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Determinants of Condom Use: Results of the Canadian Community Health Survey 3.1

  • Qualitative Research
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Canadian Journal of Public Health Aims and scope Submit manuscript

Abstract

Objectives: To examine the independent effects of mood disorder, age, race/ethnicity, personal income, being a current student, having a regular medical doctor and substance use in relationship to condom use at last intercourse in a Canadian population stratified by sex.

Methods: We used Cycle 3.1 of the 2006 Canadian Community Health Survey (CCHS 3.1), a population-based, voluntary, cross-sectional survey of subjects ages 12–85 years. Data collection took place between January and December 2005. From the survey, a study sample of 20,975 people was drawn, consisting of individuals providing valid responses (yes/no) to mood disorder and last-time condom use. The question of sexual behaviours was asked only of those ages 15–49 years. Logistic regression was used to examine individual variables as potential determinants of last-time condom use stratified by sex.

Results: The relationship between mood disorder and condom use was non-significant in both males (AOR= 0.85, 95% CI=0.70−1.04) and females (AOR=0.90, 95% CI=0.78−1.03). Increasing age was found to be inversely associated with last-time condom use in both males and females. Male factors significantly associated with last-time condom use were being of white ethnicity (AOR=0.71, 95% CI=0.64−0.79) and being a current student (AOR=1.28, 95% CI=1.16−1.42). Female factors associated with last-time condom use were being of white ethnicity (AOR=0.71, 95% CI = 0.63−0.79) and being a former drinker (AOR=2.25, 95% CI=1.63−3.11).

Conclusion: Our results identify important determinants of last-time condom use in both males and females in the CCHS 3.1. These findings may have important implications for the devising and implementation of safe sex programs in a Canadian population ages 15–49 years.

Résumé

Objectifs: Examiner les effets indépendants du trouble de l’humeur, de l’âge, de la race/ethnie, du revenu personnel, du fait d’être étudiant, d’avoir un médecin régulier et de la toxicomanie en relation avec l’utilisation du condom au cours de la dernière relation sexuelle dans la population canadienne stratifiée selon le sexe.

Méthodes: Nous avons utilisé le Cycle 3.1 de l’Enquête sur la santé dans les collectivités canadiennes (ESCC 3.1) 2006, une enquête ponctuelle volontaire, fondée sur la population, réalisée auprès de sujets âgés entre 12 et 85 ans. Nous avons effectué la collecte de données entre janvier et décembre 2005. À partir de l’enquête, un échantillon d’étude de 20 975 personnes a été établi, lequel était composé de personnes ayant fourni des réponses valides (oui/non) en ce qui a trait au trouble de l’humeur et à la dernière utilisation du condom. La question des comportements sexuels a été posée seulement aux personnes âgées de 15 à 49 ans. Nous avons utilisé la régression logistique afin d’examiner les variables individuelles comme déterminants potentiels de la dernière utilisation du condom, ainsi qu’une stratification selon le sexe.

Résultats: La relation entre le trouble de l’humeur et l’utilisation du condom n’était pas significative, tant chez l’homme (AOR= 0,85, IC 95%=0,70−1,04) que chez la femme (AOR=0,90, IC 95%=0,78−1,03). L’augmentation de l’âge est par ailleurs inversement associée à la dernière utilisation du condom pour les deux groupes. Chez l’homme, les facteurs principalement associés à la dernière utilisation du condom sont la race blanche (AOR=0,71, IC 95%=0,64−0,79) et le fait d’être étudiant (AOR=1,28, IC 95%=1,16−1,42). Chez la femme, les facteurs associés à la dernière utilisation du condom sont la race blanche (AOR=0,71, IC 95%=0,63−0,79) le fait d’être une ancienne alcoolique (AOR=2,25, IC 95%=1,63−3,11).

Conclusion: Nos résultats ont permis de cerner dans l’ESCC 3.1 des déterminants importants sur la dernière utilisation du condom, tant chez l’homme que chez la femme. Ces découvertes peuvent avoir des répercussions importantes sur l’élaboration et la mise en œuvre de programmes sur les pratiques sexuelles sans risque chez la population âgée de 15 à 49 ans.

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Authors and Affiliations

  1. School of Population and Public Health, University of British Columbia, 5804 Fairview Avenue, Vancouver, BC, V6T 1Z3, Canada

    Shayesta Dhalla MD, MHSc & Gary Poole PhD

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  1. Shayesta Dhalla MD, MHSc
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  2. Gary Poole PhD
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Correspondence to Shayesta Dhalla MD, MHSc.

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Dhalla, S., Poole, G. Determinants of Condom Use: Results of the Canadian Community Health Survey 3.1. Can J Public Health 100, 299–303 (2009). https://doi.org/10.1007/BF03403951

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  • DOI: https://doi.org/10.1007/BF03403951

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