Groenenboom, M., Van Weert, J., & Van den Putte, B. (2009). Condom use in Tanzania and Zambia: A study on the predictive power of the Theory of Planned Behaviour on condom use intention. In L. Lagerwerf, H. Boer, & H. Wasserman (Eds.), Health communication in Southern Africa: Engaging with social and cultural diversity (chapter 1, pp. 13-33). Amsterdam: Savusa.

Abstract: The aim of this study is to examine determinants of condom use intention of Tanzanian and Zambian high-school students. Additionally, we aim to investigate whether determinants differ among different target (sub)groups. Data were gathered in a sample of high school students from Arusha area, Tanzania (n=286), and Kabwe area, Zambia (n=272). The TPB determinants attitude towards condom use and subjective norm explain, respectively, 15.5% and 16.5% of the variance in condom use intention in Tanzania and Zambia, while self-efficacy is not significantly related to this intention in both countries. In most target (sub)groups from Tanzania and Zambia, the same TPB determinants predict condom use intention. Besides the TPB determinants, other variables were also significantly related to condom use intention, such as sexual experience and gender. These results vary over the (sub)groups. The findings of this study prove the utility and global applicability of the TPB on condom use intention in Tanzania and Zambia. Because most subgroups in both countries show the same TPB determinants of condom use intention, cost-effective overall HIV/AIDS prevention programs can be developed that can easily be adapted for different subgroups in different countries.