scholarly journals Understanding the association between exposure to family planning messages and consistent condom use among never married men in Ghana

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255325
Author(s):  
Bright Opoku Ahinkorah ◽  
John Elvis Hagan ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Georgina Yaa Mensah ◽  
...  
Keyword(s):  
Family Planning ◽  
Condom Use ◽  
Binary Logistic Regression ◽  
Wealth Quintile ◽  
Consistent Condom ◽  
Sexually Active ◽  
Consistent Condom Use ◽  
Level Of Education ◽  
Never Married ◽  
Married Men

Background Despite considerable efforts to promote condom use, sexually active people in sub-Sahara Africa still engage in risky sexual behaviours, with condom use relatively low. With this high vulnerability of these persons to HIV and sexually transmitted infections, research related to exposure to family planning messages to help curb this trend remains sparse. This study examined how exposure to family planning messages in the midst of some socio-demographic factors is associated with consistent condom use among sexually active never married men in Ghana. Methods Data were obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. Only never married men (15–64 years) who have had sexual experience in the last 12 months were included in the analysis (N = 971). Frequencies, percentages, chi-square tests and binary logistic regression analyses were carried out. Results of the binary logistic regression analysis were presented using crude odds ratios (cOR) and adjusted odds ratios (aOR). Results The results showed that only 26.15% of sexually active never married men in Ghana consistently used condom during sex. Men who were exposed to family planning messages were 51% more likely use condom consistently compared to those who are not exposed [aOR = 1.51, CI = 1.04–2.18]. In terms of the covariates, the likelihood of consistent condom use among men in Ghana was lower among those aged 35 years and above compared to those aged 15–24 [aOR = 0.46 CI = 0.21–0.99]. The odds of consistent condom use among men increased with level of education, with men with higher level of education having the highest odds of consistent condom use compared to those with no formal education [aOR = 9.98, CI = 2.05–48.46]. Men of the richest wealth quintile were more likely to use condom consistently compared to those of the poorest wealth quintile [aOR = 2.62, CI = 1.30–5.27]. Higher odds of consistent condom use was found among men who dwelled in the Central, Northern, and Upper East regions compared to those of the Western region. Conclusion Our findings have established a strong association between exposure to family planning messages alongside age, educational level, wealth, and region of residence and consistent condom use. Men exposed to family planning messages were more likely to use condoms consistently. Designed programs should use intervention strategies that focus on interactive and participatory educational activities to improve sexually active men’s interpersonal communication on family planning messages, especially on consistent condom use with their sexual partners.

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 Correlates of HIV Infection Among Sexually Active Adults in Kenya: A National Population-Based Survey

2011 ◽  
Vol 5 (1) ◽  
pp. 125-134 ◽  
Author(s):  
Tom Oluoch ◽  
Ibrahim Mohammed ◽  
Rebecca Bunnell ◽  
Reinhard Kaiser ◽  
Andrea A Kim ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Population Based ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sex Partners ◽  
Consistent Condom Use ◽  
Nationally Representative ◽  
Active Adults ◽  
Sex Partner

Objective: To identify factors associated with prevalent HIV in a national HIV survey in Kenya. Methods: The Kenya AIDS Indicator Survey was a nationally representative population-based sero-survey that examined demographic and behavioral factors and serologic testing for HIV, HSV-2 and syphilis in adults aged 15-64 years. We analyzed questionnaire and blood testing data to identify significant correlates of HIV infection among sexually active adults. Results: Of 10,957 eligible women and 8,883 men, we interviewed 10,239 (93%) women and 7,731 (87%) men. We collected blood specimens from 9,049 women and 6,804 men of which 6,447 women and 5,112 men were sexually active during the 12 months prior to the survey. HIV prevalence among sexually active adults was 7.4%. Factors independently associated with HIV among women were region (Nyanza vs Nairobi: adjusted OR [AOR] 1.6, 95%CI 1.1-2.3), number of lifetime sex partners (6-9 vs 0-1 partners: AOR 3.0, 95%CI 1.6-5.9), HSV-2 (AOR 6.5, 95%CI 4.9-8.8), marital status (widowed vs never married: AOR 2.7, 95%CI 1.5-4.8) and consistent condom use with last sex partner (AOR 2.3, 95%CI 1.6-3.4). Among men, correlates of HIV infection were 30-to-39-year-old age group (AOR 5.2, 95%CI 2.6-10.5), number of lifetime sex partners (10+ vs 0-1 partners, AOR 3.5, 95%CI 1.4-9.0), HSV-2 (AOR 4.7, 95%CI 3.2-6.8), syphilis (AOR 2.4, 95%CI 1.4-4.0), consistent condom use with last sex partner (AOR 2.1, 95% CI 1.5-3.1) and lack of circumcision (AOR 4.0, 95%CI 2.8 - 5.5). Conclusion: Kenya’s heterogeneous epidemic will require regional and gender-specific prevention approaches.

scholarly journals Predictors of consistent condom use among Portuguese women attending family planning clinics

AIDS Care ◽  
2015 ◽  
Vol 28 (1) ◽  
pp. 119-123 ◽  
Author(s):  
Eleonora C. V. Costa ◽  
Rosa Oliveira ◽  
Domingos Ferreira ◽  
M. Graça Pereira
Keyword(s):  
Family Planning ◽  
Condom Use ◽  
Consistent Condom ◽  
Consistent Condom Use

scholarly journals Association between factors related to family planning/sexual and reproductive health and contraceptive use as well as consistent condom use among internal migrant population of reproductive ages in three cities in China, based on Heckprobit selection models

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e020351
Author(s):  
Shuang-Fei Xu ◽  
Jun-Qing Wu ◽  
Yu-Yan Li ◽  
Chuan-Ning Yu ◽  
Rui Zhao ◽  
...  
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Condom Use ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Consistent Condom ◽  
Migrant Population ◽  
Consistent Condom Use ◽  
Internal Migrant ◽  
First Intercourse

ObjectiveWith the increased population mobility and the transition in population policy, scholars are quite concerned about family planning/sexual and reproductive health (SRH) and related factors among internal migrant population of reproductive age. Therefore, the proposed study was designed to explore the association between factors related to family planning/SRH and contraceptive use as well as consistent condom use among the above-described population in China.DesignCross-sectional study.SettingThree municipalities in China, namely Beijing, Shanghai and Chongqing.ParticipantsAmong the 6545 participants, 2099, 2414 and 2031 subjects came from Beijing, Shanghai and Chongqing, respectively.ResultsA total of 6545 eligible participants were included as the full sample, 6188 of whom who had intercourse in the last 3 months were selected as the subsample. Among the subsample, 80.88% (5005/6188) adopted any form of contraceptive methods and 49.14% (3041/6188) consistently used condom in the last three sexual intercourses. Meanwhile, the involved participants had a better mastery of knowledge on SRH than on contraception (p<0.0001). The results of the Heckprobit models revealed that the factors associated with both contraceptive use and consistent condom use were relationship with the first intercourse partner, communication frequency with spouse/sexual partners on sex, actual number of children and knowledge on SRH, while knowledge on contraception and age at first intercourse were associated with contraceptive use and consistent condom use, respectively (p<0.05).ConclusionsIn the current study, we revealed a high-level contraceptive prevalence, a relatively low-level consistent condom use and a poor mastery of knowledge on contraception and SRH. The Heckprobit selection model specified the existence of selection bias, providing evidence on the association between the factors on family planning/SRH and contraceptive use as well as consistent condom use, respectively. Our findings indicated that health institutions should offer appropriate technology and high-quality family planning/SRH services for the internal migrant population in China.

scholarly journals Fertility Desires and Intentions and the Relationship to Consistent Condom Use and Provider Communication regarding Childbearing among HIV Clients in Uganda

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Glenn J. Wagner ◽  
Rhoda Wanyenze
Keyword(s):  
Family Planning ◽  
Condom Use ◽  
Hiv Disclosure ◽  
Consistent Condom ◽  
Hiv Status ◽  
Safer Conception ◽  
Consistent Condom Use ◽  
Primary Partner ◽  
Fertility Desires ◽  
Childbearing Desires

Family planning services emphasize prevention of unplanned pregnancies, but rarely account for the childbearing desires of HIV clients. We examined the correlates of fertility desires and intentions among 767 HIV clients (34% male) starting antiretrovirals in Uganda. Half of participants had a primary sex partner. Among those with a desire (31%) or intention (24%) for having a child in the near future, 60% had not discussed this with providers. Over one quarter (27%) were told by their provider that they should not bear a child because of their HIV status. In regression analysis, male gender, younger age, higher CD4, having fewer children, and having a primary partner were associated with fertility desires and intentions; having been told by provider not to have a child was associated with intentions but not desires. Among participants with a primary partner, consistent condom use was greater among those with no fertility intentions, as was receipt of advise about family planning, while HIV disclosure to partner was greater among those with intentions. Partner HIV status was not associated with fertility desires or intentions. These findings highlight the need for reproductive health programs for HIV clients to incorporate safer conception counseling and improve communication regarding childbearing.

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 Idowu 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 Perception of HIV/AIDS infection and its effect on condom use among the youth of Kenya’s Kibera Slum

2020 ◽  
Vol 7 (1-2) ◽  
pp. 34-45
Author(s):  
Jeremiah M. Nganda ◽  
Leah Jerop Komen ◽  
Beatrice Mbogoh
Keyword(s):  
New Media ◽  
Condom Use ◽  
Behaviour Change ◽  
Hiv Prevalence ◽  
Consistent Condom ◽  
Sexually Active ◽  
Risk Of Infection ◽  
Consistent Condom Use ◽  
Sub Saharan ◽  
Hiv Aids

While studies have shown that the total number of new HIV / AIDS infections globally is on the decrease, many Sub Saharan countries continue to record high HIV prevalence. This is the case especially among the youth living in informal settlements such as Kibera slums in Kenya. Proper and consistent condom use has been presented as one of the best ways of preventing the transmission of HIV among the youth whereas abstinence has been found to be a challenge for the youth who are seen as sexually active. Though several behaviour change campaigns have been done in Kenya to promote the use of condoms among the youth, their uptake is still low (Coma, 2014). Consequently, this study sought to find out the factors were influencing condom use decisions among the youth. Using the Theory of Planned Behaviour that links behaviour change to intention to perform behaviour greatly influenced by attitude, social norms and perceived behavioural control. Data for this quantitative study was collected through a questionnaire administered to 400 youths in Kibera and 356 were completed. Data collected were keyed into SPSS for analysis and presented in tables and graphs. Findings of the study revealed that many of the youth were sexually active (51 per cent) but were not using condoms. Their perception was that they were at no risk of infection (53.2 per cent). This perception of not being at risk impedes condom use among the youth hence the high HIV prevalence while another group felt that the free distributed condoms were of low quality. The study recommends that communicators, especially in this era of new media should tailor campaigns to address the perception of youth towards condoms. In addition, condom communication campaigns should link condom use to perception of risk of infection. Key words: Condoms, HIV/AIDS, youth, perception, Kenya, Kibera

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