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Social and Proximate Determinants of the Frequency of Condom Use Among African, Caribbean, and Other Black People in a Canadian City: Results from the BLACCH Study

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Abstract

African, Caribbean, and other Black (ACB) people are a priority group for HIV prevention in Canada, but little is known about condom use in this population. This exploratory community-based research project addresses this gap in knowledge. 125 sexually active ACB people completed a questionnaire covering condom use and social determinants of health. The data were analyzed using ordinal logistic regression and mediation analyses. 20.5 % of sexually active ACB adults used condoms consistently. Male gender, wealth, unstable immigration classes, and unsecure employment statuses were independently associated with more frequent condom use. Proximate determinants mediating these relationships included: not having a cohabiting regular partner, not disliking condoms, and having a history of unwanted sex. The proximate determinants mediated 85.7–97.6 % of the effects of the social determinants. These results link social context and proximate factors with condom use. They can be used to design evidence-informed interventions for ACB people.

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Acknowledgments

The authors would like to thank the Ontario HIV Treatment Network Community-Based Research Capacity-Building Fund and The University of Western Ontario for funding this project. Likewise, we would like to thank the Canadian Association for HIV Research, the Ontario Graduate Scholarship, and the Centre for REACH in HIV/AIDS for funding the lead author’s work on this project. This study was also supported by the BLACCH Study Team: Monica Abdelkader, Michael Antwi, Greta Bauer, Shamara Baidoobonso, Julius Ehiemua, Rob Haile, Sherin Hussien, Jan Jasnos, Sila Joshua, Erica Lawson, Roxanne Longman Marcellin, Leah Meidinger, Harina Mokanan, Mercy Nleya-Ncube and Daniel Pugh.

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Authors and Affiliations

  1. Epidemiology and Biostatistics, The University of Western Ontario, London, Canada

    Shamara Baidoobonso, Greta R. Bauer & Kathy Nixon Speechley

  2. Women’s Studies and Feminist Research, The University of Western Ontario, London, Canada

    Greta R. Bauer & Erica Lawson

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  1. Shamara Baidoobonso
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  2. Greta R. Bauer
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  3. Kathy Nixon Speechley
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  4. Erica Lawson
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The BLACCH Study Team

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Correspondence to Shamara Baidoobonso.

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Baidoobonso, S., Bauer, G.R., Speechley, K.N. et al. Social and Proximate Determinants of the Frequency of Condom Use Among African, Caribbean, and Other Black People in a Canadian City: Results from the BLACCH Study. J Immigrant Minority Health 18, 67–85 (2016). https://doi.org/10.1007/s10903-014-9984-z

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