Publication: Variations in Condom Use by Type of Partner in 13 Sub-Saharan African Countries
Abstract
Using nationally representative data from 13 sub-Saharan African countries, we reinforce and expand upon previous findings that men report using condoms more frequently than women do and that unmarried respondents report that they use condoms with casual partners more frequently than married individuals report using them with their spouses. Based on descriptive, bivariate, and multivariate analyses, we also demonstrate to a degree not previously shown in the current literature that married men from most countries report using condoms with extramarital partners about as frequently as unmarried men report using them with casual partners. Married women from most of the countries included in the study reported using condoms with extramarital partners less frequently than unmarried women reported using them with casual partners. This result is especially troubling because marriage usually ensures regular sexual intercourse, thereby providing more opportunities for a person to pass HIV infection from an extramarital partner to his or her spouse. These findings about high-risk behaviors can be used to better target future HIV-transmission-prevention efforts.
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Publication Comparing Condom Use with Different Types of Partners : Evidence from National HIV Surveys in Africa(2009-11-01)Based on nationally representative samples from 13 Sub-Saharan African countries, this paper reinforces and expands previous findings that condom use in general is low in this region, men report using condoms more frequently than women, and unmarried individuals report they use condoms more frequently than married individuals with their spouse. Based on descriptive, bivariate, and multivariate analyses, the authors also demonstrate to a degree not previously shown in the current literature that married men from most countries report using condoms with extramarital partners about as frequently as unmarried men. However, married women from most countries included use condoms with extramarital partners less frequently than unmarried women. This result is especially troubling because marriage usually ensures regular sexual intercourse, providing more opportunities to pass HIV from extramarital partner to spouse than an unmarried person who may also have multiple partners but not as regular sexual intercourse.Publication Occupational Training to Reduce Gender Segregation: The Impacts of ProJoven(2008)This paper illustrates the process of program evaluation for ProJoven, the Peruvian youth labor training program. The program provides beneficiaries with basic three-month training in low-skill occupations and with internship opportunities. ProJoven's design promotes gender equality by encouraging female participation in training for traditionally male-dominated occupations and by providing subsidies so mothers with children can participate. Complementing detailed fieldwork in search of the appropriate control group, the econometric work implements a two-stage matching procedure that includes propensity scores (on the first stage), and gender and labor income (on the second one). The matching on gender allows identification of differentiated program impacts on men and women. The matching on income attacks the problem of Ashenfelter's Dips. The evaluation shows substantial differences in ProJoven's impact for men and women. Eighteen months after participation in the program, employment rates for women improved by about 15% (while employment for men reduced by 11%), gender occupational segregation reduced by 30% and women's labor income improved by 93% (while men's earnings increased by 11%). On the other hand, the cost of the promotion of gender equality represented only 1.5% of ProJoven's total budget. These results suggest that labor training programs that promote equal gender participation have disproportionately positive effects on outcomes for women trainees in a labor market with substantial gender differences.Publication Female Migration and Child Occupation in Rural El Salvador(2011)This article looks at the consequences of migration in terms of child education and child labor using a unique rural panel dataset for El Salvador. Results suggest gender differences in the consequences of migration on child activities that remain in El Salvador. While female migration tends to reduce child labor, both in domestic and non-domestic activities, male migration seems to stimulate it, in particular in terms of domestic labor. In contrast, while male migration has null or slightly positive impact in terms of school enrollment rates, female migration apparently reduces the likelihood that a particular child stays at school. Some of these results differ according to the gender of the child. The results do not seem to be driven by female migrants remitting more than males, but rather to alternative competing explanations, such as the existence of child-adult male labor substitution, differences in the use of remittances by gender of the recipient person, or limited ability to monitor funds when remitted by female migrants.Publication Health as a Family Matter : Do Intra-household Education Externalities Matter for Maternal and Child Health?(2008)This paper is concerned with the role of education as a determinant of health care choices. The central premise of the paper is that utilisation of health services is determined not solely by an individual's own education, but rather by a notion of effective education, which incorporates the educational attainment of other household members. The paper sets out a general framework for representing intra-household education externalities, and proposes a number of specific hypotheses concerning the way in which the education of different household members affects health care choices. These hypotheses are tested on data from Mozambique, focusing on maternity services, child immunisations, and child malnutrition. We draw four major conclusions from the analysis. First, while maternal education seems to be the education variable of primary importance for the health service and malnutrition variables under consideration, the education of other household members does have a significant and sometimes large effect. This is true not only for the spouse, but also the education of other individuals residing in the household. Second, the analysis suggests that while the education of the person (non-spouse) in the household with the highest level of education is important, the level of education of additional household members does not, as a rule, affect the use of services or child health outcomes. Third, the data provide no evidence of a gender difference in education externalities. Fourth, we examine the merits of two alternative representations of the education externality, but are unable to conclude unambiguously in favour of one specification over the other.Publication The Implications of Changing Educational and Family Circumstances for Children's Grade Progression in Rural Pakistan : 1997-2004(2009)We assess factors affecting primary and middle school dropout in rural Punjab and NorthWest Frontier Province over 6 years (1997-2004). These data are unique in a developing-country setting in longitudinally tracking changes in both school and household environments. While grade retention has improved, girls' dropout rates remain fairly high. Results suggest the importance of both household and school factors. For girls, arrival in the family of an unwanted birth in the last 6 years and enrollment in a government (not private) primary school significantly increase the likelihood of dropout, whereas availability of post-primary schooling, having a mother who attended school, and living in a better-off household reduce the probability of dropout. For boys, school quality, measured by the percent of residential teachers in the primary school, and living in a more developed community significantly reduce the probability of dropping out; loss of household remittances significantly increases the likelihood of dropout.
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