Migrants: Condom Use

Export Indicator

Percentage of migrants from countries with generalized epidemics who had sex with more than one partner in the past 12 months who used a condom during their last sexual intercourse
What it measures

Progress in preventing sexual transmission of HIV among migrants from countries with generalized HIV epidemics.

Rationale

Migrants from countries with generalized HIV epidemics are disproportionately affected by HIV in many countries of Europe. There is some evidence of ongoing transmission of HIV among migrants from countries with generalized HIV epidemics in the host countries. The risk of HIV transmission can be substantially reduced through consistent and correct condom use. This indicator is a regional adaptation of the general population indicator 1.4 in the UNAIDS Guidelines on Construction of Core Indicators: 2012 Reporting.

Numerator

Number of migrants from countries with generalized HIV epidemics who reported having had more than one sexual partner in the last 12 months who also reported that a condom was used the last time they had sexual intercourse.

Denominator

Number of migrants from countries with generalized HIV epidemics who reported having had more than one sexual partner in the last 12 months.

Calculation

Numerator / Denominator

Method of measurement

Special surveys for the numerator and denominator.

Respondents are asked whether or not they have ever had sexual intercourse and, if yes, they are asked:

1. In the last 12 months, how many different people have you had sexual intercourse with?

If more than one, the respondent is asked:

2. Did you or your partner use a condom the last time you had sexual intercourse?

Measurement frequency

Every 3-5 years

Disaggregation

Age group: (greater than) 25 years

Gender: Male, Female

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

Condoms are most effective when their use is consistent, rather than occasional. The current indicator will provide an overestimate of the level of consistent condom use. However, the alternative method of asking whether condoms are always/sometimes/never used in sexual intercourse in a specified period is subject to greater recall bias. Furthermore, condom use in the most recent sexual act will generally reflect the trend in condom use.

This indicator asks about sex in the past twelve months. If you have data available on another time period, such as the last 3 or 6 months, please include this additional data in the comments section of the reporting tool.

To maximize the utility of data, it is recommended that the same sample used for the calculation of this indicator be used for the calculation of the other indicators related to these populations.

Further information

Further Information
ECDC (2010) Implementing the Dublin Declaration on Partnership to Fight HIV/AIDS in Europe and central Asia: 2010 Progress Report Section 2.5 Migrants pp. 105-121. http://ecdc.europa.eu/en/publications/Publications/1009_SPR_Dublin_decla....

Special Note
As for all indicators related to monitoring the Dublin Declaration on Partnership to Fight HIV/AIDS in Europe and central Asia, where a country does not have data for the indicator specified but has data for a similar indicator, the country is welcome to submit such data when reporting. When submitting alternate data, please provide as much detail as possible as to what information is being supplied. More questions related to the qualitative assessment of migrants are included in the ECDC supplement NCPI questionnaire.