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

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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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 ◽

10.1071/sh16034 ◽

2017 ◽

Vol 14 (4) ◽

pp. 363 ◽

Cited By ~ 4

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.

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A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya

AIDS Care ◽

10.1080/09540121.2011.613911 ◽

2011 ◽

Vol 24 (4) ◽

pp. 509-516 ◽

Cited By ~ 30

Author(s):

Kenneth Ngure ◽

Nelly Mugo ◽

Connie Celum ◽

Jared M. Baeten ◽

Martina Morris ◽

...

Keyword(s):

Qualitative Study ◽

Condom Use ◽

Consistent Condom ◽

Consistent Condom Use ◽

Serodiscordant Couples ◽

Hiv 1

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P2-S5.01 A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya

Sexually Transmitted Infections ◽

10.1136/sextrans-2011-050108.343 ◽

2011 ◽

Vol 87 (Suppl 1) ◽

pp. A245-A245 ◽

Cited By ~ 1

Author(s):

K. Ngure ◽

N. Mugo ◽

C. Celum ◽

J. Baeten ◽

M. Morris ◽

...

Keyword(s):

Qualitative Study ◽

Condom Use ◽

Consistent Condom ◽

Consistent Condom Use ◽

Serodiscordant Couples ◽

Hiv 1

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

Journal of Asian and African Studies ◽

10.1177/0021909615595992 ◽

2015 ◽

Vol 52 (4) ◽

pp. 484-496 ◽

Cited By ~ 4

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.

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Faculty Opinions recommendation of Social and structural factors associated with consistent condom use among female entertainment workers trading sex in the Philippines.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13485046.14862182 ◽

2012 ◽

Author(s):

Elizabeth Ngugi

Keyword(s):

Condom Use ◽

The Philippines ◽

Consistent Condom ◽

Structural Factors ◽

Consistent Condom Use ◽

Factors Associated ◽

Female Entertainment Workers

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Faculty Opinions recommendation of Consistent condom use is associated with lower prevalence of human papillomavirus infection in men.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.4088956.3863054 ◽

2010 ◽

Author(s):

Stuart Berman ◽

Robert Kirkcaldy

Keyword(s):

Human Papillomavirus ◽

Condom Use ◽

Consistent Condom ◽

Lower Prevalence ◽

Consistent Condom Use ◽

Human Papillomavirus Infection ◽

Papillomavirus Infection

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To See the Efficacy of Behavioral Interventions on Consistent Condom Use Among Female Sex Workers in Lahore, Pakistan

SSRN Electronic Journal ◽

10.2139/ssrn.2441684 ◽

2014 ◽

Author(s):

Mahmooda Aftab

Keyword(s):

Condom Use ◽

Sex Workers ◽

Behavioral Interventions ◽

Female Sex Workers ◽

Consistent Condom ◽

Consistent Condom Use ◽

Female Sex

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Increasing Awareness and Knowledge among Adult Latinos regarding Sexually Transmitted Infections

Multicultural Learning and Teaching ◽

10.1515/mlt-2019-0004 ◽

2020 ◽

Vol 15 (2) ◽

Author(s):

Ijeoma S. Eze ◽

Margaret Brady ◽

Beth Keely

Keyword(s):

Condom Use ◽

Sexually Transmitted Infections ◽

Low Income ◽

Outpatient Clinic ◽

The United States ◽

Consistent Condom ◽

Contributing Factors ◽

Consistent Condom Use ◽

Sexually Transmitted ◽

Post Test

AbstractLatinos in the United States are disproportionately affected by Human Immunodeficiency Virus and sexually transmitted infections (STIs). They account for about 24 % of newly diagnosed AIDS cases each year and are two to three times more likely to develop STIs when compared with non-Latino whites. Limited knowledge of STIs has remained one of the contributing factors to the disparity. The purpose of this study was to implement an educational bundle and evaluate its effectiveness in increasing STI knowledge and consistent condom use among adult Latinos seen in an outpatient clinic that serves low income patients. A pre- and post-test design was used to evaluate changes in STI knowledge and consistency of condom use. The educational bundle consisted of YouTube STI-related videos, a pre-designed one to one educational session, provision of condoms and STI-related educational materials. Self-administered questionnaires were used to collect data at baseline and one week post implementation of the educational bundle. Forty-six Latinos (18 females and 28 males) ranging in ages 19 to 60 years participated in the project. The total mean STI knowledge and condom use frequency improved from pre-test (M = 1.67, M = 3.09) to post-test (M = 3.80, M = 5.33). Results of paired samples t-tests demonstrated statistically significant differences between total mean STI knowledge (t(45) = –15.48, p < 0.001) and condom use frequency (t(45) = –7.09, p < 0.001) at pre-test and post-testing. The educational bundle was effective in increasing STI knowledge and consistent condom use among adult Latinos in an outpatient clinic. Further study needs to be done to determine the long-term effect of this mode of education for this population.

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How condom use, number of receptive anal intercourse partners and history of external genital warts predict risk for external anal warts

International Journal of STD & AIDS ◽

10.1258/0956462053420176 ◽

2005 ◽

Vol 16 (3) ◽

pp. 203-211 ◽

Cited By ~ 9

Author(s):

D J Wiley ◽

Diane M Harper ◽

David Elashoff ◽

Michael J Silverberg ◽

Christine Kaestle ◽

...

Keyword(s):

Condom Use ◽

Anal Intercourse ◽

Consistent Condom ◽

Prior History ◽

Receptive Anal Intercourse ◽

Protective Effects ◽

Lifetime Number ◽

History Of ◽

Anal Warts ◽

External Genital Warts

Few analytic opportunities have allowed us to evaluate the role that specific sexual acts and male latex condoms play in the acquisition of external anal warts (EAW) using longitudinal data. The acquisition of EAWs occurs from epithelial contact with other HPV-infected surfaces, and hence is dependent upon sexual behaviour. Our objectives were to classify the relative importance of condom use, receptive anal intercourse (RAI) and prior history of EGWs on acquisition of EAWs. The observational Multicenter AIDS Cohort Study followed 2925 men over nine semiannual study visits for behavioural and physical examinations with laboratory testing. The main outcome measure was the occurrence of examiner-diagnosed EAWs in a homosexual population. EAWs were diagnosed among 10% of men studied across 22,157 visits reviewed for this study. Men with history of EGWs were more likely than those previously unaffected to have developed EAWs (cOR = 2.4 (2.0, 2.9)), as were men who reported multiple anoreceptive intercourse partners (e.g., compared with men who reported no RAI partners, men with 1, 2–5, ≥6 RAI partners had crude risk ratios 1.0 (0.8, 1.3), 1.6 (1.2, 2.1), 3.9 (2.7, 5.8), respectively). These relations persisted after other demographic and sexual risk factors were controlled for in the analyses. Consistent condom usage showed no protective effect for EAWs in our crude or adjusted analyses. Patient education messages should be tailored to reflect our uncertainty about the protective nature of condoms for the development of anal warts, but to continue to assert the protective effects of a limited lifetime number of sexual partners and the heightened risk for wart recurrence once infected.

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