Health knowledge and beliefs as predictors of intended condom use among Zimbabwean adolescents in probation/remand homes

Abstract

The association of AIDS knowledge, perceived susceptibility to HIV, efficacy of preventive measures, severity of HIV infection, cues to action, barriers to action and alcohol/drug use with intended condom use was examined among Zimbabwean adolescents (mean age = 16.9) in probation/remand homes. Eighty-six percent of males and 83% of females were reportedly sexually experienced of whom 28% of males and 14% of females reported consistent condom use. Those who knew that babies can be born with AIDS, that there is no vaccine against HIV and that traditional healers cannot cure AIDS were 2.50, 2.32 and 1.97 times as likely to definitely intend to use condoms. Individuals who believed condoms seldom break or leak and are effective against HIV were 4.12 and 4.65 times as likely to definitely intend to use them. Those who believed parents and boyfriend/girlfriends thought condoms should be used were 2.27 and 2.13 times as likely to intend to use them. Respondents who had talked about AIDS with friends, with their boyfriend/girlfriend or a schoolteacher or seen a picture or film of a PWA were, in comparison to those who had not engaged in these actions, 3.70, 2.33, 2.43 and 2.50 times as likely to definitely intend to use condoms. Those who were embarrassed to get condoms from a clinic, thought persons who use condoms are loose and or that the pleasure of unprotected sex was worth the risk of HIV were 3.87, 3.42 and 3.40 times as likely to intend to use condoms. Logistic regression identified belief in efficacy of condoms as the principal predictor of intended condom use. The implications of these results for AIDS education are discussed.