The influence of perceived behaviour control, attitude and empowerment on reported condom use and intention to use condoms among adolescents in rural Tanzania.

Dr. Stephen Kibusi, RN, MA PhD
Dr. Stephen Kibusi, RN, MA PhD
The University of Dodoma
Dean, School of Nursing and Public Health
Dodoma, Dodoma | Tanzania, United Republic of

Reprod Health 2015 Nov 13;12:105. Epub 2015 Nov 13.

School of Nursing and Public Health, College of Health Sciences, The University of Dodoma, P.O. Box 395, Dodoma, Tanzania.

Background: Despite the declining trends of Human immunodeficiency virus (HIV) infection in Sub-Saharan Africa (SSA), unsafe sexual behaviours among adolescents still represent a public health challenge. It is important to understand factors acting at different levels to influence sexual behaviour among adolescents. This study examined the influence of perceived behaviour control, subjective norms, attitudes and empowerment on intention to use condoms and reported use of condoms among adolescents in rural Tanzania.

Methods: We used a questionnaire to collect data from 403 adolescents aged 14 through 19 years from nine randomly selected secondary schools in the Newala district located in the Southern part of Tanzania. The self-administered questionnaire collected information on sexual practices and factors such as attitudes, subjective norms, perceived behaviour control and empowerment. Binary logistic regression was performed to identify factors associated with intention to use and reported use of condoms.

Results: Sexually active adolescents constituted 40.6 % of the sample, among them 49.7 % did not use a condom at last sexual intercourse and 49.8 % had multiple sex partners. Many (85 %) of sexually active respondents had their sexual debut between the ages of 14 to 17 years. Girls became sexually active earlier than boys. Perceived behaviour control predicted intentions to use condoms (AOR = 3.059, 95 % CI 1.324-7.065), thus demonstrating its importance in the decision to use a condom. Empowerment (odds ratio = 3.694, 95 % CI 1.295-10.535) and a positive attitude (AOR = 3.484, 95 % CI 1.132-10.72) predicted reported condom use, thus turning the decision to actions. Subjective norms had only indirect effects on intention and reported use of condoms.

Conclusion: The findings suggest that unsafe sex practices are prevalent among school adolescents in rural areas of Tanzania. Perceived behaviour control and positive attitudes predict intensions to use condoms whereas empowerment predicts reported condom use. The findings may imply that safe sex promotion interventions that simultaneously address socio-cognitive and ecological determinants of sexual behaviours may improve adolescents' safe sex behaviours.

Download full-text PDF

Publisher Site Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
November 2015
25 Reads
1.620 Impact Factor

Publication Analysis

Top Keywords

perceived behaviour
behaviour control
reported condom
subjective norms
sexually active
adolescents rural
sexual behaviours
influence perceived
safe sex
intention reported
condoms adolescents
intention condoms


(Supplied by CrossRef)
Article in Scand J Public Health
SF Kaaya et al.
Scand J Public Health 2002
Article in Nepal J Health Popul Nutr
KC Poudel et al.
Nepal J Health Popul Nutr 2011
Article in J Psychol Afr
P Mudhovozi et al.
J Psychol Afr 2011
Article in Soc Sci Med 1982
L Eaton et al.
Soc Sci Med 1982 2003
Article in Stud Fam Plann
FE Okonofua et al.
Stud Fam Plann 1999
Article in BMC Public Health
A Exavery et al.
BMC Public Health 2011
Article in East Afr J Public Health
JM Twa-Twa et al.
East Afr J Public Health 2008
Article in BMC Public Health
MR Kazaura et al.
BMC Public Health 2009
Article in Clin Psychol Rev
BA Kotchick et al.
Clin Psychol Rev 2001
Article in Curr HIV Res
LAJ Scott-Sheldon et al.
Curr HIV Res 2013

Similar Publications