The Influence of Predisposing, Enabling and Need Factors on Condom Use in Ivory Coast.
Bibliographic record
Abstract
The main objective of this study was to identify key determinants of condom use in Ivory Coast. Data stem from Ivory Coast Demographic Health Survey (DHS) conducted by ORC Macro in 2005 among a representative sample of 9,686 persons aged 15 – 49. Following the behavioral model, we use logistic regression to assess the effect of predisposing, enabling and need factors on condom use. Among our sample, only 13.7% have used condom during their last intercourse. Condom use‟s likelihood increases significantly with educational level, marital status and occupation. In addition, condom use is significantly high among those who know where to buy condom (OR= 5.77; p<.001); those who are well informed (OR= 1.52; p<.001); those who have always been tested for HIV (OR= 1.36; p<.05); those who have a sexual partner suffering from AIDS (OR= 1.2; p<.001) and those who know some one who has died or is suffering from AIDS (OR= 1.06; p<.05). Condoms must be readily available universally, either free or at low coast, and promoted in ways that help overcome social and personal obstacles to their use. Collective actions at all levels are needed to support efforts of countries, especially developing countries that depend on external assistance in condom procurement, promotion and distribution. Keys words: Condom Use, HIV transmission, Behavioral model, AIDS related knowledge, Ivory Coast, Sub Saharan Africa. Resume L‟objectif principal de cette etude etait d‟identifier les principaux determinants de l‟utilisation du condom en Cote-d‟Ivoire. Les donnees utilisees sont celles de l‟enquete demographique et sante (EDS) realisee par ORC Macro en 2005 aupres d'un echantillon representatif de 9.686 personnes âgees de 15 49. Les facteurs associes a l‟utilisation du condom ont ete evalues a l‟aide de la regression logistique. L‟integration des variables independantes s‟est faite de facon sequentielle en suivant le modele comportemental d‟Andersen. Les analyses montrent que l'utilisation du condom augmente significativement avec le niveau d'education, l‟etat matrimonial et la profession. En outre, l'utilisation du condom est tres eleve parmi ceux qui savent ou acheter des preservatifs (OR = 5,77, p <.001), ceux qui sont bien informes (OR = 1,52, p <.001), ceux qui ont deja ete testes pour le VIH (OR = 1,36, p <.05), ceux qui ont un partenaire sexuel souffrant du sida (OR = 1.2, p <.001) et ceux qui connaissent quelqu'un qui est decede ou qui est atteint du sida (OR = 1,06; p <.05). Pour une campagne efficace contre le SIDA, le condom doit etre disponible et accessible a moindre cout sinon gratuitement dans les pays en developpement. De plus, des campagnes doivent etre intensifiees pour aider a surmonter les obstacles sociaux et personnels a l‟utilisation du condom. Les actions collectives a tous les niveaux sont necessaires pour appuyer les efforts des pays, en particulier les pays en developpement qui dependent de l'aide exterieure dans l'achat la promotion et la distribution du condom. Mots cles : Utilisation du condom, Transmission du SIDA, Modele comportemental, Connaissances en matiere du SIDA, Cote d‟Ivoire, Afrique Sub-saharienne. Andre Ngamini Ngui is affiliated with Institut Universitaire en Sante mentale Centre de Recherches de l'hopital Douglas Division de recherche Psychosociale, Montreal, Canada. E.mail: ngui@justice.com
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".