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Author Siegler, Aaron J. ♦ Mbwambo, Jessie K. ♦ McCarty, Frances A. ♦ DiClemente, Ralph J.
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Philosophy & psychology ♦ Psychology ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Incidence & prevention of disease ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Virus Diseases ♦ Diseases ♦ Investigative Techniques ♦ Equipment and Supplies ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Behavior and Behavior Mechanisms ♦ Behavioral Disciplines and Activities ♦ Psychiatry and Psychology ♦ Natural Science Disciplines ♦ Physical Sciences ♦ Persons ♦ Persons ♦ Geographic Locations ♦ Geographic Locations
Subject Keyword Discipline Medicine ♦ Condoms ♦ Utilization ♦ Hiv Infections ♦ Prevention & Control ♦ Health Knowledge, Attitudes, Practice ♦ Adolescent ♦ Adult ♦ Aged ♦ Behavioral Research ♦ Cross-sectional Studies ♦ Female ♦ Humans ♦ Male ♦ Middle Aged ♦ Qualitative Research ♦ Tanzania ♦ Young Adult ♦ Journal Article ♦ Research Support, N.i.h., Extramural
Abstract Condom promotion remains a key component of HIV prevention programs, complimenting recent successes in biomedical HIV prevention. Although condom use has increased in much of East Africa, it remains substantially below optimal levels. Negative rumors about condoms have been documented in East Africa, yet the prevalence and effects of belief in the negative rumors have not been explored. This study evaluated levels of belief in negative rumors about condoms, developed a Negative Condom Beliefs Scale, and assessed its accuracy in predicting willingness to use condoms. A cross-sectional, cluster survey (n = 370) was conducted representing adults in two rural districts in Northern Tanzania in 2008. Item agreement ranged from 35 to 53% for the following rumors regarding condoms: causing cancer, having holes, containing HIV, having worms, and the worms causing HIV. Items loaded on a single latent factor and had high internal consistency and convergent validity. In a multivariate model, negative condom score (AOR = 0.67, 95% CI = 0.6, 0.8) was the strongest single predictor of willingness to use condoms, followed by greater perceived anonymity in acquiring condoms (AOR = 4.36, 95% CI = 2.2, 8.6) and higher condom self-efficacy (AOR = 4.24, 95% CI = 2.0, 8.9). Our findings indicate high levels of subscription to negative beliefs about condoms, with two out of three respondents affirming belief in at least one negative condom rumor. This study highlights the relation between condom rumor beliefs and willingness to use condoms, and indicates avenues for future research and means for improving the design of HIV prevention programs.
Spatial Coverage Tanzania
Description Country affiliation: United States
Author Affiliation: Siegler AJ ( Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE, Suite 467, Atlanta, GA 30322, USA. asiegle@emory.edu)
ISSN 02779536
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2012-11-01
Publisher Place Great Britain (UK)
e-ISSN 18735347
Journal Social Science & Medicine
Volume Number 75
Issue Number 9


Source: WHO-Global Index Medicus