Consistent Use of Condom and Associated Factors Among Sero-discordant Couples in Northeast Ethiopia, 2020: Qualitative Design Embedded

2020 ◽  
Author(s):  
Wolde Melese Ayele ◽  
Tesfaye Birhane Tegegne ◽  
Yitayish Damite ◽  
Muluken Genetu Chane ◽  
Asnakew Molla
Keyword(s):  
Logistic Regression ◽  
Condom Use ◽  
Associated Factors ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Serodiscordant Couples ◽  
Qualitative Design ◽  
Factors Associated ◽  
Northeast Ethiopia ◽  
Discordant Couples

Abstract Background: Despite significant progress over the past decades to reduce transmission, HIV is continuing a public health problem. Although, consistent condom use has paramount help in reducing HIV transmission, its prevalence, and associated factors are not well studied. Therefore, this study was aimed to assess the proportion and factors associated with condom use among discordant couples in Northeast Ethiopia.Methods: An institution-based cross-sectional study by embedding qualitative design was conducted from October 1 2019 to June 2020. A total of 417 HIV discordant couples were included. A pre-tested structured and interviewer-administered questionnaire was used to collect the quantitative data. An interview guide unstructured questions were used to collect qualitative data. Binary logistic regression was employed to identify factors associated with the outcome variable. Variable those that had a P-value less than 0.05 in multivariable logistic regression were considered as statistical predictors of condom use. Results: A total of 401 HIV serodiscordant couples were participated, making a 94.8% response rate. The proportion of consistent condom use was 58.4%(95%CI: 53.1-63.1%). Unmarried partners AOR=0.44(95%CI: 0.229-0.877), students and employees AOR=0.33(95%CI 0.130-0.846), AOR=0.39(95%CI: 0.165-0.939) respectively, couples live together AOR=1.86(95%CI: 1.197-2.195), receiving counseling about condom use AOR=1.90(95%CI: 1.182-3.076), and knowledgeable participants AOR=1.61(95%CI: 1.031-2.525) were the independent predictors of consistent condom use. Conclusions: Despite its importance, the proportion of consistent condom use among serodiscordant couples was significantly low. Therefore, planners, policymakers, and health care practitioners should consider the aforementioned factors to improve consistent condom use. Also, special intervention on students and employees should be started. The authors recommend the researcher to quantify the new variable explored by qualitative design. Therefore, these results have high importance in designing tailored intervention method.

scholarly journals Prevalence of Consistent Condom Use and Associated Factors among Serodiscordant Couples in Ethiopia, 2020: A Mixed-Method Study

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Wolde Melese Ayele ◽  
Tesfaye Birhane Tegegne ◽  
Yitayish Damtie ◽  
Muluken Genetu Chanie ◽  
Asnakew Molla Mekonen
Keyword(s):  
Condom Use ◽  
Statistical Significance ◽  
Hiv Infections ◽  
Transmission Risk ◽  
Heterosexual Transmission ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Serodiscordant Couples ◽  
Cross Sectional ◽  
Factors Associated

Background. Heterosexual transmission within serodiscordant relationships is the core source of new HIV infections. Although consistent condom use can significantly reduce HIV transmission risk among serodiscordant couples, it has not been extensively studied in Ethiopia. Consequently, the current study looked at the proportion of serodiscordant couples in Ethiopia who used condoms consistently and the factors associated with that. Methods. A cross-sectional was conducted from October 2019 to June 2020. For the quantitative findings to be more robust and reliable, a qualitative design was incorporated. An interviewer-administered questionnaire was used to collect the data. Qualitative data were collected using gender-matched four focus group discussions. Multivariable logistic regression was conducted to identify factors associated with consistent condom use. The statistical significance of the variables was declared at a P value of less than 0.05. Results. This study confirmed that the proportion of consistent condom use was 58.4% [95% CI: 53.1-63.1%]. After controlling for all other variables, unmarried partners, adjusted   odds   ratio   AOR = 0.44 [95% CI: 0.229-0.877] and students and employees, AOR = 0.33 [95% CI: 0.130-0.846] and AOR = 0.39 [95% CI: 0.165-0.939], respectively, were less likely consistently use condoms, whereas couples living together, AOR = 1.86 [95% CI: 1.197-2.195], receiving counseling about condom use, AOR = 1.90 [95% CI: 1.182-3.076], and having more knowledge about HIV, AOR = 1.61 [95% CI: 1.031-2.525] were more likely to use condoms consistently. Conclusion. Despite its importance, the proportion of consistent condom use among serodiscordant couples was significantly low. To improve condom use consistently, planners, policymakers, and health care practitioners should consider the factors listed above when making decisions. There should be an increased focus on student and employee intervention as well.

Prevalence of Consistent Condom Use with Various Types of Sex Partners and Associated Factors among Money Boys in Changsha, China

2015 ◽  
Vol 12 (4) ◽  
pp. 936-945 ◽  
Author(s):  
Lian-Hong Wang ◽  
Jin Yan ◽  
Guo-Li Yang ◽  
Shuo Long ◽  
Yong Yu ◽  
...  
Keyword(s):  
Condom Use ◽  
Associated Factors ◽  
Consistent Condom ◽  
Sex Partners ◽  
Consistent Condom Use ◽  
Money Boys

scholarly journals Factors associated with safe sex among public school students in Minas Gerais, Brazil

2007 ◽  
Vol 23 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Francisco José Machado Viana ◽  
Anibal Faúndes ◽  
Maeve Brito de Mello ◽  
Maria Helena de Sousa
Keyword(s):  
Public School ◽  
Condom Use ◽  
Health Professionals ◽  
Safe Sex ◽  
Consistent Condom ◽  
School Students ◽  
Consistent Condom Use ◽  
Public School Students ◽  
Factors Associated ◽  
School Activities

A cross-sectional study was conducted to evaluate factors associated with safe sex among sexually active public school students in Minas Gerais State, Brazil. The study focused on correlations between the variables gender, age, schooling, current grade, ethnicity, religion, importance attributed to religion, mothers' education, prior exposure to any sex education, promotion of juvenile protagonism, and participation by health professionals in school activities and consistent condom use with casual or stable partners and with use of other modern contraceptive methods. Bivariate and multivariate logistic regression analyses were used. Male gender and participation by health professionals in school activities were positively associated with all indicators of safe sex, and maternal schooling of more than eight years was positively associated with consistent condom use with casual and stable partners. Secondary (versus elementary) schooling and age (older) were inversely associated with consistent condom use with casual and stable partners, respectively. Ascribing greater importance to religion and Evangelical religion were negatively associated with use of modern contraceptives in the last sexual intercourse.

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