Table 5

Multivariate analyses of determinants of condom breakage in the last month

Variables significant in univariate analysisModel 1Model 2Model 3
Logistic regression adjusted OR and 95% CIsp Value (Wald test)Multi-level logistic regression adjusted OR and 95% CIsp Value (Wald test)Multi-level logistic regression adjusted OR and 95% CIsp Value (Wald test)
General profile
 Age (years)
  18–24 (Ref)10.27410.651
  ≥250.65 (0.30 to 1.41)0.82 (0.36 to 1.88)
 Literate
  No (Ref)10.31610.117
  Yes0.75 (0.42 to 1.32)0.62 (0.34 to 1.12)
 Usual place of entertainment
  Public place (Ref)11
  Own home/friend's home1.19 (0.29 to 4.97)0.8081.49 (0.35 to 6.30)0.587
  Lodge/rented room/brothel2.05 (0.51 to 8.28)0.3161.68 (0.41 to 6.91)0.466
Sexual history
 Age at sexual debut (years)
  12–15 (Ref)10.05810.444
  >150.58 (0.33 to 1.02)0.79 (0.44 to 1.42)
 Age at first paid sex (years)
  12–20 (Ref)10.05010.749
  >200.50 (0.25 to 1.00)0.88 (0.41 to 1.88)
Risk behaviours
 Alcohol use in last month
  Never or less than once a week (Ref)10.00110.377
  At least once per week3.01 (1.60 to 5.66)1.33 (0.72 to 2.53)
 Forced into sex in last year
  No (Ref)1<0.00110.218
  Yes3.73 (1.81 to 7.69)1.51 (0.78 to 2.95)
 Ever been arrested?
  No (Ref)10.43010.266
  Yes1.48 (0.56 to 3.90)1.69 (0.66 to 4.31)
 Clients per week
  <15 (ref)10.03410.829
  ≥150.46 (0.22 to 0.94)0.92 (0.46 to 1.85)
Circumstances of specific event
 Partner
  Spouse or non-paying client (Ref)10.02310.025
  Paying client4.51 (1.22 to 16.5)4.61 (1.20 to 17.58)
 Man's use of alcohol before or during sex
  No (Ref)10.78810.738
  Yes1.08 (0.60 to 1.92)0.89 (0.47 to 1.68)
 Roughness of sex
  Not rough (Ref)1<0.0011<0.001
  Rough, forceful5.68 (3.26 to 9.00)6.39 (3.55 to 11.52)
 How long sex lasted
  No longer than usual (Ref)10.05710.110
  Longer than usual1.71 (0.98 to 2.98)1.61 (0.89 to 2.92)
 Erection
  Not overly hard (Ref)10.10010.135
  Overly hard1.58 (0.91 to 2.74)1.55 (0.87 to 2.75)
 Furtive sex
  No (Ref)10.04510.164
  Yes1.83 (1.01 to 3.32)1.56 (0.83 to 2.92)
 Size of condom
  About right (Ref)11
  Too small2.72 (1.25 to 5.90)0.0112.29 (0.97 to 5.40)0.056
  Too big4.67 (1.75 to 12.43)0.0024.29 (1.43 to 12.80)0.009