Determinants of Condom Use among Haitian Youth: Improving the Validity of Quantitative Findings through Qualitative Methods

Hibist Astatke, Population Services International (PSI)
Linda Kaljee, University of Maryland
Edouard Talnan, Population Services International (PSI)
Emmanuel Charles, Population Services International Haiti
Jean Gerland, Population Services International Haiti

The Caribbean region has the second largest HIV/AIDS infection rate in the world. This study used qualitative and quantitative methods to increase the validity of findings on condom use among Haitian youth 15 to 24. Qualitative data were used to modify the guiding framework (PSI Behavioral Change Framework) and develop multi-item scales to measure relevant determinants. Logistic regression analysis was used to examine predictors of condom use among youth with non-cohabitating or non-marital partners (N=691). Higher perceived condom availability, condom brand appeal, social support for condom use and pregnancy intentions were associated with condom use among younger youth. Positive attitudes about condoms and internal locus of control predicted condom use among older youth. Older male respondents were more likely to use condoms than females. The findings suggest separate HIV/AIDS prevention programs for younger and older youth, and the need for gender-specific interventions to increase condom use among females.