The levels and factors associated with inconsistent condom use among young males with older, same-sex partners in 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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Sex with sweethearts: Exploring factors associated with inconsistent condom use among unmarried female entertainment workers in Cambodia

BMC Infectious Diseases ◽

10.1186/s12879-016-2101-2 ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 8

Author(s):

Siyan Yi ◽

Sovannary Tuot ◽

Pheak Chhoun ◽

Khuondyla Pal ◽

Chanrith Ngin ◽

...

Keyword(s):

Condom Use ◽

Inconsistent Condom ◽

Factors Associated ◽

Female Entertainment Workers ◽

Inconsistent Condom Use

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Applying the Behavioral Model for Vulnerable Populations to Pre-Exposure Prophylaxis Initiation Among Women Who Inject Drugs

AIDS Education and Prevention ◽

10.1521/aeap.2020.32.6.486 ◽

2020 ◽

Vol 32 (6) ◽

pp. 486-492

Author(s):

Marisa Felsher ◽

Scarlett Bellamy ◽

Brogan Piecara ◽

Barbara Van Der Pol ◽

Rose Laurano ◽

...

Keyword(s):

Condom Use ◽

Vulnerable Populations ◽

Behavioral Model ◽

Chi Square ◽

Inconsistent Condom ◽

Factors Associated ◽

Women Who Inject Drugs ◽

Exposure Prophylaxis ◽

Gender Specific ◽

Inconsistent Condom Use

This study used Behavioral Model for Vulnerable Populations (BMVP) to identify factors associated with pre-exposure prophylaxis (PrEP) initiation among women who inject drugs (WWID) when PrEP was offered at a syringe services program (SSP). Participants (n = 89) were WWID, $ge18 years, and eligible for PrEP. Most (69) initiated PrEP. Chi square and t tests were used to identify bivariate relationships between BMVP factors and PrEP initiation. A greater proportion of PrEP initiators (compared to non-initiators) reported sexual assault, frequent SSP attendance, earning $ge$5,000 annually and inconsistent condom use. Findings can inform the development of gender-specific strategies to promote PrEP among WWID.

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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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Individual and contextual factors associated with sexual initiation among adolescents

Psicologia: Reflexão e Crítica ◽

10.1186/s41155-019-0138-z ◽

2019 ◽

Vol 32 (1) ◽

Cited By ~ 3

Author(s):

Milene Fontana Furlanetto ◽

Dienifer Mattos Ghedin ◽

Tonantzin Ribeiro Gonçalves ◽

Angela Helena Marin

Keyword(s):

Public Schools ◽

Condom Use ◽

Sexual Behaviors ◽

Contextual Factors ◽

Sexual Initiation ◽

Family Characteristics ◽

Metropolitan Region ◽

Inconsistent Condom ◽

Factors Associated ◽

Inconsistent Condom Use

AbstractAdolescent sexual practices have been widely investigated as experiences that pose potential risks for health. The present study, therefore, aimed to investigate individual and contextual factors associated with sexual initiation, sexual activity before the age of 15 years, and inconsistent condom use. A total of 253 adolescents aged 11 to 18 years, from public schools in the capital and metropolitan region of Rio Grande do Sul, were interviewed. They answered a questionnaire covering sociodemographic data and sexual behaviors and completed the Perception of Family Support Inventory. The data were analyzed through descriptive and inferential statistics and it was verified that both individual (higher level of education, school repetition, and use of licit and illicit substances) and contextual factors (perception of less affective-consistent support and greater autonomy from the family) were related to sexual initiation among adolescents. The associations found for the groups with sexual initiation before and after 15 years of age were similar, indicating that age did not increase the exposure to risks. Inconsistent condom use was related to the use of tobacco and other drugs. Taken together, the results indicated the co-occurrence of risk behaviors, such as sexual risks and substance abuse, as well as highlighting some family characteristics as protective factors.

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Factors Associated With Inconsistent Condom Use Among Female Sex Workers in Nha Trang, Vietnam

Asia Pacific Journal of Public Health ◽

10.1177/1010539508322485 ◽

2008 ◽

Vol 20 (4) ◽

pp. 370-378 ◽

Cited By ~ 25

Author(s):

Tran Thi Tuyet Mai ◽

Le Cu Linh ◽

Nguyen Thanh Long

Keyword(s):

Condom Use ◽

Sex Workers ◽

Female Sex Workers ◽

Inconsistent Condom ◽

Factors Associated ◽

Female Sex ◽

Inconsistent Condom Use

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Erection loss in association with condom use among young men attending a public STI clinic: potential correlates and implications for risk behaviour

Sexual Health ◽

10.1071/sh06026 ◽

2006 ◽

Vol 3 (4) ◽

pp. 255 ◽

Cited By ~ 42

Author(s):

Cynthia A. Graham ◽

Richard Crosby ◽

William L. Yarber ◽

Stephanie A. Sanders ◽

Kimberly McBride ◽

...

Keyword(s):

Condom Use ◽

Risk Behaviour ◽

Sex Partners ◽

Inconsistent Condom ◽

Multiple Partners ◽

Sexually Transmissible Infections ◽

Vaginal Sex ◽

The Mean ◽

Cd Recording ◽

Inconsistent Condom Use

Background: To assess prevalence of condom-associated erection loss and to identify correlates of erection loss among men attending a sexually transmissible infections (STI) clinic. Methods: Men (n = 278) attending an STI clinic responded to an anonymous questionnaire aided by a CD recording of the questions. The sample was screened to include only men who had used a condom during penile–vaginal sex at least three times in the past 3 months. Erection loss was assessed for ‘the last three times a condom was used’. Results: The mean age of the participants was 23.7 years (s.d. = 4.1); 37.1% of the men reported condom-associated erection loss on at least one occasion. Men who had reported condom-associated erection loss were also reported having more frequent unprotected vaginal sex (P = 0.04) and were less likely to use condoms consistently (P = 0.014) than men without erection loss. Men with erection loss were also more likely to remove condoms before sex was over (P = 0.001). Age and race/ethnicity were not associated with erection loss. In multivariate analysis, three significant statistical predictors were identified: low self-efficacy to use condoms (P = 0.001); problems with ‘fit or feel’ of condoms (P = 0.005); and having more than three sex partners during the previous 3 months (P = 0.02). Conclusions: Condom-associated erection loss may be common among men at risk for STIs. This problem may lead to incomplete or inconsistent condom use. Men may be more likely to experience condom-associated erection loss if they lack confidence to use condoms correctly, if they experience problems with the way condoms fit or feel, and if they have sex with multiple partners.

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