually transmitted infections, research related to exposure to family pl...

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Veröffentlicht in:PloS one 2021-08, Vol.16 (8), p.e0255325
Hauptverfasser: Ahinkorah, Bright Opoku, Hagan, Jr, John Elvis, Seidu, Abdul-Aziz, Budu, Eugene, Mensah, Georgina Yaa, Adu, Collins, Schack, Thomas
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creator Ahinkorah, Bright Opoku
Hagan, Jr, John Elvis
Seidu, Abdul-Aziz
Budu, Eugene
Mensah, Georgina Yaa
Adu, Collins
Schack, Thomas
description Despite considerable efforts to promote condom use, sexually active people in sub-Sahara Africa still engage in risky sexual behaviours, with condom use relatively low. With this high vulnerability of these persons to HIV and sexually transmitted infections, research related to exposure to family planning messages to help curb this trend remains sparse. This study examined how exposure to family planning messages in the midst of some socio-demographic factors is associated with consistent condom use among sexually active never married men in Ghana. Data were obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. Only never married men (15-64 years) who have had sexual experience in the last 12 months were included in the analysis (N = 971). Frequencies, percentages, chi-square tests and binary logistic regression analyses were carried out. Results of the binary logistic regression analysis were presented using crude odds ratios (cOR) and adjusted odds ratios (aOR). The results showed that only 26.15% of sexually active never married men in Ghana consistently used condom during sex. Men who were exposed to family planning messages were 51% more likely use condom consistently compared to those who are not exposed [aOR = 1.51, CI = 1.04-2.18]. In terms of the covariates, the likelihood of consistent condom use among men in Ghana was lower among those aged 35 years and above compared to those aged 15-24 [aOR = 0.46 CI = 0.21-0.99]. The odds of consistent condom use among men increased with level of education, with men with higher level of education having the highest odds of consistent condom use compared to those with no formal education [aOR = 9.98, CI = 2.05-48.46]. Men of the richest wealth quintile were more likely to use condom consistently compared to those of the poorest wealth quintile [aOR = 2.62, CI = 1.30-5.27]. Higher odds of consistent condom use was found among men who dwelled in the Central, Northern, and Upper East regions compared to those of the Western region. Our findings have established a strong association between exposure to family planning messages alongside age, educational level, wealth, and region of residence and consistent condom use. Men exposed to family planning messages were more likely to use condoms consistently. Designed programs should use intervention strategies that focus on interactive and participatory educational activities to improve sexually active men's interpersonal communication on family planning
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With this high vulnerability of these persons to HIV and sexually transmitted infections, research related to exposure to family planning messages to help curb this trend remains sparse. This study examined how exposure to family planning messages in the midst of some socio-demographic factors is associated with consistent condom use among sexually active never married men in Ghana. Data were obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. Only never married men (15-64 years) who have had sexual experience in the last 12 months were included in the analysis (N = 971). Frequencies, percentages, chi-square tests and binary logistic regression analyses were carried out. Results of the binary logistic regression analysis were presented using crude odds ratios (cOR) and adjusted odds ratios (aOR). The results showed that only 26.15% of sexually active never married men in Ghana consistently used condom during sex. Men who were exposed to family planning messages were 51% more likely use condom consistently compared to those who are not exposed [aOR = 1.51, CI = 1.04-2.18]. In terms of the covariates, the likelihood of consistent condom use among men in Ghana was lower among those aged 35 years and above compared to those aged 15-24 [aOR = 0.46 CI = 0.21-0.99]. The odds of consistent condom use among men increased with level of education, with men with higher level of education having the highest odds of consistent condom use compared to those with no formal education [aOR = 9.98, CI = 2.05-48.46]. Men of the richest wealth quintile were more likely to use condom consistently compared to those of the poorest wealth quintile [aOR = 2.62, CI = 1.30-5.27]. Higher odds of consistent condom use was found among men who dwelled in the Central, Northern, and Upper East regions compared to those of the Western region. Our findings have established a strong association between exposure to family planning messages alongside age, educational level, wealth, and region of residence and consistent condom use. Men exposed to family planning messages were more likely to use condoms consistently. Designed programs should use intervention strategies that focus on interactive and participatory educational activities to improve sexually active men's interpersonal communication on family planning messages, especially on consistent condom use with their sexual partners.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0255325</identifier><identifier>PMID: 34428211</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abortion ; Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Biology and Life Sciences ; Biomechanics ; Communication ; Condoms ; Condoms - statistics &amp; numerical data ; Demographics ; Economic aspects ; Education ; Exposure ; Family planning ; Family Planning Services - statistics &amp; numerical data ; Ghana ; HIV ; Human immunodeficiency virus ; Humans ; Infections ; Interpersonal communication ; Male ; Medicine and Health Sciences ; Messages ; Methods ; Middle Aged ; People and Places ; Personal communication ; Pregnancy ; Prevention ; Public health ; Regression analysis ; Reproductive health ; Safe Sex - statistics &amp; numerical data ; Sexual Behavior ; Sexual partners ; Sexually transmitted diseases ; Social aspects ; Social Sciences ; STD ; Young Adult ; Young adults</subject><ispartof>PloS one, 2021-08, Vol.16 (8), p.e0255325</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Ahinkorah et al. 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With this high vulnerability of these persons to HIV and sexually transmitted infections, research related to exposure to family planning messages to help curb this trend remains sparse. This study examined how exposure to family planning messages in the midst of some socio-demographic factors is associated with consistent condom use among sexually active never married men in Ghana. Data were obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. Only never married men (15-64 years) who have had sexual experience in the last 12 months were included in the analysis (N = 971). Frequencies, percentages, chi-square tests and binary logistic regression analyses were carried out. Results of the binary logistic regression analysis were presented using crude odds ratios (cOR) and adjusted odds ratios (aOR). The results showed that only 26.15% of sexually active never married men in Ghana consistently used condom during sex. Men who were exposed to family planning messages were 51% more likely use condom consistently compared to those who are not exposed [aOR = 1.51, CI = 1.04-2.18]. In terms of the covariates, the likelihood of consistent condom use among men in Ghana was lower among those aged 35 years and above compared to those aged 15-24 [aOR = 0.46 CI = 0.21-0.99]. The odds of consistent condom use among men increased with level of education, with men with higher level of education having the highest odds of consistent condom use compared to those with no formal education [aOR = 9.98, CI = 2.05-48.46]. Men of the richest wealth quintile were more likely to use condom consistently compared to those of the poorest wealth quintile [aOR = 2.62, CI = 1.30-5.27]. Higher odds of consistent condom use was found among men who dwelled in the Central, Northern, and Upper East regions compared to those of the Western region. Our findings have established a strong association between exposure to family planning messages alongside age, educational level, wealth, and region of residence and consistent condom use. Men exposed to family planning messages were more likely to use condoms consistently. Designed programs should use intervention strategies that focus on interactive and participatory educational activities to improve sexually active men's interpersonal communication on family planning messages, especially on consistent condom use with their sexual partners.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34428211</pmid><doi>10.1371/journal.pone.0255325</doi><tpages>e0255325</tpages><orcidid>https://orcid.org/0000-0001-9734-9054</orcidid><orcidid>https://orcid.org/0000-0003-3530-6133</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abortion
Acquired immune deficiency syndrome
Adolescent
Adult
AIDS
Biology and Life Sciences
Biomechanics
Communication
Condoms
Condoms - statistics & numerical data
Demographics
Economic aspects
Education
Exposure
Family planning
Family Planning Services - statistics & numerical data
Ghana
HIV
Human immunodeficiency virus
Humans
Infections
Interpersonal communication
Male
Medicine and Health Sciences
Messages
Methods
Middle Aged
People and Places
Personal communication
Pregnancy
Prevention
Public health
Regression analysis
Reproductive health
Safe Sex - statistics & numerical data
Sexual Behavior
Sexual partners
Sexually transmitted diseases
Social aspects
Social Sciences
STD
Young Adult
Young adults
title Understanding the association between exposure to family planning messages and consistent condom use among never married men in Ghana
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