scholarly journals Cross-sectional comparative study of risky sexual behaviours among HIV-infected persons initiated and waiting to start antiretroviral therapy in rural Rakai, Uganda

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016954 ◽  
Author(s):  
Lydia Jacenta Nakiganda ◽  
Gertrude Nakigozi ◽  
Joseph Kagaayi ◽  
Fred Nalugoda ◽  
David Serwadda ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Condom Use ◽  
Hiv Positive ◽  
Sexual Encounter ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Sexual Behaviours ◽  
Rakai District ◽  
Risky Sexual Behaviours ◽  
Inconsistent Condom Use

ObjectivesTo compare risky sexual behaviours between HIV-positive persons initiated on antiretroviral therapy (ART) (ART-experienced) and persons waiting to start on ART (ART-naive) and assess predictors of risky sexual behaviours among HIV-infected patients in rural Rakai district, Uganda.Study designThis is a cross-sectional study that used data from the Rakai Community Cohort Study (RCCS) database between 2013 and 2014. A structured questionnaire was used for data collection. We used stepwise logistic regression as an index to estimate the adjusted ORs for the association between risky sexual behaviours and ART treatment status.Study settingThis study was conducted in Rakai district, located in south-western Uganda. The data for this study were extracted from the RCCS. RCCS is an open prospective cohort of approximately 15 000 consenting participants aged 15–49 years.ParticipantsHIV-positive participants aged 18–49 years who had sex at least once a month with any partner prior to the start of the study.Main outcome measuresInconsistent/no condom use in the last 12 months, alcohol use at last sexual encounter, and two or more sexual partners.ResultsART-naive participants were more likely to report inconsistent condom use (OR=1.74, 95% CI 1.11 to 2.73) and more likely to drink alcohol at last sexual encounter (OR=1.65, 95% CI 1.11 to 2.46), compared with ART-experienced patients. ART treatment status (p<0.001) was a significant predictor of risky sexual behaviours. Both marital status (p=0.016) and occupation level (p=0.009) were positively associated with inconsistent condom use, while sex (p<0.001) correlated with alcohol use at last sexual encounter.ConclusionART-naive participants were more likely to exhibit risky sexual behaviours than the ART-experienced participants. The intensity of risk reduction counselling should be increased for HIV-positive persons waiting to start ART but already in HIV care.

scholarly journals Inconsistent condom use between serodifferent sexual partnerships to the human immunodeficiency virus

2019 ◽  
Vol 27 ◽  
Author(s):  
Renata Karina Reis ◽  
Elizabete Santos Melo ◽  
Nilo Martinez Fernandes ◽  
Marcela Antonini ◽  
Lis Aparecida de Souza Neves ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Condom Use ◽  
Consistent Condom ◽  
Bivariate Analysis ◽  
Treatment As Prevention ◽  
Sexual Partnership ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Immunodeficiency Virus ◽  
Inconsistent Condom Use

Objective: to analyze predictors of inconsistent condom use among HIV-positive people with sexual immunodeficiency virus serodifferent sexual partnership. Method: cross-sectional, analytical study with a consecutive non-probabilistic sample consisting of people living with the human immunodeficiency virus with serodifferent sexual partnership and who were in outpatient clinical follow-up. Data were collected through individual interviews guided by a semi-structured questionnaire and subsequently analyzed with bivariate analysis and logistic regression. Results: Seven variables were independently associated with inconsistent condom use. Schooling less than 11 years of schooling (4.9 [2.4-10.1]), having multiple partnerships (5.0 [1.3-19.6]), using alcohol (2.1 [1.1 -4.4]) or other drugs (2.8 [1.2-6.3]), do not receive advice from a healthcare professional (2.0 [1.1-3.9]), have no knowledge of treatment as prevention (3.0 [1,2-6,9]) and not knowing that undetectable viral load reduces the risk of human immunodeficiency virus transmission (3.8 [1,1-13,7]) were predictors for inconsistent condom use. Conclusion: The study showed that psychosocial factors interfere with consistent condom use between serodifferent partnerships. Thus, it is highlighted that there is a need for comprehensive interventions that include the integration of clinical and psychosocial care.

Patterns and risk factors of inconsistent condom use among men who have sex with men in Viet Nam: Results from an Internet-based cross-sectional survey

2014 ◽  
Vol 9 (10) ◽  
pp. 1225-1238 ◽  
Author(s):  
Macarena C. García ◽  
Quyen L. Duong ◽  
Licelot C. Eralte Mercer ◽  
Samantha B. Meyer ◽  
Todd Koppenhaver ◽  
...  
Keyword(s):  
Risk Factors ◽  
Condom Use ◽  
Viet Nam ◽  
Cross Sectional Survey ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Sex With Men ◽  
Inconsistent Condom Use

scholarly journals Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya

2020 ◽  
Author(s):  
Elizabeth Roberts ◽  
Huiting Ma ◽  
Parinita Bhattacharjee ◽  
Helgar K Musyoki ◽  
Peter Gichangi ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Condom Use ◽  
Young Women ◽  
Sex Workers ◽  
Sub Saharan Africa ◽  
Cross Sectional Survey ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Sub Saharan ◽  
Inconsistent Condom Use

Abstract Background: Across Sub-Saharan Africa, young women who sell sex (YSW) face institutional barriers in accessing sexual health and HIV prevention programs designed for female sex workers. In 2018, Kenya developed a national framework to guide service provision for YSW aged 14 – 24 years. To help inform the implementation of the framework, we estimated the burden of vulnerabilities related to the Sustainable Development Goals (SDGs) and program contact among YSW. Methods: We used data from Transitions, a 2015 bio-behavioural cross-sectional survey of 408 YSW aged 14 – 24 years in Mombasa, Kenya. We estimated the prevalence of sexual (inconsistent condom use), structural (financial, violence), and reproductive health vulnerabilities; and characterized engagement with local HIV programs tailored to sex workers. We then compared the prevalence of vulnerabilities by age group (14 – 18 years, N=117; 19 – 24 years, N=291) and by program contact (ever contacted by local program for sex workers). Results: 47.3% reported inconsistent condom use in the previous week with little variability by age. Structural vulnerabilities were common and did not vary by age: 83.6% did not have a regular source of income; 29.9% and 29.2% had experienced physical and sexual violence, respectively. 26.5% reported at least one pregnancy before age 18, and 18.5% used a non-reliable form of contraception with little variability by age. 25.7% were aware of at least one program, and only 13.7% of YSW had ever been contacted by a program (8.5% of those aged 14 – 18 years; and 15.8% of those aged 19 – 24 years, p=0.06). Sexual, structural, and reproductive health vulnerabilities did not vary by program contact. Conclusions: SDG-related vulnerabilities begin early in the lives of YSW and current programs are not reaching them.

scholarly journals Factors associated with inconsistent condom use with clients among female sex workers in Podgorica, Montenegro

2016 ◽  
Vol 144 (7-8) ◽  
pp. 424-430
Author(s):  
Dragan Lausevic ◽  
Senad Begic ◽  
Natasa Terzic ◽  
Zoran Vratnica ◽  
Alma Cicic ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Snowball Sampling ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Factors Associated ◽  
Female Sex ◽  
Increased Risk ◽  
Inconsistent Condom Use

Introduction. Female sex workers (FSWs) are a group at increased risk for human immunodeficiency virus (HIV) infection, and inconsistent condom use with clients is a known risk factor for infection in this group. Objective. The aim of the study was to determine factors associated with inconsistent condom use with clients among female sex workers in Podgorica, Montenegro. Methods. We conducted an HIV bio-behavioral cross-sectional study in a sample of female sex workers recruited by snowball sampling. Results. A total of 142 FSWs were recruited. Eighty-one (57.0%) of them used condoms consistently with clients. HIV prevalence was 0.0%. In the multivariate analysis inconsistent condom use with clients in the previous month was associated with clients? negative personal attitude [age-adjusted odds ratio (AOR) = 22.7, 95% confidence interval (CI) = 2.3-228.0] or client?s indifference (AOR = 13.0, 95% CI = 1.4-118.9) towards using condom during sex with sexual workers, decision making by clients or by mutual agreement with client about using a condom (AOR = 10.2, 95% CI = 3.7-28.0), and early age of first sex (AOR = 5.4, 95% CI = 1.6-18.5). Conclusion. Our results suggest not only the need for further promotion of condom use, information and education for FSW but also the need to strengthen negotiation skills of FSWs with clients on regular use of condoms, as well as the need to extend prevention programs to clients of FSWs.

scholarly journals Epidemiological characteristics of HIV infection among college students in Nanjing, China: a cross-sectional survey

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e035889 ◽  
Author(s):  
Wei Li ◽  
Jinjin Chu ◽  
Zhengping Zhu ◽  
Xin Li ◽  
You Ge ◽  
...  
Keyword(s):  
College Students ◽  
Hiv Infection ◽  
Sexual Partners ◽  
Male Students ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Sexual Behaviours ◽  
Risky Sexual Behaviours ◽  
Epidemiological Characteristics ◽  
Hiv Aids

ObjectiveThis study aimed to investigate the epidemiological characteristics and HIV/AIDS-related knowledge, attitudes and practice (KAP) among HIV-positive college students.DesignA cross-sectional study.SettingFive districts of Nanjing, China.ParticipantsA total of 156 college students with newly diagnosed HIV infection between September 2015 and July 2017.Main outcome measuresSocial-demographic characteristics, mode of HIV acquisition, infection of sexually transmitted diseases, risky sexual behaviours and HIV/AIDS-related KAP were collected by a face-to-face questionnaire administered by trained interviewers.ResultsAbout 98.7% (154/156) of HIV-positive college students in our study were men, and 96.1% (148/154) of them were infected by sexual intercourse with men. More than half (52.5%, 82/156) of participants were freshmen or sophomores. Nearly 30% (44/154) of male students did not realise the severe status of the HIV/AIDS epidemic among students who are men who have sex with men (MSM). More than four-fifths of male students did not know if their male regular (83.0%, 93/112) or casual (95.9%, 94/98) sexual partners were HIV-positive, while less than half of them had high-risk perceptions towards HIV infection from male regular and occasional sexual partners. Approximately one-half and four-fifths of male students had more than two regular (54.5%, 61/112) and occasional (79.6%, 78/98) partners during lifetime, respectively. However, only 62.5% (70/112) and 66.3% (65/98) of male students used condoms consistently during sexual intercourse with regular and casual partners, respectively. Geosocial networking apps have become the most dominant way for male students to seek sexual partners.ConclusionsThis study reported a low level of HIV/AIDS-related knowledge, a high level of exposure to risky sexual behaviours and some valuable epidemiological characteristics among HIV-positive college students, which highlighted the importance of carrying out HIV/AIDS prevention education and risk warning education early and timely towards college students on campus.

scholarly journals Consistent condom use and its predictors among female sexual Partners of People who Inject Drugs in Klang Valley, Malaysia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rosliza Abdul Manaf ◽  
Nigel Dickson ◽  
Sarah Lovell ◽  
Faisal Ibrahim
Keyword(s):  
Condom Use ◽  
Urban Areas ◽  
Sexual Partners ◽  
Consistent Condom ◽  
Hiv Positive ◽  
Hiv Status ◽  
Consistent Condom Use ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Klang Valley

Abstract Background Men who inject drugs (MWIDs) comprise the highest percentage of diagnosed HIV cases in Malaysia. Their female partners risk being infected through unprotected sexual contact. This paper reports the prevalence of consistent condom use and its predictors among the wives and regular sexual partners of MWIDs in Klang Valley, Malaysia. Methods A cross-sectional study using a self-administered questionnaire was conducted among the wives and regular sexual partners of MWIDs in the study location; 221 women were recruited through respondent-driven sampling. Data were analysed descriptively for the prevalence of consistent condom use, HIV status and HIV risk-related behaviour. Subsequently, simple and multiple logistic regressions were undertaken to identify the predictors of consistent condom use. Results The prevalence of consistent condom use among respondents was 19.5%. Slightly more than half (52.5%) of respondents had never used condoms with their partner. Fourteen women (6.3%) reported being HIV positive. While 7.7% had HIV-positive partners, 45.7% were unaware of their partner’s HIV status. Consistent condom use was significantly higher among single women (AOR = 4.95; 95% CI: 2.45, 9.99), women who lived in urban areas (AOR = 2.97; 95% CI: 1.30, 6.78), HIV-positive women (AOR = 3.45; 95% CI: 1.13, 10.5) and women involved in sex work (AOR = 3.55, 95% CI: 1.45, 8.67). Conclusions Inconsistent condom use among the majority of female sexual partners of MWIDs underscores the heightened risk faced by these women and calls for alternative prevention methods that women are able to control.

scholarly journals Knowledge about STD/AIDS and sexual behavior among high school students in Rio de Janeiro, Brazil

2003 ◽  
Vol 19 (1) ◽  
pp. 127-133 ◽  
Author(s):  
Anete Trajman ◽  
Márcia Teresa Belo ◽  
Eleny G. Teixeira ◽  
Vicente C. S. Dantas ◽  
Frederico M. Salomão ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
High School Students ◽  
Condom Use ◽  
Low Income ◽  
Rio De Janeiro ◽  
Family Income ◽  
School Students ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Inconsistent Condom Use

The incidence of AIDS and other sexually transmitted diseases (STDs) is increasing among adolescents. In order to better understand high-risk sexual behavior among students, a cross-sectional study based on a self-answered anonymous questionnaire was conducted in 10 public and private high schools in Rio de Janeiro, Brazil. Data were obtained on sociodemographics, knowledge of STD/AIDS, and sexual behavior. Among 945 students aged 13-21, 59% were sexually initiated, and the median age at first sexual intercourse was 15 years (range: 7-19). Although 94% reported being aware of the need for condom use for protection, only 34% informed always using condoms during sex. Low family income was associated with unsatisfactory knowledge (OR = 9.40; 95% CI = 6.05-14.60) and inconsistent condom use (OR = 11.60; 95% CI = 5.54-24.30). However, unsatisfactory knowledge was not associated with inconsistent condom use. School-based educational programs should focus on sexual behavior more than on transmission of knowledge, as well as targeting low-income students.

scholarly journals Barriers to using HIV pre-exposure prophylaxis (PrEP) and sexual behaviour after stopping PrEP: a cross-sectional study in Germany

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Uwe Koppe ◽  
Ulrich Marcus ◽  
Stefan Albrecht ◽  
Klaus Jansen ◽  
Heiko Jessen ◽  
...  
Keyword(s):  
Side Effects ◽  
Condom Use ◽  
Sexual Behaviour ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Chemical Substance ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Exposure Prophylaxis ◽  
Inconsistent Condom Use

Abstract Background Persistence of individuals at risk of HIV with Pre-Exposure Prophylaxis (PrEP) is critical for its impact on the HIV epidemic. We analysed factors associated with stopping PrEP, barriers that may deter people from continuing PrEP and investigated sexual behaviour after stopping PrEP. Methods Current and former PrEP users in Germany were recruited to complete an anonymous online survey on PrEP use and sexual behaviour. Participants were recruited through dating apps, a PrEP community website, anonymous testing sites and peers. The results were analysed using descriptive methods and logistic regression. Results We recruited 4848 current and 609 former PrEP users in two study waves (July–October 2018, April–June 2019). Former PrEP users were more likely 18–29 years old than current users (adjusted OR = 1.6, 95% confidence interval (CI) 1.1–2.3). Moreover, they were more often unhappy with their sex life, which was more pronounced in former daily PrEP users (aOR = 4.5, 95% CI 2.9–7.1) compared to former on-demand users (aOR = 1.8, 95% CI 1.1–2.9, pinteraction = 0.005). The most common reason for stopping PrEP was a reduced need for PrEP (49.1%). However, 31.4% of former users identified logistic reasons and 17.5% stopped due to side effects. Former PrEP users using PrEP < 3 months were more likely to stop PrEP due to concerns over long-term side effects (32.0% vs. 22.5%, p = 0.015) and not wanting to take a chemical substance (33.2% vs. 24.0%, p = 0.020) compared to former PrEP users who used PrEP for longer. After stopping PrEP, 18.7% of former PrEP users indicated inconsistent condom use while having ≥4 sex partners within the previous 6 months. Former PrEP users with many partners and inconsistent condom use more often indicated logistic reasons for stopping (46.5% vs. 27.9%, p < 0.001) than did other former PrEP users. Conclusions To maximise persistence with PrEP we need to develop strategies for younger PrEP users, reduce logistic barriers to access PrEP, and to develop effective communication on side-effect management. Moreover, prevention strategies for people stopping PrEP are required, since some remain at high risk for HIV.

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