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Differences in condom access and use and associated factors between persons with and without disabilities receiving social cash transfers in Luapula province, Zambia—A cross-sectional study

Author

Listed:
  • David Chipanta
  • Janne Estill
  • Heidi Stöckl
  • Elona Toska
  • Patrick Chanda
  • Jason Mwanza
  • Kelly Kaila
  • Chisangu Matome
  • Gelson Tembo
  • Olivia Keiser

Abstract

Persons with disabilities are disadvantaged in accessing sexual and reproductive health services, including condoms. In this study, we investigated whether condom access and use and their associated factors differed between persons with and without disabilities. We used data from adults in households receiving the Government of Zambia social cash transfers (SCT) in four districts of Luapula province. Condom access and use was the outcome. Disability, defined by the Washington Group Short Set Questions on Disability, was the main predictor. We performed logistic regression analyses to determine the associations between condom access and use and disability. In multivariable analyses, we controlled for covariates including age, sex, marital status, poverty status, HIV testing, and receiving the SCT. The sample comprised 1,143 people aged 16–49, with a median age of 21 years (interquartile range 18–28); 57.4% (n = 656) were female, 86.5% (n = 989) accessed and used condoms, and 17.9% (n = 205) were disabled, rating themselves with a 3 or a 4 on a scale of 1 = “not limited” to 4 = “cannot at all” in performing any of the six daily functions (seeing, hearing, walking, cognition, self-care, or communicating). Nearly sixty percent(58.5% (n = 120)) of persons with disabilities were female, 79.5% (n = 163) reported being very poor, 87.8% (n = 180) reported receiving SCT, and 86.3% (n = 177) reported accessing and using condoms. Condom access and use did not differ between persons with and without disabilities (adjusted odds ratio: 1.09; 95% confidence interval [CI]: 0.60–1.98]). We found no differences between persons with and without disabilities in condom access and use. We established that individual-level factors such as age, sex, marital status, and knowledge of being HIV positive might play a more important role in condom access and use than disability. Condom promotion interventions should account for these factors.

Suggested Citation

  • David Chipanta & Janne Estill & Heidi Stöckl & Elona Toska & Patrick Chanda & Jason Mwanza & Kelly Kaila & Chisangu Matome & Gelson Tembo & Olivia Keiser, 2024. "Differences in condom access and use and associated factors between persons with and without disabilities receiving social cash transfers in Luapula province, Zambia—A cross-sectional study," PLOS ONE, Public Library of Science, vol. 19(6), pages 1-14, June.
    • Handle: RePEc:plo:pone00:0302182
    DOI: 10.1371/journal.pone.0302182
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    References listed on IDEAS

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    1. John Stover & James E Rosen & Maria Nadia Carvalho & Eline L Korenromp & Howard S Friedman & Matthew Cogan & Bidia Deperthes, 2017. "The case for investing in the male condom," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-16, May.
    2. repec:plo:pone00:0228981 is not listed on IDEAS
    3. Pierre DeBeaudrap & Charles Mouté & Estelle Pasquier & Muriel Mac-Seing & Pulchérie U. Mukangwije & Gervais Beninguisse, 2019. "Disability and Access to Sexual and Reproductive Health Services in Cameroon: A Mediation Analysis of the Role of Socioeconomic Factors," IJERPH, MDPI, vol. 16(3), pages 1-14, February.
    4. Mitra, Sophie & Posarac, Aleksandra & Vick, Brandon, 2011. "Disability and poverty in developing countries : a snapshot from the world health survey," The Social Policy and Labor Discussion Paper Series 62564, The World Bank.
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