Department of population and behavioural sciences, school of public health, university of health and allied sciences PMB 31 Ho, Ghana.
HIV/AIDS prevention research network Cameroon, P. O. Box 36 Kumba, Cameroon.
Afr Health Sci. 2022 Mar;22(1):1-10. doi: 10.4314/ahs.v22i1.2.
Besides abstinence, the condom has proven to be the only effective method of preventing sexually transmitted infections (STIs), including HIV/AIDS. This study investigated the determinants of female condom (FC) use among female tertiary students in the Hohoe Municipality, Ghana using the Health Belief Model (HBM).
A cross-sectional design was adopted. Data were collected using a structured questionnaire in January 2019 and analysed using STATA version 14.0. Logistic regression was used to measure the strength of associations between the dependent and independent variables. A p-value <0.05 was considered statistically significant.
The overall utilisation of the FC was 35.0%. Among the constructs of the HBM, it was perceived self-efficacy for FC use that was significantly associated with FC use: respondents who had the confidence to convince their partners to use the FC were 2 times more likely to use it than respondents who did not [AOR =2.15(CI: 1.26, 3.71); p= 0.005].
Female students in the current study exhibited poor utilization of the FC. Health promotion interventions should, therefore, focus on increasing their self-efficacy for FC use.
目的：本研究采用健康信念模型（HBM），探讨加纳霍霍埃市女大学生使用女用避孕套（FC）的决定因素。
方法：采用横断面设计。2019 年 1 月，使用结构化问卷收集数据，并使用 STATA 版本 14.0 进行分析。采用逻辑回归衡量因变量和自变量之间关联的强度。p 值<0.05 被认为具有统计学意义。
结果：FC 的总体使用率为 35.0%。在 HBM 的各个结构中，使用 FC 的感知自我效能与 FC 的使用显著相关：有信心说服伴侣使用 FC 的受访者使用 FC 的可能性是没有信心的受访者的 2 倍[AOR=2.15（CI：1.26，3.71）；p=0.005]。
结论：目前研究中的女学生对 FC 的利用率较低。因此，健康促进干预措施应重点提高她们使用 FC 的自我效能。
