scholarly journals Determinants of Consistent Condom Use Vary by Partner Type among Young Men in Kisumu, Kenya: A Multi-level Data Analysis

2008 ◽  
Vol 14 (4) ◽  
pp. 949-959 ◽  
Author(s):  
Nelli Westercamp ◽  
Christine L. Mattson ◽  
Michelle Madonia ◽  
Stephen Moses ◽  
Kawango Agot ◽  
...  
2008 ◽  
Vol 14 (4) ◽  
pp. 974-985 ◽  
Author(s):  
Victoria Frye ◽  
Beryl Koblin ◽  
John Chin ◽  
John Beard ◽  
Shannon Blaney ◽  
...  

2009 ◽  
Vol 15 (7) ◽  
pp. 1309-1318 ◽  
Author(s):  
F. Kapadia ◽  
M. H. Latka ◽  
Y. Wu ◽  
S. A. Strathdee ◽  
M. E. Mackesy-Amiti ◽  
...  

2021 ◽  
Author(s):  
Nicole Stone ◽  
Rowena Bedford ◽  
Katie Newby ◽  
Katherine Brown ◽  
Louise Jackson ◽  
...  

BACKGROUND The health, social, and economic costs of sexually transmitted infections (STIs) represent a major public health concern. Young people are considered one of the groups most at risk for acquiring and transmitting STIs. Correct and consistent condom use has been shown to be the most effective method for reducing STIs; however, condoms are often not used properly. Evidence has shown that brief behavioural change interventions that focus on skills, communication, and motivation to acquire safe sex practices, should be adopted into routine care to reduce STIs. Funding for sexual health services (SHS) in England has declined dramatically, so novel ways of reducing clinic attendance are being sought. The Home-based Intervention Strategy (HIS-UK) to promote condom use among young men has shown promise in feasibility and pilot studies by demonstrating high acceptability of the intervention in participant and health professional feedback, including aiding men to find condoms that they like and to feel more confident when using condoms. OBJECTIVE To determine the effectiveness and cost-effectiveness of HIS-UK when compared to usual condom distribution care in young men. The three trial arms consisting of ‘eHIS’ (HIS-UK delivered digitally), ‘proHIS’ (HIS-UK delivered face-to-face) and control condition (usual NHS care) will be compared against three primary outcomes: the extent to which they increase correct and consistent condom use, improve condom use experiences (pleasure, fit-and-feel), and reduce chlamydia test positivity. METHODS The study aims to address skills acquisition and motivation to use condoms. Eligibility criteria include men aged 16-25 years at risk of STIs through reporting of condom use errors (i.e. breakage/slippage) or condomless penile-vaginal or penile-anal intercourse with casual/non-regular or new sexual partners during the previous three months. Prospective participants will be recruited through targeted advertisements and an opportunistic direct approach at selected sexual health and genitourinary medicine services and University-associated health centres and GP practices. Community and educational establishments will be used to further advertise the study and signpost men to recruitment sites. Participants will be randomly allocated to one of three trial arms. A repeated measures design will assess the three parallel arms with baseline and 12 monthly follow-up questionnaires post intervention and three chlamydia screening points (baseline, 6 and 12 months). RESULTS Recruitment commenced in March 2020. Due to the COVID-19 pandemic the study was halted and has since reopened for recruitment in Summer 2021. CONCLUSIONS If effective and cost-effective, HIS-UK can be scaled up into routine NHS usual care to reduce both STI transmission in young people and pressure on NHS resources. This intervention may further encourage SHSs to adopt further digital technologies, allowing for such services to become more widely available to young people whilst also decreasing health inequalities and fear of stigmatisation. CLINICALTRIAL ISRCTN: 11400820, October 2019


2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Ijeoma S. Eze ◽  
Margaret Brady ◽  
Beth Keely

AbstractLatinos in the United States are disproportionately affected by Human Immunodeficiency Virus and sexually transmitted infections (STIs). They account for about 24 % of newly diagnosed AIDS cases each year and are two to three times more likely to develop STIs when compared with non-Latino whites. Limited knowledge of STIs has remained one of the contributing factors to the disparity. The purpose of this study was to implement an educational bundle and evaluate its effectiveness in increasing STI knowledge and consistent condom use among adult Latinos seen in an outpatient clinic that serves low income patients. A pre- and post-test design was used to evaluate changes in STI knowledge and consistency of condom use. The educational bundle consisted of YouTube STI-related videos, a pre-designed one to one educational session, provision of condoms and STI-related educational materials. Self-administered questionnaires were used to collect data at baseline and one week post implementation of the educational bundle. Forty-six Latinos (18 females and 28 males) ranging in ages 19 to 60 years participated in the project. The total mean STI knowledge and condom use frequency improved from pre-test (M = 1.67, M = 3.09) to post-test (M = 3.80, M = 5.33). Results of paired samples t-tests demonstrated statistically significant differences between total mean STI knowledge (t(45) = –15.48, p < 0.001) and condom use frequency (t(45) = –7.09, p < 0.001) at pre-test and post-testing. The educational bundle was effective in increasing STI knowledge and consistent condom use among adult Latinos in an outpatient clinic. Further study needs to be done to determine the long-term effect of this mode of education for this population.


AIDS ◽  
1994 ◽  
Vol 8 (3) ◽  
pp. 357-362 ◽  
Author(s):  
Samuel R. Friedman ◽  
Benny Jose ◽  
Alan Neaigus ◽  
Marjorie Goldstein ◽  
Richard Curtis ◽  
...  

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