Prevalence and correlates of condom use among sexually active men who have sex with men in the United States: findings from the National Survey of Family Growth, 2002, 2006–10 and 2011–13

Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 363 ◽  
Author(s):  
Winston E. Abara ◽  
Emeka Oraka ◽  
William L. Jeffries IV ◽  
Pollyanna Chavez ◽  
Muazzam Nasrullah ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sex Partners ◽  
Risk Behaviours ◽  
Consistent Condom Use ◽  
Family Growth ◽  
Sex With Men ◽  
Sexual Risk Behaviours

Background: Men who have sex with men (MSM) are disproportionately at risk of contracting HIV and other sexually transmissible infections (STIs). Correct and consistent condom use is the most effective method to prevent HIV and other STIs among sexually active MSM. Methods: Using data from the 2002, 2006–10, 2011–13 cycles of the National Survey of Family Growth (NSFG), the overall prevalence of condom use at last sex and by sexual risk behaviours (sex with ≥2 same-sex partners, sex with ≥2 opposite sex partners, sex with a person who injects drugs, sex with an HIV-positive person and exchanged sex for money or drugs) among sexually active MSM (reported oral or anal sex with a male in the preceding 12 months) was estimated. The association between condom use at last sex and demographic and sexual behaviour variables was also evaluated. Results: Approximately 31% of all respondents (n = 618; weighted n = 1 596 702) reported condom use at last sex. Among MSM who reported ≥1 sexual risk behaviour in the past year, prevalence of condom use at last sex ranged from 30 to 38%. After adjusting for covariates, Hispanic MSM [adjusted prevalence ratio (APR) = 1.81, 95%CI = 1.27–2.58] were more likely than White MSM to report condom use at last sex; MSM with a recently diagnosed STI (APR = 1.71, 95%CI = 1.04–2.80) were more likely than MSM without a recently diagnosed STI to report condom use at last sex; and married or cohabitating MSM (APR = 0.29, 95%CI = 0.13–0.66) were less likely than unmarried and not cohabitating MSM to report condom use at last sex. There was no difference in temporal trends in condom use at last sex across the three NSFG cycles [2002 (33.8%); 2006–10 (25.6%); 2011–13 (40.6%), P = 0.926]. Conclusions: This study data suggest that prevalence of condom use among MSM is low, even among MSM who report sexual risk behaviours. The continued promotion of consistent condom use as an effective primary HIV/STI risk-reduction strategy is important because it mitigates HIV and STI risk and also complements the effectiveness of newer HIV prevention approaches such as pre-exposure prophylaxis.

scholarly journals Correlates of HIV Infection Among Sexually Active Adults in Kenya: A National Population-Based Survey

2011 ◽  
Vol 5 (1) ◽  
pp. 125-134 ◽  
Author(s):  
Tom Oluoch ◽  
Ibrahim Mohammed ◽  
Rebecca Bunnell ◽  
Reinhard Kaiser ◽  
Andrea A Kim ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Population Based ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sex Partners ◽  
Consistent Condom Use ◽  
Nationally Representative ◽  
Active Adults ◽  
Sex Partner

Objective: To identify factors associated with prevalent HIV in a national HIV survey in Kenya. Methods: The Kenya AIDS Indicator Survey was a nationally representative population-based sero-survey that examined demographic and behavioral factors and serologic testing for HIV, HSV-2 and syphilis in adults aged 15-64 years. We analyzed questionnaire and blood testing data to identify significant correlates of HIV infection among sexually active adults. Results: Of 10,957 eligible women and 8,883 men, we interviewed 10,239 (93%) women and 7,731 (87%) men. We collected blood specimens from 9,049 women and 6,804 men of which 6,447 women and 5,112 men were sexually active during the 12 months prior to the survey. HIV prevalence among sexually active adults was 7.4%. Factors independently associated with HIV among women were region (Nyanza vs Nairobi: adjusted OR [AOR] 1.6, 95%CI 1.1-2.3), number of lifetime sex partners (6-9 vs 0-1 partners: AOR 3.0, 95%CI 1.6-5.9), HSV-2 (AOR 6.5, 95%CI 4.9-8.8), marital status (widowed vs never married: AOR 2.7, 95%CI 1.5-4.8) and consistent condom use with last sex partner (AOR 2.3, 95%CI 1.6-3.4). Among men, correlates of HIV infection were 30-to-39-year-old age group (AOR 5.2, 95%CI 2.6-10.5), number of lifetime sex partners (10+ vs 0-1 partners, AOR 3.5, 95%CI 1.4-9.0), HSV-2 (AOR 4.7, 95%CI 3.2-6.8), syphilis (AOR 2.4, 95%CI 1.4-4.0), consistent condom use with last sex partner (AOR 2.1, 95% CI 1.5-3.1) and lack of circumcision (AOR 4.0, 95%CI 2.8 - 5.5). Conclusion: Kenya’s heterogeneous epidemic will require regional and gender-specific prevention approaches.

scholarly journals Sexual-risk behaviours and HIV and syphilis prevalence among in- and out-of-school adolescent girls and young women in Uganda: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257321
Author(s):  
Joseph K. B. Matovu ◽  
Justine N. Bukenya ◽  
Dickson Kasozi ◽  
Stephens Kisaka ◽  
Rose Kisa ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Adolescent Girls ◽  
Sexual Debut ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
History Of ◽  
Sexual Risk Behaviours ◽  
Hiv 1 ◽  
Out Of School

Background Adolescent girls and young women (AGYW) are at increased risk of sexually transmitted infections (STIs). We assessed sexual-risk behaviours and HIV and syphilis prevalence among AGYW in Uganda to inform the design of target-specific risk-reduction interventions. Methods This analysis utilizes data from 8,236 AGYW aged 10–24 years, collected in 20 districts, between July and August 2018. AGYW engaged in sexual-risk behaviour if they: a) reported a history of STIs; or b) had their sexual debut before age 15; or c) engaged in sex with 2+ partners in the past 12 months; or c) did not use or used condoms inconsistently with their most recent partners. We diagnosed HIV using DetermineTM HIV-1/2, Stat-PakTM HIV-1/2 and SD Bioline. We used SD Bioline Syphilis test kits to diagnose syphilis and Treponema Pallidum Hemagglutination Assay for confirmatory syphilis testing. Comparison of proportions was done using Chi-square (χ2) tests. Data were analysed using STATA (version 14.1). Results Of 4,488 AGYW (54.5%) that had ever had sex, 12.9% (n = 581) had their sexual debut before age 15; 19.1% (n = 858) reported a history of STIs. Of those that had ever had sex, 79.6% (n = 3,573) had sex in the 12 months preceding the survey; 75.6% (n = 2,707) with one (1) and 24.2% (n = 866) with 2+ partners. Condom use with the most recent sexual partner was low, with only 20.4% (n = 728) reporting consistent condom use while 79.6% (n = 2,842) reported inconsistent or no condom use. In-school AGYW were significantly less likely to have ever had sex (35.6% vs. 73.6%, P<0.001), to have had sexual debut before age 15 (7.7% vs. 15.5%, P<0.001) or to engage in sex with 2+ partners (5.3% vs. 15.8%, P<0.001). Consistent condom use was significantly higher among in-school than out-of-school AGYW (40.1% vs. 12.7%, P<0.001). Overall, 1.7% (n = 143) had HIV while 1.3% (n = 104) had syphilis. HIV and syphilis prevalence was higher among out-of-school than in-school AGYW (HIV: 2.6% vs. 0.9%; syphilis: 2.1% vs. 0.5%, respectively). Conclusion In-school AGYW engaged in more protective sexual behaviors and had less HIV and syphilis than their out-of-school counterparts. These findings suggest a need for target-specific risk-reduction interventions stratified by schooling status.

scholarly journals Risk Factors of Inconsistent Condom Use among Sexually Active Youths: Implications for Human Immunodeficiency Virus and Sexual Risk Behaviours in Malawi

2015 ◽  
Vol 52 (4) ◽  
pp. 484-496 ◽  
Author(s):  
Wilson N Chialepeh ◽  
A Sathiya Susuman
Keyword(s):  
Human Immunodeficiency Virus ◽  
Condom Use ◽  
Sexual Risk ◽  
Consistent Condom ◽  
Risk Behaviours ◽  
Chi Square ◽  
Inconsistent Condom ◽  
Immunodeficiency Virus ◽  
Sexual Risk Behaviours ◽  
Inconsistent Condom Use

This study examines the risk associated with inconsistent use of condoms as a risk factor for human immunodeficiency virus/sexually transmitted infections (HIV/STIs) and sexual risk behaviours. The Malawi Demographic Health Survey 2010 data were used. Out of a sample of 2987 males and 9559 females aged 15–24 years, 511 males and 675 females were filtered in the present study. A Chi square test and logistic regression techniques were performed. About 147(28.7%) males and 240(35.6%) females reported inconsistent condom use. The likelihood of inconsistent condom use was higher among females with secondary/higher education (odds ratio’s (OR)=1.46), with more than one partner (OR=4.27), and married males (OR=8.76), with more than one sex partner (OR=1.78).There is a need to raise condom use awareness and improve sexual education about consistent condom use, especially among females, in order to curb the spread of HIV/STIs and reduce sexual risk behaviours.

scholarly journals Diversities of Sexual Activities and Correlates of Safe Sex Practices Among Adolescents in Plateau State, Nigeria

2021 ◽  
Vol 3 ◽  
Author(s):  
Esther Awazzi Envuladu ◽  
Karlijn Massar ◽  
John B. F. de Wit
Keyword(s):  
Logistic Regression ◽  
Condom Use ◽  
Sexual And Reproductive Health ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sex Partners ◽  
Same Sex ◽  
Consistent Condom Use ◽  
Older Adolescents ◽  
Plateau State

Background: Unsafe sex, particularly, condomless sex exposes adolescents to sexual and reproductive health risks. This study aimed to assess the sexual experiences and to determine the most important covariates of sexual activity and consistent condom use among adolescents in Plateau State, Nigeria.Methods: A cross sectional survey was conducted among 428 adolescents selected from 6 LGAs through a multistage sampling technique. The data was analyzed using the IBM Statistical package for Social Sciences (SPSS) version 23, multiple logistic regression was conducted to determine the covariates of sexual activity and condom use.Results: About one third (38%) of the adolescents were sexually active, 5.7% had same sex partners, 70% had more than one sexual partner and majority (72.4%) were not consistently using condom during sex. Logistic regression results showed that older adolescents (OR = 5.73; CI = 3.72–8.12; p = 0.001) and out of school adolescents (OR = 2.68; CI = 1.79–4.00; p = 0.001) were more likely to be sexually active, while multivariable logistic regression analysis showed age (AOR = 0.33; CI = 0.12–0.90; p = 0.031) and gender as important covariates of being sexually active, (AOR = 6.29; CI = 3.18–12.44; p = 0.001). Inconsistent condom use was more likely among adolescents; with lower education, (OR = 2.14; CI = 1.19–3.85; p = 0.011), having sex with older partners (OR = 0.61; CI = 0.42–0.90; P = 0.013) and with low awareness of SRH issues (OR = 2.08; CI = 1.02–4.22; p = 0.044). The multivariable logistic regression however, showed gender, being male (AOR = 0.43; CI = 0.006–3.09; p = 0.023) as covariate of consistent condom use.Conclusion: Most sexually active adolescents had multiple sexual partners, some had same sex partners and majority were not consistently using condom. Older adolescents and those out of school were more likely to be sexually active. Awareness of SRH issues significantly influenced condom use while gender, specifically being male, was the independent covariate for being sexually active and for consistent condom use. We recommend sexual health intervention targeted at adolescents. In addition, gender should be mainstreamed into adolescent sexual and reproductive health programmes.

Consistent condom use in relationships between seropositive injecting drug users and sex partners who do not inject drugs

AIDS ◽  
1994 ◽  
Vol 8 (3) ◽  
pp. 357-362 ◽  
Author(s):  
Samuel R. Friedman ◽  
Benny Jose ◽  
Alan Neaigus ◽  
Marjorie Goldstein ◽  
Richard Curtis ◽  
...  
Keyword(s):  
Condom Use ◽  
Drug Users ◽  
Injecting Drug Users ◽  
Consistent Condom ◽  
Sex Partners ◽  
Consistent Condom Use

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

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.

scholarly journals HIV, syphilis and sexual risk behaviours among men who have sex with men in Agadir and Marrakesh, Morocco: Table 1

2013 ◽  
Vol 89 (Suppl 3) ◽  
pp. iii45-iii48 ◽  
Author(s):  
Lisa Grazina Johnston ◽  
Kamal Alami ◽  
M Houssine El Rhilani ◽  
Mehdi Karkouri ◽  
Othoman Mellouk ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Sexual Risk Behaviours

Prevalence of Consistent Condom Use with Various Types of Sex Partners and Associated Factors among Money Boys in Changsha, China

2015 ◽  
Vol 12 (4) ◽  
pp. 936-945 ◽  
Author(s):  
Lian-Hong Wang ◽  
Jin Yan ◽  
Guo-Li Yang ◽  
Shuo Long ◽  
Yong Yu ◽  
...  
Keyword(s):  
Condom Use ◽  
Associated Factors ◽  
Consistent Condom ◽  
Sex Partners ◽  
Consistent Condom Use ◽  
Money Boys

scholarly journals Condom Use and Related Factors among Rural and Urban Men Who Have Sex With Men in Western China: Based on Information-Motivation-Behavioral Skills Model

2020 ◽  
Vol 14 (1) ◽  
pp. 155798831989979 ◽  
Author(s):  
Ling Hu ◽  
Yetao Luo ◽  
Xiaoni Zhong ◽  
Rongrong Lu ◽  
Yang Wang ◽  
...  
Keyword(s):  
Condom Use ◽  
Service Providers ◽  
Western China ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Related Factors ◽  
Behavioral Skills ◽  
Urban Men ◽  
Rural And Urban ◽  
Sex With Men

This study aimed to determine the differences in condom use and related factors among rural–urban men who have sex with men (MSM) in Western China. A cross-sectional survey was conducted in Chongqing, Sichuan, and Guangxi, which recruited MSM by non-probability sampling. Data were collected through an anonymous, standardized, and self-reported questionnaire guided by an information–motivation–behavioral skills model. Structural equation model was applied to analyze the related factors. Out of the 1141 MSM included in this analysis, 856 (75%) and 285 (25%) were from urban and rural areas, respectively. The median age was 27 years for both groups. Self-reported consistent condom use for anal sex in the past 6 months was 57.58%. The rate of consistent condom use was lower in rural MSM than in urban MSM (50.88% vs. 59.81%, p = .008). Behavioral skills, HIV/AIDS intervention services, and response costs had direct positive and negative influences on condom use, respectively. By contrast, motivation and information exhibited indirect influence. All the factors were mediated by behavioral skills in rural and urban MSM, except for the information that had no effect among urban MSM but had an indirect effect among rural MSM. These findings suggest that service providers should pay attention to substantial rural–urban differences and design different AIDS prevention and intervention strategies targeting rural and urban MSM.

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