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Related Experiment Videos

Measuring condom use: asking "do you or don't you" isn't enough

S S Weir1, R E Roddy, L Zekeng

  • 1Family Health International, Durham, NC, USA.

AIDS Education and Prevention : Official Publication of the International Society for AIDS Education
|August 29, 1998
PubMed
Summary

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The way condom use is measured significantly impacts results among female sex workers in Cameroon. Different survey questions yield varying reports of consistent condom use, highlighting the need for standardized measurement in sexual health research.

Area of Science:

  • Public Health
  • Epidemiology
  • Social Sciences

Background:

  • Accurate measurement of condom use is crucial for understanding sexual behavior and preventing sexually transmitted infections (STIs).
  • Female sex workers are a key population for HIV/STI prevention efforts, making reliable data on their condom use essential.
  • Previous research indicates that survey methodology can influence self-reported behaviors.

Purpose of the Study:

  • To compare different cross-sectional survey measures of condom use among female sex workers in Cameroon.
  • To assess how variations in questionnaire design affect reported condom use prevalence and consistency.
  • To identify which measurement methods best capture condom use patterns in this population.

Main Methods:

  • A randomized study involving 2,269 female sex workers in Cameroon.
Keywords:
AfricaAfrica South Of The SaharaBarrier MethodsBehaviorCameroonCondomContraceptionContraceptive MethodsCross Sectional AnalysisDeveloping CountriesFamily PlanningFrench Speaking AfricaMeasurementMiddle AfricaProstitutes--womenResearch MethodologyResearch ReportRisk Reduction Behavior--womenSex Behavior--womenWomen

Related Experiment Videos

  • Participants were assigned to one of five different questionnaires to measure condom use.
  • Data were collected using methods such as 2-week coital logs, past 10 acts, and always-to-never scales.

    • Main Results:

    • Reported condom use levels varied significantly based on the questionnaire type used.
    • Measures like 2-week coital logs and past 10 acts classified more women as "100%" or "0%" condom users compared to always-to-never scales.
    • Condom use consistency also differed based on the type of sexual partner, though internal consistency of responses was high.

    Conclusions:

    • The choice of survey instrument significantly influences the reported prevalence and patterns of condom use among female sex workers.
    • Future research should explore prospective measures and their correlation with STI incidence to validate current assessment tools.
    • Standardizing condom use measurement is vital for accurate epidemiological surveillance and effective intervention design in sexual health programs.