The Association Between Ethnic Identity and Condom Use Among Young Men in the Eastern Cape Province, South Africa

A. Nyembezi*, K. Resnicow, R.A.C. Ruiter, B. van den Borne, S. Sifunda, I. Funani, P. Reddy

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


This article reports on the association between ethnic identity and condom use among Black African men in the rural areas of the Eastern Cape Province, South Africa. Individual face-to-face structured interviews were conducted by trained community research assistants among 1,656 men who had undergone traditional initiation and male circumcision. Logistic regression analyses were used to explore the association between two components of ethnic identity (cultural affiliation and cultural alienation) and condom use. Overall, 49.2 % of the participants reported using condoms consistently and, of these users, 66.4 % used them correctly. Logistic regression adjusting for age, employment status, education level, and nation of origin showed that participants who expressed high as opposed to low cultural affiliation were significantly more likely to use condoms consistently and correctly when having sex, especially if they reported to have more than one sexual partner. Cultural alienation was negatively related with consistent condom use, whereas its association with correct use was unclear. The findings of this study suggest that positively emphasizing the ethnic identity of African black men may promote condom use.
Original languageEnglish
Pages (from-to)1097-1103
JournalArchives of Sexual Behavior
Issue number6
Early online date12 Jun 2014
Publication statusPublished - 12 Jun 2014

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