A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya

Abstract Background: Despite significant progress over the past decades to reduce transmission, HIV is continuing a public health problem. Although, consistent condom use has paramount help in reducing HIV transmission, its prevalence, and associated factors are not well studied. Therefore, this study was aimed to assess the proportion and factors associated with condom use among discordant couples in Northeast Ethiopia.Methods: An institution-based cross-sectional study by embedding qualitative design was conducted from October 1 2019 to June 2020. A total of 417 HIV discordant couples were included. A pre-tested structured and interviewer-administered questionnaire was used to collect the quantitative data. An interview guide unstructured questions were used to collect qualitative data. Binary logistic regression was employed to identify factors associated with the outcome variable. Variable those that had a P-value less than 0.05 in multivariable logistic regression were considered as statistical predictors of condom use. Results: A total of 401 HIV serodiscordant couples were participated, making a 94.8% response rate. The proportion of consistent condom use was 58.4%(95%CI: 53.1-63.1%). Unmarried partners AOR=0.44(95%CI: 0.229-0.877), students and employees AOR=0.33(95%CI 0.130-0.846), AOR=0.39(95%CI: 0.165-0.939) respectively, couples live together AOR=1.86(95%CI: 1.197-2.195), receiving counseling about condom use AOR=1.90(95%CI: 1.182-3.076), and knowledgeable participants AOR=1.61(95%CI: 1.031-2.525) were the independent predictors of consistent condom use. Conclusions: Despite its importance, the proportion of consistent condom use among serodiscordant couples was significantly low. Therefore, planners, policymakers, and health care practitioners should consider the aforementioned factors to improve consistent condom use. Also, special intervention on students and employees should be started. The authors recommend the researcher to quantify the new variable explored by qualitative design. Therefore, these results have high importance in designing tailored intervention method.

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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 ◽

10.1371/journal.pone.0257321 ◽

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.

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Prevalence of Consistent Condom Use and Associated Factors among Serodiscordant Couples in Ethiopia, 2020: A Mixed-Method Study

BioMed Research International ◽

10.1155/2021/9923012 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Wolde Melese Ayele ◽

Tesfaye Birhane Tegegne ◽

Yitayish Damtie ◽

Muluken Genetu Chanie ◽

Asnakew Molla Mekonen

Keyword(s):

Condom Use ◽

Statistical Significance ◽

Hiv Infections ◽

Transmission Risk ◽

Heterosexual Transmission ◽

Consistent Condom ◽

Consistent Condom Use ◽

Serodiscordant Couples ◽

Cross Sectional ◽

Factors Associated

Background. Heterosexual transmission within serodiscordant relationships is the core source of new HIV infections. Although consistent condom use can significantly reduce HIV transmission risk among serodiscordant couples, it has not been extensively studied in Ethiopia. Consequently, the current study looked at the proportion of serodiscordant couples in Ethiopia who used condoms consistently and the factors associated with that. Methods. A cross-sectional was conducted from October 2019 to June 2020. For the quantitative findings to be more robust and reliable, a qualitative design was incorporated. An interviewer-administered questionnaire was used to collect the data. Qualitative data were collected using gender-matched four focus group discussions. Multivariable logistic regression was conducted to identify factors associated with consistent condom use. The statistical significance of the variables was declared at a P value of less than 0.05. Results. This study confirmed that the proportion of consistent condom use was 58.4% [95% CI: 53.1-63.1%]. After controlling for all other variables, unmarried partners, adjusted odds ratio AOR = 0.44 [95% CI: 0.229-0.877] and students and employees, AOR = 0.33 [95% CI: 0.130-0.846] and AOR = 0.39 [95% CI: 0.165-0.939], respectively, were less likely consistently use condoms, whereas couples living together, AOR = 1.86 [95% CI: 1.197-2.195], receiving counseling about condom use, AOR = 1.90 [95% CI: 1.182-3.076], and having more knowledge about HIV, AOR = 1.61 [95% CI: 1.031-2.525] were more likely to use condoms consistently. Conclusion. Despite its importance, the proportion of consistent condom use among serodiscordant couples was significantly low. To improve condom use consistently, planners, policymakers, and health care practitioners should consider the factors listed above when making decisions. There should be an increased focus on student and employee intervention as well.

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Faculty Opinions recommendation of Social and structural factors associated with consistent condom use among female entertainment workers trading sex in the Philippines.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13485046.14862182 ◽

2012 ◽

Author(s):

Elizabeth Ngugi

Keyword(s):

Condom Use ◽

The Philippines ◽

Consistent Condom ◽

Structural Factors ◽

Consistent Condom Use ◽

Factors Associated ◽

Female Entertainment Workers

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Faculty Opinions recommendation of Consistent condom use is associated with lower prevalence of human papillomavirus infection in men.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.4088956.3863054 ◽

2010 ◽

Author(s):

Stuart Berman ◽

Robert Kirkcaldy

Keyword(s):

Human Papillomavirus ◽

Condom Use ◽

Consistent Condom ◽

Lower Prevalence ◽

Consistent Condom Use ◽

Human Papillomavirus Infection ◽

Papillomavirus Infection

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To See the Efficacy of Behavioral Interventions on Consistent Condom Use Among Female Sex Workers in Lahore, Pakistan

SSRN Electronic Journal ◽

10.2139/ssrn.2441684 ◽

2014 ◽

Author(s):

Mahmooda Aftab

Keyword(s):

Condom Use ◽

Sex Workers ◽

Behavioral Interventions ◽

Female Sex Workers ◽

Consistent Condom ◽

Consistent Condom Use ◽

Female Sex

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Increasing Awareness and Knowledge among Adult Latinos regarding Sexually Transmitted Infections

Multicultural Learning and Teaching ◽

10.1515/mlt-2019-0004 ◽

2020 ◽

Vol 15 (2) ◽

Author(s):

Ijeoma S. Eze ◽

Margaret Brady ◽

Beth Keely

Keyword(s):

Condom Use ◽

Sexually Transmitted Infections ◽

Low Income ◽

Outpatient Clinic ◽

The United States ◽

Consistent Condom ◽

Contributing Factors ◽

Consistent Condom Use ◽

Sexually Transmitted ◽

Post Test

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.

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