scholarly journals Risk Factors of Inconsistent Condom Use among Sexually Active Youths: Implications for Human Immunodeficiency Virus and Sexual Risk Behaviours in Malawi

2015 ◽  
Vol 52 (4) ◽  
pp. 484-496 ◽  
Author(s):  
Wilson N Chialepeh ◽  
A Sathiya Susuman
Keyword(s):  
Human Immunodeficiency Virus ◽  
Condom Use ◽  
Sexual Risk ◽  
Consistent Condom ◽  
Risk Behaviours ◽  
Chi Square ◽  
Inconsistent Condom ◽  
Immunodeficiency Virus ◽  
Sexual Risk Behaviours ◽  
Inconsistent Condom Use

This study examines the risk associated with inconsistent use of condoms as a risk factor for human immunodeficiency virus/sexually transmitted infections (HIV/STIs) and sexual risk behaviours. The Malawi Demographic Health Survey 2010 data were used. Out of a sample of 2987 males and 9559 females aged 15–24 years, 511 males and 675 females were filtered in the present study. A Chi square test and logistic regression techniques were performed. About 147(28.7%) males and 240(35.6%) females reported inconsistent condom use. The likelihood of inconsistent condom use was higher among females with secondary/higher education (odds ratio’s (OR)=1.46), with more than one partner (OR=4.27), and married males (OR=8.76), with more than one sex partner (OR=1.78).There is a need to raise condom use awareness and improve sexual education about consistent condom use, especially among females, in order to curb the spread of HIV/STIs and reduce sexual risk behaviours.

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.

Factors Influencing Inconsistent Condom Use in Thai HIV-Infected Heterosexual Couples

2020 ◽  
Vol 103 (5) ◽  
pp. 504-511
Keyword(s):  
Human Immunodeficiency Virus ◽  
Condom Use ◽  
Common Reason ◽  
Heterosexual Couples ◽  
Male Partners ◽  
Hiv Diagnosis ◽  
Inconsistent Condom ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus ◽  
Inconsistent Condom Use

Objective: To demonstrate the factors why Thai human immunodeficiency virus (HIV)-infected heterosexual couples choose to use, or not to use, condoms. Materials and Methods: At the Siriraj Female sexually transmitted diseases (STDs) Clinic, HIV-infected women who had two or more visits between February 2016 and December 2017 were invited to participate in a qualitative study. To participate, both the man and woman must be 18 years or older, having regular sexual relations during the previous six months, and be aware of their partner’s serostatus. Twenty couples that reported 100% condom use and 20 couples reporting less than 100% condom use were included. Each couple was interviewed together and individually. Sociodemographic characteristics, reasons behind condom use, and perceptions regarding condom use were compared. Results: On average, the HIV-infected women were 35 years old and their partners were two years older. Each woman reported having one current partner. Of them, 35% (14/40) were serodiscordant and 70% (28/40) had children during the relationship. Women with inconsistent condom use reported less frequent sexual activity, a longer time since HIV diagnosis, and were more likely to have an HIV-seropositive partner (p<0.05 for all). Both women and men reported that the most common reason for inconsistent condom use was ‘unavailability or inadequate effort to find one’. The second most common reason women reported was ‘partner’s rejection’ while male partners stated ‘less sexual sensation’ followed by ‘feeling not natural’. Conclusion: Unavailability is the most commonly reported reason for inconsistent condom use in Thai HIV-infected women and their partners. Male partners’ concern about reduced sexual sensation and their rejection of condom use strongly influences protective behaviors. Keywords: Condom use, Human immunodeficiency virus, Reason, Thai HIV-infected couples

Prevalence and correlates of condom use among sexually active men who have sex with men in the United States: findings from the National Survey of Family Growth, 2002, 2006–10 and 2011–13

Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 363 ◽  
Author(s):  
Winston E. Abara ◽  
Emeka Oraka ◽  
William L. Jeffries IV ◽  
Pollyanna Chavez ◽  
Muazzam Nasrullah ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sex Partners ◽  
Risk Behaviours ◽  
Consistent Condom Use ◽  
Family Growth ◽  
Sex With Men ◽  
Sexual Risk Behaviours

Background: Men who have sex with men (MSM) are disproportionately at risk of contracting HIV and other sexually transmissible infections (STIs). Correct and consistent condom use is the most effective method to prevent HIV and other STIs among sexually active MSM. Methods: Using data from the 2002, 2006–10, 2011–13 cycles of the National Survey of Family Growth (NSFG), the overall prevalence of condom use at last sex and by sexual risk behaviours (sex with ≥2 same-sex partners, sex with ≥2 opposite sex partners, sex with a person who injects drugs, sex with an HIV-positive person and exchanged sex for money or drugs) among sexually active MSM (reported oral or anal sex with a male in the preceding 12 months) was estimated. The association between condom use at last sex and demographic and sexual behaviour variables was also evaluated. Results: Approximately 31% of all respondents (n = 618; weighted n = 1 596 702) reported condom use at last sex. Among MSM who reported ≥1 sexual risk behaviour in the past year, prevalence of condom use at last sex ranged from 30 to 38%. After adjusting for covariates, Hispanic MSM [adjusted prevalence ratio (APR) = 1.81, 95%CI = 1.27–2.58] were more likely than White MSM to report condom use at last sex; MSM with a recently diagnosed STI (APR = 1.71, 95%CI = 1.04–2.80) were more likely than MSM without a recently diagnosed STI to report condom use at last sex; and married or cohabitating MSM (APR = 0.29, 95%CI = 0.13–0.66) were less likely than unmarried and not cohabitating MSM to report condom use at last sex. There was no difference in temporal trends in condom use at last sex across the three NSFG cycles [2002 (33.8%); 2006–10 (25.6%); 2011–13 (40.6%), P = 0.926]. Conclusions: This study data suggest that prevalence of condom use among MSM is low, even among MSM who report sexual risk behaviours. The continued promotion of consistent condom use as an effective primary HIV/STI risk-reduction strategy is important because it mitigates HIV and STI risk and also complements the effectiveness of newer HIV prevention approaches such as pre-exposure prophylaxis.

scholarly journals Inconsistent Condom Use among Public Primary Care Patients with Tuberculosis in South Africa

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Gladys Matseke ◽  
Karl Peltzer ◽  
Julia Louw ◽  
Pamela Naidoo ◽  
Gugu Mchunu ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Condom Use ◽  
Multivariable Analysis ◽  
High Rate ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Inconsistent Condom ◽  
The Past ◽  
Inconsistent Condom Use

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.

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

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.

scholarly journals “I enjoy sex more without condoms": revisiting barriers and facilitators of consistent condom use among adolescents and young adults in South Africa

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.

scholarly journals Favourable attitudes towards serosorting are associated with overall less frequent condom use among young Black men having sex men

Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 91 ◽  
Author(s):  
Richard A. Crosby ◽  
Leandro Mena ◽  
Angelica Geter
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Black Men ◽  
Recall Period ◽  
Risk Behaviours ◽  
Condomless Sex ◽  
Lower Likelihood ◽  
Sexual Risk Behaviours ◽  
Item Scale

This study determined whether YBMSM endorsing serosorting are less likely to use condoms. A questionnaire assessed men’s attitudes towards serosorting with a three-item scale; various sexual risk behaviours were measured using a 90-day recall period. Favourable attitudes toward serosorting were associated with a greater likelihood of condomless sex as a top (P < 0.001) and as a bottom (P < 0.001), as well as a lower likelihood of using condoms with main partners (P = 0.003). Findings suggest that YBMSM having favourable attitudes toward serosorting may be more likely to report condomless sex than their counterparts without favourable attitudes.

scholarly journals 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 ◽  
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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