The importance of partnership factors and individual factors associated with absent or inconsistent condom use in heterosexuals: a cross-sectional study

Abstract Background There is rich literature on sexualized drug use (i.e. drug use before or during sex) for men who have sex with men but less data from female sex workers (FSW) particularly from low- and middle-income countries. We describe the sexual and reproductive health outcomes in FSW reporting sexualized drug use.Methods We conducted a cross-sectional study in eight cities from seven provinces in China (2019). We recruited FSW through community organizations working with sex workers, and included those who were age 18 years or above; exchanged sex at least once for money or goods in the past three months. Multivariable logistic regression models were used.Results In total, 1287 women participated: average age was 35.1 years (SD 10.3), 52.4% reported a monthly income over 5000 RMB ($USD 707), and 17.4% completed high school or above. Among participants, 284 (22.1%, 95%CI:19.8-24.4) reported a history of sexualized drug use. Compared to FSW who never reported a history of sexualized drug use, FSW who reported a history of sexualized drug use had greater odds of: reporting inconsistent condom use for vaginal sex (AOR 2.67, 95%CI:1.93-3.69), inconsistent condom use for oral sex (AOR 2.33, 95%CI:1.25-4.37), ever had an unintended pregnancy (AOR 1.43, 95%CI:1.04-1.96), and ever diagnosed with STIs (AOR 5.39, 95%CI:3.92-7.40).Conclusion We recommend routinely asking FSW about sexualized drug use as nearly one in five FSW reported a history of sexualized drug use and these women had an elevated risk profile compared with those who reported no sexualized drug use.

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Factors associated with risk sexual behaviours of HIV/STDs infection among university students in Henan, China: a cross-sectional study

Reproductive Health ◽

10.1186/s12978-021-01219-3 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Xiaoan Du ◽

Ling Zhang ◽

Hong Luo ◽

Wenlong Rong ◽

Xianxin Meng ◽

...

Keyword(s):

University Students ◽

Condom Use ◽

Sexual Debut ◽

Scale Up ◽

Cross Sectional Study ◽

Multivariable Logistic Regression Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Sexual Behaviours

Abstract Background This study aimed to identify factors associated with risk sexual behaviours and target high-risk groups at risk of HIV/STDs infection among university students. Methods The cross-sectional study was conducted from 1 November to 31 December 2020 in one university, located in Henan Province. A total of 1602 individuals who reported having ever had sex were analyzed as the subjects of this study. Descriptive analysis and multivariable logistic regression analysis were applied for this study to assess factors associated with risk sexual behaviours among university students. Results University students who reported having ever had sex accounted for about 9%, with an average age of 19.37 ± 1.03. Of them, having multiple sexual partners and inconsistent condom use during the last 6 months were 37.3% and 35%, respectively. Over 50% of participants had their sexual debut before the age of 18. Bisexual students (AOR = 0.27; 95% CI 0.16, 0.44) and those who lived on over 3000 Yuan per month (AOR = 0.50; 95% CI 0.28, 0.91) were consistently less likely to engage in condom use during the last 6 months. University students who were from high-grade (AOR = 1.56; 95% CI 1.12, 2.18 for sophomore; AOR = 1.84; 95% CI 1.28, 2.65 for junior; AOR = 2.07; 95% CI 1.38, 3.11 for senior), who lived on over 3,000 Yuan per month (AOR = 4.19; 95% CI 2.17, 8.11) or who reported being homosexual (AOR = 3.92; 95% CI 2.17, 7.06) and bisexual (AOR = 33.22; 95% CI 13.11, 84.15) were more likely to have multiple sexual relationships. University students who had sexual debut before the age of 18 were more likely to engage in risk sexual behaviours. Conclusions The prevalence of sexual activity among Chinese university students is generally low, but risk sexual behaviours are of considerable concern. University students with higher living expenses, who are not heterosexual and who are younger at first sexual intercourse tend to engage in risk sexual behaviours. The scale-up of intervention is the need to prevent the expansion of the HIV epidemic among young students.

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Factors Associated with Condom Use Self-Efficacy Among Preparatory School Students in Sodo Town, Southern Ethiopia 2020: A Cross-Sectional Study

HIV/AIDS - Research and Palliative Care ◽

10.2147/hiv.s256683 ◽

2020 ◽

Vol Volume 12 ◽

pp. 363-371

Author(s):

Natnael Atnafu Gebeyehu ◽

Kebreab Paulos Chanko ◽

Yibeltal Mesfin Yesigat

Keyword(s):

Condom Use ◽

Self Efficacy ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

School Students ◽

Cross Sectional ◽

Preparatory School ◽

Factors Associated

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

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1608424l ◽

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.

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Individual Factors Associated with the Intention to Quit Smoking Among Adult Males in Hanoi, Vietnam: a Cross-Sectional Study

Canadian Journal of Clinical Nutrition ◽

10.14206/canad.j.clin.nutr.2018.01.03 ◽

2018 ◽

pp. 20-33

Author(s):

Raghda Shukri ◽

Keyword(s):

Cross Sectional Study ◽

Intention To Quit ◽

Individual Factors ◽

Adult Males ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Quit Smoking

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

BMC Public Health ◽

10.1186/s12889-021-10174-4 ◽

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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Correlates of inconsistent condom use and drug use among men having sex with men in Poland: a cross-sectional study

International Journal of STD & AIDS ◽

10.1177/0956462420929136 ◽

2020 ◽

Vol 31 (9) ◽

pp. 894-902

Author(s):

Krzysztof Piersiala ◽

Joanna Krajewski ◽

Daniela Dadej ◽

Anna Loroch ◽

Witold Czerniak ◽

...

Keyword(s):

Drug Use ◽

Condom Use ◽

Online Survey ◽

Cross Sectional Study ◽

Sexual Partners ◽

Inconsistent Condom ◽

Cross Sectional ◽

Sti Prevention ◽

Sex With Men ◽

Inconsistent Condom Use

The number of new human immunodeficiency virus (HIV) diagnoses is rising in many parts of Europe. We sought to evaluate the rising prevalence of new HIV diagnoses in Poland, where the majority of newly-diagnosed HIV cases are men having sex with men (MSM). This study aims to measure the prevalence of condom use and drug use and to identify risk factors for contracting sexually transmitted infections (STIs) among MSM in Poland by distributing an anonymous online survey aimed toward MSM. Among the 1438 participants who completed valid surveys, those with low education level and greater than 100 prior sexual partners showed the highest odds for inconsistent condom use (adjusted odds ratio [aOR] 3.027, 2.044, respectively). Participants who identified themselves as heterosexuals, with multiple sexual partners and living in big cities showed the highest odds for drug use (aOR 4.869, 3.305, 1.720, respectively). This study identifies groups at the highest risk of HIV/STIs and provides valuable information for public health experts to develop targeted STI prevention campaigns.

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