Predictors of Condom Use in Men of Badi Community of Sahere Village Development Committee, Surkhet District, Nepal: Health Belief Model Perspective

Abstract

In a non-experimental analytical study 70 male respondents from Badi community, from western Nepal, where women prostitute themselves, were interviewed using structured questionnaire adapted from Health Belief Model (HBM) to collect data on knowledge of condom and its benefits on transmission of Sexually Transmitted Infection (STI) and Human Immune Deficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS). Logistic regression analysis model was used to analyze data. Prevalence of condom use among respondents was very low (29%). Only two third had knowledge on condom before first sexual contact. 10.5 percent used condom always/consistently. 43.1% respondents intended to use condom. Respondents with knowledge on condom were 5 times more likely to use condom. Based on HBM final predictor, condom use was related to its High susceptibility (OR=1.416, 95% CI=1.2-2.034), high benefits (OR=1.086, 95% CI=.730-1.615) low barrier (OR=0.891, 95% CI=.696-1.139), high cues to action (OR=1.785, 95% CI=1.049-3.035) and younger age (OR=6.213). The main reason behind low condom was perceived high barrier. Preventions strategies based on increasing perceived risk, perceived severity or adequate knowledge about HIV/AIDS should be promoted to increase condom use.