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.

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.

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

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 “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.

Patterns and risk factors of inconsistent condom use among men who have sex with men in Viet Nam: Results from an Internet-based cross-sectional survey

2014 ◽  
Vol 9 (10) ◽  
pp. 1225-1238 ◽  
Author(s):  
Macarena C. García ◽  
Quyen L. Duong ◽  
Licelot C. Eralte Mercer ◽  
Samantha B. Meyer ◽  
Todd Koppenhaver ◽  
...  
Keyword(s):  
Risk Factors ◽  
Condom Use ◽  
Viet Nam ◽  
Cross Sectional Survey ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Sex With Men ◽  
Inconsistent Condom Use

scholarly journals Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya

2020 ◽  
Author(s):  
Elizabeth Roberts ◽  
Huiting Ma ◽  
Parinita Bhattacharjee ◽  
Helgar K Musyoki ◽  
Peter Gichangi ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Condom Use ◽  
Young Women ◽  
Sex Workers ◽  
Sub Saharan Africa ◽  
Cross Sectional Survey ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Sub Saharan ◽  
Inconsistent Condom Use

Abstract Background: Across Sub-Saharan Africa, young women who sell sex (YSW) face institutional barriers in accessing sexual health and HIV prevention programs designed for female sex workers. In 2018, Kenya developed a national framework to guide service provision for YSW aged 14 – 24 years. To help inform the implementation of the framework, we estimated the burden of vulnerabilities related to the Sustainable Development Goals (SDGs) and program contact among YSW. Methods: We used data from Transitions, a 2015 bio-behavioural cross-sectional survey of 408 YSW aged 14 – 24 years in Mombasa, Kenya. We estimated the prevalence of sexual (inconsistent condom use), structural (financial, violence), and reproductive health vulnerabilities; and characterized engagement with local HIV programs tailored to sex workers. We then compared the prevalence of vulnerabilities by age group (14 – 18 years, N=117; 19 – 24 years, N=291) and by program contact (ever contacted by local program for sex workers). Results: 47.3% reported inconsistent condom use in the previous week with little variability by age. Structural vulnerabilities were common and did not vary by age: 83.6% did not have a regular source of income; 29.9% and 29.2% had experienced physical and sexual violence, respectively. 26.5% reported at least one pregnancy before age 18, and 18.5% used a non-reliable form of contraception with little variability by age. 25.7% were aware of at least one program, and only 13.7% of YSW had ever been contacted by a program (8.5% of those aged 14 – 18 years; and 15.8% of those aged 19 – 24 years, p=0.06). Sexual, structural, and reproductive health vulnerabilities did not vary by program contact. Conclusions: SDG-related vulnerabilities begin early in the lives of YSW and current programs are not reaching them.

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

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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