The online platform for Taylor & Francis Group content

Cookies Notification

This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more.
Advanced and citation search

AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV

Volume 25, Issue 6, 2013

Translator disclaimer


Consistent condom use can prevent HIV infection, yet levels of condom use are low in many settings. This paper examines determinants of inconsistent condom use among 905 women enrolled in a high-risk cohort in Kampala, Uganda, who reported sexual intercourse with paying clients in the last month. Among these, 40% participants reported using condoms inconsistently with paying clients in the past month. The most common reason for inconsistent condom use was client preference. Factors independently associated with inconsistent condom use included: sex work not being the sole source of income [adjusted odds ratio (aOR) = 1.54; 95% confidence interval (CI): 1.13–2.09], sexual debut before 14 years (aOR = 1.46; 95% CI: 1.09–1.96), daily consumption of alcohol (aOR = 1.90; 95% CI: 1.26–2.88) and being currently pregnant (aOR = 2.11; 95% CI: 1.25–3.57). Being currently married (aOR = 0.36; 95% CI: 0.18–0.73) and a higher number of sexual partners per month (p-trend = 0.001) were associated with a lower risk of inconsistent condom use. Targeted programmes should be developed to promote consistent condom use in high-risk women, alongside interventions to reduce alcohol use.


Related articles

View all related articles


  • Citation information:
  • Received: 8 Aug 2011
  • Accepted: 5 Nov 2012
  • Published online: 07 Dec 2012

Author affiliations

  • a MPH, Good Health for Women Project, MRC/UVRI Uganda Research Unit on AIDS, Kampala, Uganda
  • b MRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK

Journal news

Article metrics


Taylor & Francis Group