Psychosocial determinants of condom use among
MSM in Togo
K. Koumagnanou1, Y. Montcho1, S. Kassegne2, H. Astatke3, Men who Have Sex with Men (MSM)
1Population Services International/Togo, Research, Monitoring & Evaluation, Lome, Togo, 2Population Services International, Research & Metrics, Cotonou, Benin, 3Population Services International, Research & Metrics, Washington, United States
Background: The HIV prevalence among MSM in Togo is estimated to be higher than
30%. An exploratory study conducted in 2006 indicated that in Togo, MSM have
their first sexual experience with a man at an early age: the average age of
first sex with a man was 17.6 years. Sixty percent of the respondents used
condoms at last sex while 21% percent used condoms consistently. The purpose of
this study was to identify psychosocial determinants of condom use.
Method: A theory-based participatory qualitative study was conducted among
MSM ages 18 and over. A total of 33 participants were recruited through social net
work groups. MSM who self-identified as an active, passive and/or bisexual partner
were interviewed by other MSM. Data were analyzed with participation from the MSM
who conducted the interviews.
Results: The data suggested a number of important ability and motivation
related psychosocial determinants of condom use. Among these were attitudes about
using condoms, perceived risk for being infected by HIV, peer social support
for condom use and perceived confidence in ones ability to use condoms.
Conclusions: The findings suggest a need to develop communication messages that
go beyond addressing HIV/AIDS risk perception and aim to influence MSM specific
psychosocial determinants of condom use.
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