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Young adults in sub-Saharan Africa most often state ‘I trust my partner’ as the reason for not using condoms consistently. This study assesses the extent to which young adults in Dar es Salaam, Tanzania, trust their partners, how trust influences condom use and whether certain relationship characteristics influence the relationship between trust and condom use. Data were taken from the 2003 Tanzania Trust Survey, and the level of trust reported by 509 male and female young adults aged 15–24 who were in relationships was examined. The analysis showed that reported trust in a partner has the expected negative relationship with consistent condom use. However, this negative association differs by relationship characteristics. To facilitate the interpretation of interactions between marriage and trust, the predicted probabilities of consistent condom use by level of trust were calculated for males and for females by marital status, showing that the negative association is strong among those who are not married, but that there is no association between trust and condom use among young married adults.

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Adih, W. & Alexander, C. (1999) Determinants of condom use to prevent HIV infection among youth in Ghana. Journal of Adolescent Health 24, 6372.
Agha, S., Kusanthan, T., Longfield, K., Klein, M. & Berman, J. (2002) Reasons for non-use of condoms in eight countries in sub-Saharan Africa. PSI Working Paper Series No. 49.
Ao, T., Sam, N., Manongi, R., Seage, G. & Kapiga, S. (2003) Social and behavioural determinants of consistent condom use among hotel and bar workers in northern Tanzania. International Journal of STD & AIDS 1410, 688696.
Bond, V. & Dover, P. (1997) Men, women and the trouble with condoms: problems associated with condom use by migrant workers in rural Zambia. Health Transition Review 7, 377391.
Chimbiri, A. (2007) The condom is an ‘intruder’ in marriage: evidence from rural Malawi. Social Science & Medicine 64, 11021115.
Hattori, M. K. (2008) Trust, commitment, fidelity and condom use among young adults in Tanzania. PhD dissertation, Department of Sociology, University of Maryland, College Park, MD.
Hattori, M. K., Richter, K. & Greene, J. (2010) Trust, caution and condom use with regular partners: an evaluation of the trusted partner campaign targeting youth in four countries. Social Marketing Quarterly 16, 1848.
Haram, L. (2005) AIDS and risk: the handling of uncertainty in northern Tanzania. Culture, Health & Sexuality 7, 111.
Kapiga, S. H. & Lugalla, J. L. P. (2002) Sexual behaviour patterns and condom use in Tanzania: results from the 1996 Demographic and Health Survey. AIDS Care 14, 443453.
Larzelere, R. E. & Huston, T. L. (1980) The Dyadic Trust Scale: toward understanding interpersonal trust in close relationships. Journal of Marriage and the Family 42, 595604.
Long, J. S. & Freese, J. (2005) Regression Models for Categorical Outcomes Using Stata. Second Edition. Stata Press, College Station, TX.
Longfield, K., Klein, M. & Berman, J. (2002) Criteria for trust and how trust affects sexual decision-making among youth. PSI Working Paper Series No. 52.
Luke, N. (2003) Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa. Studies in Family Planning 34, 6786.
MacPhail, C. & Campbell, C. (2001) “I think condoms are good but, aai, I hate those things”: condom use among adolescents and young people in a southern African township. Social Science & Medicine 52, 16131628.
Maharaj, P. & Cleland, J. (2004) Condom use within marital and cohabiting partnerships in KwaZulu-Natal, South Africa. Studies in Family Planning 35, 116124.
Meekers, D. & Klein, M. (2002) Determinants of condom use among young people in urban Cameroon. Studies in Family Planning 33, 335346.
Meekers, D., Silva, M. & Klein, M. (2006) Determinants of condom use among youth in Madagascar. Journal of Biosocial Science 38, 365380.
Molm, L. D., Takahashi, N. & Peterson, G. (2000) Risk and trust in social exchange: an experimental test of a classical proposition. American Journal of Sociology 105, 13961427.
Plummer, M. L., Wight, D., Wamoyi, J., Mshana, G., Hayes, R. J. & Ross, D. A. (2006) Farming with your hoe in a sack: condom attitudes, access, and use in rural Tanzania. Studies in Family Planning 37, 2940.
Santelli, J. S., Kouzis, A. C., Hoover, D. R., Polacsek, M., Burwell, L. G. & Celentano, D. D. (1996) Stage of behaviour change for condom use: the influence of partner type, relationship and pregnancy factors. Family Planning Perspectives 28, 101107.
Sobo, E. J. (1995) Choosing Unsafe Sex: AIDS-Risk Denial among Disadvantaged Women. University of Pennsylvania Press, Philadelphia.
Tanzania Commission for AIDS (TACAIDS), National Bureau of Statistics (NBS) & ORC Macro International Inc. (2008) Tanzania HIV/AIDS Indicator Survey 2003–04. TACAIDS, NBS and ORC Macro, Calverton, Maryland, USA.
Tavory, I. & Swidler, A. (2009) Condom semiotics: meaning and condom use in rural Malawi. American Sociological Review 74, 171189.
Thomsen, S., Stalker, M. & Toroitich-Ruto, C. (2004) Fifty ways to leave your rubber: how men in Mombasa rationalise unsafe sex. Sexually Transmitted Infections 80, 430434.
Watkins, S. C. (2004) Navigating the AIDS epidemic in rural Malawi. Population and Development Review 30, 673705.
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Journal of Biosocial Science
  • ISSN: 0021-9320
  • EISSN: 1469-7599
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