Condom Use and Related Factors among Rural and Urban Men Who Have Sex With Men in Western China: Based on Information-Motivation-Behavioral Skills Model

This study aimed to determine the differences in condom use and related factors among rural–urban men who have sex with men (MSM) in Western China. A cross-sectional survey was conducted in Chongqing, Sichuan, and Guangxi, which recruited MSM by non-probability sampling. Data were collected through an anonymous, standardized, and self-reported questionnaire guided by an information–motivation–behavioral skills model. Structural equation model was applied to analyze the related factors. Out of the 1141 MSM included in this analysis, 856 (75%) and 285 (25%) were from urban and rural areas, respectively. The median age was 27 years for both groups. Self-reported consistent condom use for anal sex in the past 6 months was 57.58%. The rate of consistent condom use was lower in rural MSM than in urban MSM (50.88% vs. 59.81%, p = .008). Behavioral skills, HIV/AIDS intervention services, and response costs had direct positive and negative influences on condom use, respectively. By contrast, motivation and information exhibited indirect influence. All the factors were mediated by behavioral skills in rural and urban MSM, except for the information that had no effect among urban MSM but had an indirect effect among rural MSM. These findings suggest that service providers should pay attention to substantial rural–urban differences and design different AIDS prevention and intervention strategies targeting rural and urban MSM.

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Prevalence of Condom Use and Its Related Factors Among Men Who Have Sex With Men in Thailand

Ramathibodi Medical Journal ◽

10.33165/rmj.2019.42.4.207154 ◽

2019 ◽

Vol 42 (4) ◽

pp. 49-59

Author(s):

Sirinan Prakot ◽

Sasisopin Kiertiburanakul ◽

Poolsuk Janepanish Visudtibhan

Keyword(s):

Condom Use ◽

Behavioral Control ◽

Rank Correlation ◽

Subjective Norms ◽

Consistent Condom ◽

Perceived Behavioral Control ◽

Online Questionnaire ◽

Consistent Condom Use ◽

Related Factors ◽

Sex With Men

Background: The new challenge of human immunodeficiency virus (HIV) prevention exists in men who have sex with men (MSM) and becomes the key population accounting for the vast majority of new HIV infections worldwide. Consistent condom use has been proved to be effective to prevent HIV transmission. Promoting the use of condom is needed; however, knowledge on what factors relevant to the performance of this behavior among MSM in Thailand is limited. Objectives: To examine the prevalence rate of condom use among MSM in Thailand, and to identify related factors of its use. Methods: Participants were recruited using convenience sampling with inclusion criteria. The data were collected using an online questionnaire and then analyzed using chi-square test and Spearman rank correlation. Results: A total of 153 data sets from participants were included in the analysis. The average age was 27.4 ± 5.8 years. The HIV positivity was 6.5%, and consistent condom use was 55.6%. The correlational analysis showed that age (P = .03), intention, attitude, subjective norms, and perceived behavioral control (P < .01) were significantly correlated with consistent condom use. Conclusions: The interventions proposed to promote consistent condom use among MSM should focus on increasing intention, attitude, subjective norms, and/or perceived behavioral control, especially among young MSM in Thailand.

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What happens after HIV self-testing? Results from a longitudinal cohort of Chinese men who have sex with men

BMC Infectious Diseases ◽

10.1186/s12879-019-4455-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

Author(s):

Weiming Tang ◽

Wenting Huang ◽

Haidong Lu ◽

Bolin Cao ◽

Dan Wu ◽

...

Keyword(s):

Hiv Prevention ◽

Condom Use ◽

Hiv Testing ◽

Consistent Condom ◽

Consistent Condom Use ◽

Longitudinal Cohort ◽

Prevention Services ◽

Self Testing ◽

Hiv Test ◽

Sex With Men

Abstract Background HIV self-testing (HIVST) is a promising approach to expand HIV testing. HIVST is a process in which a person performs an HIV test and interprets the result. Negative HIVST results may encourage men who have sex with men (MSM) to use HIV prevention services. The objective of this study was to examine behaviors (e.g., facility-based HIV testing, condom use) after a negative HIVST test result among Chinese MSM. Methods We collected data from MSM in eight Chinese cities over a 12-month period. This is a secondary analysis of longitudinal cohort data collected as part of an intervention trial to increase HIV testing. Men completed a survey that described sociodemographic information, sexual behaviors, HIV self-testing, and facility-based HIV testing. Men who completed at least one follow-up survey were included in this analysis. Generalized linear mixed models were used to evaluate whether HIVST increased subsequent facility-based HIV testing and consistent condom use. Results We included 1219 men. Most men (78.7%) were under 30 years old and had never been married (87.0%). 755 (61.9%) men tested for HIV and 593 (49.3%) men self-tested during the study period. At baseline, among men who had never been tested for HIV, 44.9% (314/699) initiated HIVST during the study period. HIVST was associated with subsequent facility-based testing (aOR of 1.87, 95% CI: 1.47–2.37). HIVST was also associated with subsequent consistent condom use (aOR = 1.53, 95% CI: 1.13–2.06). Conclusion HIVST was associated with subsequent facility-based HIV testing and consistent condom use. HIVST may enhance uptake of related HIV prevention services at facilities, suggesting the need for more implementation research.

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Intimate Partner Violence Perpetration and Condom Use-Related Factors: Associations with Heterosexual Men’s Consistent Condom Use

AIDS and Behavior ◽

10.1007/s10461-009-9659-2 ◽

2010 ◽

Vol 15 (1) ◽

pp. 153-162 ◽

Cited By ~ 28

Author(s):

Victoria Frye ◽

Danielle Ompad ◽

Christina Chan ◽

Beryl Koblin ◽

Sandro Galea ◽

...

Keyword(s):

Intimate Partner Violence ◽

Condom Use ◽

Partner Violence ◽

Intimate Partner ◽

Consistent Condom ◽

Consistent Condom Use ◽

Related Factors ◽

Intimate Partner Violence Perpetration ◽

Violence Perpetration

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Assessing consistent condom use among migrant men who have sex with men in Shanghai, China: validation of an information–motivation–behavioural skills model

BMC Infectious Diseases ◽

10.1186/s12879-019-4090-4 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Ying Wang ◽

Mengmeng Jia ◽

Dong Yuan ◽

Ajuan Liang ◽

Zhiruo Zhang ◽

...

Keyword(s):

Condom Use ◽

Consistent Condom ◽

Consistent Condom Use ◽

Sex With Men

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Information-Motivation-Behavioral Skills model of consistent condom use among transgender women in Shenyang, China

BMC Public Health ◽

10.1186/s12889-020-08494-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Huwen Wang ◽

Ruijie Chang ◽

Qiuming Shen ◽

Lhakpa Tsamlag ◽

Shuxian Zhang ◽

...

Keyword(s):

Condom Use ◽

Transgender Women ◽

Consistent Condom ◽

Consistent Condom Use ◽

Behavioral Skills

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Information-Motivation-Behavioral Skills Model of Consistent Condom Use among Transgender Women in Shenyang, China

10.21203/rs.2.18841/v2 ◽

2020 ◽

Author(s):

Huwen Wang ◽

Ruijie Chang ◽

Qiuming Shen ◽

Lhakpa Tsamlag ◽

Shuxian Zhang ◽

...

Keyword(s):

Hiv Infection ◽

Condom Use ◽

Structural Equation ◽

Empirical Support ◽

Transgender Women ◽

Equation Modeling ◽

Consistent Condom ◽

Imb Model ◽

Consistent Condom Use ◽

Behavioral Skills

Abstract Background: The Information-Motivation-Behavioral Skills (IMB) model has received consistent empirical support in the context of HIV prevention among various key populations, but not yet among transgender women (TGW). None effective interventions has been carried out among TGW so far to control their high prevalence of unprotected anal intercourse. The intent of the current study is to examine the application of the IMB model to clarifying the association between condom use correlates and condom use frequency among TGW in China. Methods: Using snowball sampling, we recruited 198 self-identified TGW in Shenyang, China from April 2017 to July 2017. Participants were required to complete a questionnaire assessing their background characteristics and IMB model constructs. Structural equation modeling (SEM) was conducted to demonstrate the utility of the IMB model. Results: The consistent condom use (CCU) rate was 47.0%. Results of SEM indicated that HIV-preventive motivation (comprising condom use attitude and subjective norms; β = 0.823, P < 0.001) and behavioral skills (including condom use skills and self-efficacy; β = 0.979, P = 0.004) were related to more frequent condom use, whereas HIV knowledge was unrelated to condom use (β = 0.052, P = 0.540). Conclusions: The low CCU rate suggested that TGW in China were at high risk of HIV infection and transmission and a key intervention population. HIV-preventive interventions for this population should focus on enhancing motivation and strengthening behavioral skills to increase condom use frequency and reduce HIV infection.

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Information-Motivation-Behavioral Skills Model of Consistent Condom Use among Transgender Women in Shenyang, China

10.21203/rs.2.18841/v1 ◽

2019 ◽

Author(s):

Huwen Wang ◽

Ruijie Chang ◽

Qiuming Shen ◽

Lhakpa Tsamlag ◽

Shuxian Zhang ◽

...

Keyword(s):

Hiv Infection ◽

Condom Use ◽

Structural Equation ◽

Empirical Support ◽

Transgender Women ◽

Equation Modeling ◽

Consistent Condom ◽

Imb Model ◽

Consistent Condom Use ◽

Behavioral Skills

Abstract Background: The Information-Motivation-Behavioral Skills (IMB) model has received consistent empirical support in the context of HIV prevention among various key populations, but not yet among transgender women (TGW). None effective interventions has been carried out among TGW so far to control their high prevalence of unprotected anal intercourse. The intent of the current study is to examine the application of the IMB model to clarifying the association between condom use correlates and condom use frequency among TGW in China.Methods: Using snowball sampling, we recruited 198 self-identified TGW in Shenyang, China from April 2017 to July 2017. Participants were required to complete a questionnaire assessing their background characteristics and IMB model constructs. Structural equation modeling (SEM) was conducted to demonstrate the utility of the IMB model.Results: The consistent condom use (CCU) rate was 47.0%. Results of SEM indicated that HIV-preventive motivation (comprising condom use attitude and subjective norms; β = 0.823, P < 0.001) and behavioral skills (including condom use skills and self-efficacy; β = 0.979, P = 0.004) were related to more frequent condom use, whereas HIV knowledge was unrelated to condom use (β = 0.052, P = 0.540). Conclusions: The low CCU rate suggested that TGW in China were at high risk of HIV infection and transmission and a key intervention population. HIV-preventive interventions for this population should focus on enhancing motivation and strengthening behavioral skills to increase condom use frequency and reduce HIV infection.

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Correlations Between Community-Level HIV Preexposure Prophylaxis Coverage and Individual-Level Sexual Behaviors among US Men Who Have Sex with Men

10.1101/2021.07.16.21260658 ◽

2021 ◽

Author(s):

Laura M Mann ◽

Adrien Le Guillou ◽

Steven M Goodreau ◽

Julia L Marcus ◽

Travis Sanchez ◽

...

Keyword(s):

Sexual Behavior ◽

Condom Use ◽

San Francisco ◽

Community Level ◽

Consistent Condom ◽

Total Degree ◽

Modeling Framework ◽

Consistent Condom Use ◽

Preexposure Prophylaxis ◽

Sex With Men

Background HIV preexposure prophylaxis (PrEP) has been associated with changes in sexual behavior after PrEP initiation. However, behavioral differences may also emerge among PrEP non-users in communities with high PrEP coverage. Methods We used demographic, behavioral, and sexual network data from ARTnet, a cross-sectional study of US men who have sex with men conducted during 2017-2019. Multivariable regression models with a Bayesian modeling framework in which individuals were nested within their residential geographic areas were used to estimate associations between area-level PrEP coverage and five sexual behavior outcomes (number of total, main, and casual male partners [network degree]; count of one-time partnerships; and consistent condom use in one-time partnerships), controlling for individual PrEP use. Findings PrEP coverage ranged from 10.3% (Philadelphia) to 38.9% (San Francisco). Total degree was highest in Miami (1.35) and lowest in Denver (0.78), while the count of one-time partners was highest in San Francisco (11.7/year) and lowest in Detroit (1.5/year). Adjusting for individual PrEP use and demographics, community PrEP coverage was associated with higher total degree (adjusted incidence rate ratio [aIRR]=1.73; 95% CrI, 0.92-3.44), casual degree (aIRR=2.05; 95% CrI, 0.90-5.07), and count of one-time partnerships (aIRR=1.90; 95% CrI, 0.46-8.54). Without adjustment for individual PrEP use, these associations were amplified. There were weaker associations with main degree (aIRR=1.21; 95% CrI, 0.48-3.20) and consistent condom use in one-time partnerships (aIRR=1.68; 95% CrI, 0.86-3.35). Interpretation Most of the associations between community PrEP coverage and sexual behavior were explained by individual PrEP use. However, there were residual associations after controlling for individual PrEP use, suggesting that PrEP coverage may partially drive community-level changes in sexual behavior.

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