Psychosocial pathways to inconsistent condom use among male sex workers: personality, drug misuse and criminality

Background This research compared street male sex workers in Santo André, Brazil, that reported consistent condom use with those that revealed inconsistent condom use with their clients, concerning personality aspects, impulsiveness, alcohol and drug consumption, depressive symptoms, sociodemographic data and criminal involvement. Methods: Eighty-six male sex workers were evaluated in face-to-face interviews at their place of work. A ‘snowball’ sampling procedure was used to access this hard-to-reach population. Findings: Male sex workers with inconsistent condom use showed greater involvement with criminal activities, higher reward dependence level and more frequent self-report of being HIV-positive. Conclusions: Conceptualisation of male sex workers’ psychological characteristics may be required where HIV risk is not only attributed to sex work per se, but to other aspects such as personality-related factors and negative identity.

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Inconsistent Condom Use Among Young Men Who Have Sex With Men, Male Sex Workers, and Transgenders in Thailand

AIDS Education and Prevention ◽

10.1521/aeap.2010.22.2.100 ◽

2010 ◽

Vol 22 (2) ◽

pp. 100-109 ◽

Cited By ~ 53

Author(s):

Tareerat Chemnasiri ◽

Taweesak Netwong ◽

Surasing Visarutratana ◽

Anchalee Varangrat ◽

Andrea Li ◽

...

Keyword(s):

Condom Use ◽

Sex Workers ◽

Young Men ◽

Male Sex Workers ◽

Inconsistent Condom ◽

Male Sex ◽

Sex With Men ◽

Inconsistent Condom Use

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Incidence and time-varying predictors of HIV and sexually transmitted infections among male sex workers in Mexico City

Infectious Diseases of Poverty ◽

10.1186/s40249-020-00792-2 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Karla Y. Ganley ◽

Marta Wilson-Barthes ◽

Andrew R. Zullo ◽

Sandra G. Sosa-Rubí ◽

Carlos J. Conde-Glez ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Mexico City ◽

Sex Workers ◽

Incidence Rates ◽

Consistent Condom ◽

Vaginal Intercourse ◽

Time Varying ◽

Male Sex Workers ◽

Sexually Transmitted ◽

Male Sex

Abstract Background Male sex workers are at high-risk for acquisition of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV). We quantified incidence rates of STIs and identified their time-varying predictors among male sex workers in Mexico City. Methods From January 2012 to May 2014, male sex workers recruited from the largest HIV clinic and community sites in Mexico City were tested for chlamydia, gonorrhea, syphilis, hepatitis, and HIV at baseline, 6-months, and 12-months. Incidence rates with 95% bootstrapped confidence limits were calculated. We examined potential time-varying predictors using generalized estimating equations for a population averaged model. Results Among 227 male sex workers, median age was 24 and baseline HIV prevalence was 32%. Incidence rates (per 100 person-years) were as follows: HIV [5.23; 95% confidence interval (CI): 2.15–10.31], chlamydia (5.15; 95% CI: 2.58–9.34), gonorrhea (3.93; 95% CI: 1.88–7.83), syphilis (13.04; 95% CI: 8.24–19.94), hepatitis B (2.11; 95% CI: 0.53–4.89), hepatitis C (0.95; 95% CI: 0.00–3.16), any STI except HIV (30.99; 95% CI: 21.73–40.26), and any STI including HIV (50.08; 95% CI: 37.60–62.55). In the multivariable-adjusted model, incident STI (excluding HIV) were lower among those who reported consistently using condoms during anal and vaginal intercourse (odds ratio = 0.03, 95% CI: 0.00–0.68) compared to those who reported inconsistently using condoms during anal and vaginal intercourse. Conclusions Incidence of STIs is high among male sex workers in Mexico City. Consistent condom use is an important protective factor for STIs, and should be an important component of interventions to prevent incident infections.

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Inconsistent Condom Use among Public Primary Care Patients with Tuberculosis in South Africa

The Scientific World JOURNAL ◽

10.1100/2012/501807 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Gladys Matseke ◽

Karl Peltzer ◽

Julia Louw ◽

Pamela Naidoo ◽

Gugu Mchunu ◽

...

Keyword(s):

South Africa ◽

Primary Care ◽

Condom Use ◽

Multivariable Analysis ◽

High Rate ◽

Consistent Condom ◽

Consistent Condom Use ◽

Inconsistent Condom ◽

The Past ◽

Inconsistent Condom Use

The high rate of HIV infections among tuberculosis (TB) patients in South Africa calls for urgent HIV reduction interventions in this subpopulation. While correct and consistent condom use is one of the effective means of HIV prevention among sexually active people, there is insufficient research on condom use among TB patients in South Africa. The aim of this paper was to determine the prevalence of inconsistent condom use among public primary care TB patients and its associated factors using a sample of 4900 TB patients from a cross-sectional survey in three health districts in South Africa. Results indicated that when asked about their consistency of condom use in the past 3 months, 63.5% of the participants reported that they did not always use condoms. In the multivariable analysis, being married (OR=1.66; 95% CI 1.25–2.20) or cohabitating or separated, divorced, or widowed (OR=3.67; 1.85–7.29), lower educational level (OR=0.66; 0.46–0.94), greater poverty (OR=1.60; 1.25–2.20), not having HIV status disclosed (OR=0.34; 0.25–0.48), sexual partner on antiretroviral treatment (OR=0.38; 0.23–0.60), and partner alcohol use before sex (OR=1.56; 1.30–1.90) were significantly associated with inconsistent condom use in the past 3 months. The low proportion of consistent condom use among TB patients needs to be improved.

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O23.2 Correlates of Inconsistent Condom Use During Anal Sex with Female Sex Workers (FSWs) Among Male Clients: Survey Findings from Three High Prevalence States of India

Sexually Transmitted Infections ◽

10.1136/sextrans-2013-051184.0217 ◽

2013 ◽

Vol 89 (Suppl 1) ◽

pp. A71.2-A71

Author(s):

S Ramanathan ◽

L Ramakrishnan ◽

P Goswami ◽

D Yadav ◽

B George ◽

...

Keyword(s):

Condom Use ◽

Sex Workers ◽

Female Sex Workers ◽

Anal Sex ◽

Inconsistent Condom ◽

Female Sex ◽

Male Clients ◽

High Prevalence ◽

Inconsistent Condom Use

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“I enjoy sex more without condoms": revisiting barriers and facilitators of consistent condom use among adolescents and young adults in South Africa

10.21203/rs.3.rs-271620/v2 ◽

2021 ◽

Author(s):

Anthony Ajayi ◽

Olumuyiwa Omonaiye ◽

Charlotte Nwogwugwu

Keyword(s):

South Africa ◽

Young People ◽

Condom Use ◽

Financial Support ◽

Consistent Condom ◽

Sexually Active ◽

Partner Communication ◽

Consistent Condom Use ◽

Inconsistent Condom ◽

Inconsistent Condom Use

Abstract Background Previous studies have examined consistent condom use correlates in South Africa, focusing on sociodemographic factors, HIV risk perceptions, relationship conflict, multiple sexual partners, and masculinity. However, the effect of family financial support, HIV testing, partner communication and self-efficacy for HIV prevention is less studied. We drew from a cross-sectional survey to address this gap and highlight the key barriers and facilitators of consistent condom use among young people. Methods We analysed data obtained from 631 unmarried sexually active male and females students selected using stratified sampling from a university in Eastern Cape Province of South Africa. Consistent condom use was defined as regular use of condoms in all sexual encounters in the past year. We used an open-ended question to probe the reasons for inconsistent condom use. Adjusted and unadjusted regression analysis were fitted to examine factors associated with consistent condom use. Results The prevalence of consistent condom use was 39.3% (CI: 35.5%-43.2%), with no significant gender and age differences. After adjusting for relevant covariates, living with foster parents (AOR; 1.80 95% CI; 1.09-2.97), adequate family financial support (AOR; 2.49 95% CI; 1.71-3.62), partner knew status (AOR; 1.91 95% CI; 1.09-3.37) and feeling confident in one's ability to prevent HIV (AOR; 1.77 95% CI; 1.09-2.86) were associated with increased odds of consistent condom use. However, self-report of low condom self-efficacy (AOR; 0.58 95% CI; 0.40-0.85) and alcohol use (AOR; 0.83 95% CI; 0.58-1.19) were associated with lower odds of consistent condom use. Young people who inconsistently used condoms reiterated that sex is often unplanned and condoms are not always available. The desire for maximum pleasure, partner's objection, trust, and use of hormonal contraceptives were further reasons others inconsistently use condoms. Conclusions Inconsistent condom use remains a challenge among unmarried sexually active young people in South Africa. Education of young people on the need for partner communication about HIV, HIV testing uptake, and condom use should happen more rigorously in school and through the media to improve their consistent use of condoms.

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Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17061924 ◽

2020 ◽

Vol 17 (6) ◽

pp. 1924

Author(s):

Randolph C. H. Chan ◽

Don Operario ◽

Winnie W. S. Mak

Keyword(s):

Hong Kong ◽

Condom Use ◽

Structural Equation ◽

Poor Mental Health ◽

Self Report ◽

Equation Modeling ◽

People Living With Hiv ◽

Inconsistent Condom ◽

Living With Hiv ◽

Inconsistent Condom Use

In the context of HIV-related stigma and discrimination, people living with HIV (PLHIV) might be vulnerable to a ‘syndemic’ of co-occurring psychosocial challenges that can affect sexual behavior. The present study examined how HIV-related discrimination contributes to co-occurring psychosocial syndemic problems and results in inconsistent condom use among PLHIV in Hong Kong. Two-hundred and ninety-one PLHIV were recruited to complete a self-report questionnaire. More than one-quarter of the sample experienced two or more psychosocial syndemic problems, and 74.1% of the participants who had sex with steady partners reported inconsistent condom use over the past three months. The results indicated that HIV-related discrimination was positively predictive of the number of psychosocial syndemic problems. HIV-related discrimination and psychosocial syndemics were associated with increased odds of inconsistent condom use with steady partners (AOR = 5.40 and AOR = 3.09 respectively). Findings from structural equation modeling showed that psychosocial syndemics mediated the effect of HIV-related discrimination on condom use consistency with steady partners. PLHIV in Hong Kong suffered from the syndemic effects of stigma, social isolation, and poor mental health, which rendered them vulnerable to condomless sex. In order to curb the rapidly increasing incidence of HIV, multi-level strategies should be adopted to concurrently address the structural inequities and psychosocial syndemics faced by PLHIV.

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