Cultural practices, gender inequality and inconsistent condom use increase vulnerability to HIV infection: narratives from married and cohabiting women in rural communities in Mpumalanga province, South Africa

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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“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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HIV incidence and predictors of inconsistent condom use among adult men enrolled into an HIV vaccine preparedness study, Rustenburg, South Africa

PLoS ONE ◽

10.1371/journal.pone.0214786 ◽

2019 ◽

Vol 14 (4) ◽

pp. e0214786 ◽

Cited By ~ 1

Author(s):

Pholo Maenetje ◽

Christina Lindan ◽

Heeran Makkan ◽

Candice M. Chetty-Makkan ◽

Mary H. Latka ◽

...

Keyword(s):

South Africa ◽

Condom Use ◽

Hiv Vaccine ◽

Hiv Incidence ◽

Inconsistent Condom ◽

Adult Men ◽

Inconsistent Condom Use

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The levels and factors associated with inconsistent condom use among young males with older, same-sex partners in South Africa

Cogent Social Sciences ◽

10.1080/23311886.2020.1733245 ◽

2020 ◽

Vol 6 (1) ◽

pp. 1733245

Author(s):

Nicole De Wet-Billings ◽

Brendon K. Billings

Keyword(s):

South Africa ◽

Condom Use ◽

Sex Partners ◽

Same Sex ◽

Inconsistent Condom ◽

Young Males ◽

Factors Associated ◽

Inconsistent Condom Use

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Syphilis seroprevalence and seroconversion among people newly diagnosed with HIV during the pre-antiretroviral therapy period in rural China

International Journal of STD & AIDS ◽

10.1177/0956462420923550 ◽

2020 ◽

Vol 31 (9) ◽

pp. 876-885

Author(s):

Shifu Li ◽

Wenbing Dong ◽

Liang Chen ◽

Shunxiang Li ◽

Shu Su

Keyword(s):

Antiretroviral Therapy ◽

Hiv Infection ◽

Condom Use ◽

Consistent Condom ◽

People Living With Hiv ◽

Newly Diagnosed ◽

Inconsistent Condom ◽

Recent Hiv Infection ◽

Inconsistent Condom Use

Syphilis has a high incidence among people living with HIV (PLHIV), which may be attributable to their similar sexual transmission route. A retrospective cohort study was conducted during the period 2009–2015 to investigate the syphilis seroprevalence and incidence of syphilis seroconversion among newly-diagnosed PLHIV in rural Yunnan, China. Recent HIV infection among PLHIV was identified by BED capture enzyme immunoassay. PLHIV were followed until they initiated antiretroviral therapy. Syphilis serology was conducted at baseline and each follow-up over the study period. Among 2162 participants, the syphilis seroprevalence at baseline was 2.7%, 95% confidence interval (CI) (2.4–3.1). Single and divorced (versus married) (aOR = 2.9, [1.1–7.4]; 5.9, [2.4–14.7], respectively), employed in the service industry (versus unemployed) (2.8, [1.4–5.6]), being diagnosed with HIV in hospitals (versus voluntary counselling and testing) (5.1, [2.0–12.9]), recent HIV infection (17.9, [8.5–37.9]) and inconsistent condom use in the previous three months (versus consistent condom use) (6.2, [2.8–13.4]) were associated with higher risk of syphilis infection at baseline. Participants contributed 1955.4 person-years (PYs) of follow-up, with a median follow-up period of 0.9 years (IQR: 0.5–1.9) and the incidence of syphilis seroconversion was 2.2 (95% CI 1.5–2.9) per 100 PYs. The syphilis seroprevalence at baseline (aHR 3.7, [1.8–7.9]), had a HIV-negative partner at baseline (3.9, [1.5–9.8]) and inconsistent condom use in the last three months at baseline (6.0, [1.4–25.4]) were associated with higher risk of syphilis seroconversion. Our findings indicate that the public health response should be escalated to minimise the spread of syphilis co-infection among PLHIV and reducing condomless sexual behaviours after HIV diagnosis.

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Predictors of Inconsistent Condom Use among a Hard to Reach Population of Young Women with Multiple Sexual Partners in Peri-Urban South Africa

PLoS ONE ◽

10.1371/journal.pone.0051998 ◽

2012 ◽

Vol 7 (12) ◽

pp. e51998 ◽

Cited By ~ 18

Author(s):

Yanga Z. Zembe ◽

Loraine Townsend ◽

Anna Thorson ◽

Anna Mia Ekström

Keyword(s):

South Africa ◽

Condom Use ◽

Young Women ◽

Sexual Partners ◽

Inconsistent Condom ◽

Multiple Sexual Partners ◽

Urban South ◽

Inconsistent Condom Use

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Correlates of inconsistent condom use among youth aged 18–24 years in South Africa

Journal of Child and Adolescent Mental Health ◽

10.2989/17280583.2013.877912 ◽

2014 ◽

Vol 26 (1) ◽

pp. 75-82 ◽

Cited By ~ 9

Author(s):

Witness Chirinda ◽

Karl Peltzer

Keyword(s):

South Africa ◽

Condom Use ◽

Inconsistent Condom ◽

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/v1 ◽

2021 ◽

Author(s):

Anthony Idowu 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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