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Low condom use at the last sexual intercourse among university students in sub-Saharan Africa: Evidence from a systematic review and meta-analysis

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  • Jonathan Izudi
  • Gerald Okello
  • Daniel Semakula
  • Francis Bajunirwe

Abstract

Background: There is inconsistent data about condom use at the last sexual intercourse (LSI) among university students in sub-Saharan Africa (SSA) and its association with sex, age, and condom negotiation efficacy. The primary objective of this study was to summarize the proportion of condom use at the LSI among university students in SSA. The secondary objective was to determine the association between condom use at the LSI with sex, age, and condom negotiation efficacy among university students in SSA. Methods: In this systematic review and meta-analysis, two reviewers independently searched electronic databases and grey literature for eligible studies published until July 30, 2020, extracted data, and assessed the risk of bias in the included studies. We used the Dersimonian-Liard random-effects model to pool the proportion of condom use at the LSI and the association between condom use at the LSI with sex, age, and condom negotiation efficacy, reported using risk ratio (RR). We assessed publication bias using funnel plot and Egger’s test, and explored sources of heterogeneity using sub-group and meta-regression analyses. Results: We meta-analyzed 44 studies with a combined sample size of 27,948 participants.Of 14,778 sexually active participants, 8,744 (pooled proportion, 52.9%; 95% CI, 45.0–60.7; 95% prediction interval, 2.8–98.9; I-squared = 99.0%, p

Suggested Citation

  • Jonathan Izudi & Gerald Okello & Daniel Semakula & Francis Bajunirwe, 2022. "Low condom use at the last sexual intercourse among university students in sub-Saharan Africa: Evidence from a systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 17(8), pages 1-19, August.
    • Handle: RePEc:plo:pone00:0272692
    DOI: 10.1371/journal.pone.0272692
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    References listed on IDEAS

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    1. Jyoti Belur & Lisa Tompson & Amy Thornton & Miranda Simon, 2021. "Interrater Reliability in Systematic Review Methodology: Exploring Variation in Coder Decision-Making," Sociological Methods & Research, , vol. 50(2), pages 837-865, May.
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