Little attention has been paid to the dimensions
that help to predict and understand condom use among university
students within an African context. A cross-sectional
study involving 518 university students in Accra, Ghana was
conducted to determine how the Condom Use self-Efficacy
Scale-Ghana (CUSES-G) can predict both actual condom
use and future condom use. Of all the participants, 84 % were
sexually active but less than half of the sample (48 %)
reported to have used condom during their last sexual
intercourse. A hierarchical regression analysis showed that
components of the Condom Use Self-Efficacy Scale
(CUESE-G) such as appropriation, assertiveness, pleasure
and intoxication, and STDs predicted condom use and condom
use intentions. Behavioural change campaigns targeting
university students should encourage condom use self-effi-
cacy, as this would strengthen condom use, which is economically
cheap and practically effective means of
preventing STIs including HIV.