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Condom Use Beliefs Among South African Inmates Who Smoke Marijuana

Stephens, Torrance T. PhD*; Braithwaite, Ronald L. PhD; Sifunda, Sibusiso PhD; Bhengu, Sibusisiwe PhD§; Reddy, Priscilla S. PhD

Addictive Disorders & Their Treatment: December 2007 - Volume 6 - Issue 4 - p 197-202
doi: 10.1097/ADT.0b013e31802d6895
Original Articles

The purpose of this analysis was to conduct an exploratory study designed to identify bivariate correlates of condom use beliefs, and Marijuana use among a sample of South African Inmates. Participants were inmates from 4 prisons in the provinces of KwaZulu-Natal and Mpumalanga provinces. In total, 357 inmates participated in the parent study of which 350 are included in this analysis. The questionnaire was developed in English then translated into Zulu. It was administered both in English (Mpumalanga) and Zulu (Kwazulu-Natal). Significance tests were conducted using univariate logistic regressions to examine the independent associations of condom use beliefs, lifetime occurrence of sexually transmitted infections, and self-reported marijuana use before incarceration. Inmates who reported using marijuana were more likely to suggest that condoms were embarrassing to use (odds ratio=1.08, 95% confidence interval=0.55-2.11) and report a lifetime occurrence of a sexually transmitted infection (odds ratio=1.45, 95% confidence interval=0.94-2.23). Findings suggest that it is also important to explore beliefs for not using condoms consistently and with regular partners among inmate populations.

*Department of Community and Preventive Medicine

Preventive Medicine, Morehouse School of Medicine, Atlanta, GA

National Health Promotion Research and Development Group, Medical Research Council of South Africa, Tygerberg

§Department of Correctional Services, Pretoria

National Health Promotion Research and Development Group, Medical Research Council, Cape Town, South Africa

This Research was funded by the National Institute on Drug Abuse [1 R01 DA122331-01A1].

Reprints: Torrance T. Stephens, PhD, Morehouse School of Medicine, NCPC Suite 344-C, 720 West View Drive, Atlanta, GA (e-mail:

© 2007 Lippincott Williams & Wilkins, Inc.