Table of Contents
Journal of Sexually Transmitted Diseases
Volume 2017 (2017), Article ID 8642685, 12 pages
https://doi.org/10.1155/2017/8642685
Research Article

The Risk of Sexually Transmitted Infection and Its Influence on Condom Use among Pregnant Women in the Kintampo North Municipality of Ghana

1Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana
2School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti Region, Ghana
3Ensign College of Public Health, Kpong, Eastern Region, Ghana

Correspondence should be addressed to Martha Ali Abdulai; moc.oohay@0002tramlom

Received 10 August 2016; Revised 30 November 2016; Accepted 27 December 2016; Published 26 January 2017

Academic Editor: Lisa C. Rohan

Copyright © 2017 Martha Ali Abdulai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Sexually transmitted infection (STI) affects the reproductive health of both men and women worldwide. Condoms are important part of the available preventive strategies for STI control. The lack of proper risk-perception continues to impede women’s ability to negotiate condom use with their partners. This paper is the outcome of secondary analysis of data collected in a cross-sectional survey that explored the perception of risk of STI and its influence on condom use among 504 pregnant women attending antenatal clinic at two health facilities in the Kintampo North Municipality. Consecutively, three Focus Group Discussions were conducted among 22 pregnant women which was analyzed using thematic analysis technique. Multivariate logistic regression analysis was used to identify possible predictors of condom use and risk of STI. Respondents mean age was years. 47% of respondents self-identified themselves as high risk for contracting STI, 50% of whom were married. High risk status (OR = 2.1, 95% CI: 1.1–4.4), ability to ask for condoms during sex (OR = 0.3, 95% CI: 0.1–0.73), and partner’s approval of condom use (OR = 0.2, 95% CI: 0.01–0.05) were independent predictors of condom use. Condom use (OR 2.9 (1.5–5.7); ) and marital status (engaged, OR 2.6 (1.5–4.5); ) were independent predictors of risk of STI. Women who self-identified themselves as high risk for STI successfully negotiated condom use with their partners. This is however influenced by partner’s approval and ability to convince partner to use condoms. Self-assessment of STI risk by women and the cooperation of male partners remain critical.