Predictors of condom use among men that engage in extra marital sex in Uganda

Abstract

In Uganda, just like in many Sub-Saharan countries, studies on condom in extramarital sex among men are limited. The aim of the study was to assess the factors associated with condom use among married men that engage in extramarital sex in Uganda. This study used secondary cross-sectional data from 2016 Uganda Demographic and Health survey. A weighted sample of 539 married men was used for the study. Analysis was performed at three levels; univariate, bivariate and multivariate analyses. Percentages for categorical variables, cross tabulations (chi-square tests) and multivariate logistic regressions were performed to assess the factors associated with condom use in extra marital sex in Uganda. The results revealed that only 15% of the men used a condom during extramarital sex. Condom use in extramarital sex was associated with region, religion and whether a man had ever tested for HIV. The odds of using a condom increased among married men that had ever tested for HIV compared to those that had never tested (AOR = 2.01; CI = 1.24 – 3.24) but reduced among men from Western region compared to those from Eastern region (AOR = 0.57; CI = 0.38 – 0.86) and the Pentecostal and other Christians compared to Anglicans (AOR = 0.39; CI = 0.23 – 0.67). Easy access to condoms, campaigns tailored towards behavioral change by married men, stepping up the provision of HIV testing services all could help in risk reduction. Qualitative research should be conducted to establish why married men from Western Uganda and Pentecostal men are less likely to use a condom in extramarital sex. Condom use should be promoted among these groups.