scholarly journals Study on Influencing Factors to HIV Health Services Among Men Who Have Sex with Men (MSM) from 2013 to 2021

2021 ◽  
Author(s):  
Bing Lin ◽  
Jiaxiu Liu ◽  
Hong Pan ◽  
Yingjie Ma ◽  
Xiaoni Zhong
Keyword(s):  
Health Services ◽  
Condom Use ◽  
Hiv Testing ◽  
Influencing Factors ◽  
Behavioral Model ◽  
Consistent Condom ◽  
Hiv Knowledge ◽  
Consistent Condom Use ◽  
Predisposing Factor ◽  
Hiv Counseling

Abstract Background We assessed the utilization of HIV health services and its influencing factors on consistent condom use, HIV testing and HIV counseling among men who have sex with men (MSM) based on Andersen Behavioral Model, so as to provide a theoretical basis for future infectious disease prevention and control strategies and health services policy formulation.method This is a cross-sectional study from 2013 to 2021. A sample survey was conducted in southwest China including Chongqing, Sichuan, Xinjiang and Guangxi, and an anonymous self-administered questionnaire survey was conducted among MSM who met the requirements and were recruited. Based on Anderson Behavioral Model, the questionnaire divided the influencing factors into predisposing factor, enabling factor and need factor. There were 2908 valid questionnaires. Multivariate logistic regression analysis was used to explore the factors influencing the utilization of health services.Results In the survey of HIV health services, 36.49% of respondents consistently used condoms, 82.81% had HIV testing, and 65.61% had HIV counseling. It can be obtained that among the predisposing factor, older age is a factor that promotes HIV testing but is a hindrance to consistent condom use. Condom use was higher among MSM who were Ethnic Han and had an education level of "junior high or below". Among the enabling factor, not finding a sexual partner through the Internet, not having commercial sex were associated with consistent condom use. Urban and high income were enablers of HIV testing and HIV counseling. Among the need factor, improved HIV knowledge could promote HIV testing and HIV counseling among MSM.Conclusions For these groups, MSM with high-risk characteristics should be identified as a priority in the future public health services. HIV knowledge should be promoted in health education, and mental health diagnosis and treatment also should be strengthened.

scholarly journals Study on Influencing Factors to HIV Health Services Among MSM: Based on Andersen Behavioral Model

2020 ◽  
Author(s):  
Bing Lin ◽  
Xiaoni Zhong ◽  
Yingjie Ma ◽  
Hong Pan ◽  
Jianghong Dai ◽  
...  
Keyword(s):  
Health Services ◽  
Hiv Testing ◽  
Influencing Factors ◽  
Behavioral Model ◽  
Consistent Condom ◽  
Hiv Knowledge ◽  
Consistent Condom Use ◽  
Predisposing Factor ◽  
Hiv Counseling ◽  
Testing And Counseling

Abstract Background: We assessed the utilization of HIV health services and its influencing factors on consistent condom use, HIV testing and HIV counseling among men who have sex with men (MSM), so as to provide a theoretical basis for future infectious disease prevention and control strategies and health services policy formulation. Methods: This study is a cross-sectional study. From April 2013 to October 2014, a sample survey was conducted in southwest China including Chongqing, Sichuan, Xinjiang and Guangxi, and an anonymous self-administered questionnaire survey was conducted among MSM who met the requirements and were recruited. Based on Anderson Behavioral Model, the questionnaire divided the influencing factors into predisposing factor, enabling factor and need factor. There were 1727 valid questionnaires. SAS 9.4 was used for univariate analysis and multivariate Logistic regression analysis to explore the factors influencing the utilization of health services. AMOS Graphics 24.0 was used to construct the path diagram through path analysis to explore the effect among various factors. Results: In the survey of HIV health services, 9.96% of respondents consistently used condoms, 78.00% had HIV testing, and 60.63% had HIV counseling. Among the predisposing factor, the older respondents are, the easier it is to be tested for HIV(β=0.078, p＜0.001). Among the enabling factor, urban registration is a factor that promotes HIV testing and counseling(β=0.064,p=0.003 and β=0.072, p=0.002). Among the need factor, HIV knowledge score is also a key point affecting testing and counseling(β=0.157, p＜0.001 and β=0.184, p＜0.001). The diagnosis of STD can promote respondents counseling(β=0.051, p=0.031). Depression is a contributing factor to consistent condom use(β=0.051,p=0.033), but negative to HIV counseling(β=-0.119, p＜0.001). Conclusions: For these groups, MSM with high-risk characteristics should be identified as a priority in the future public health services. HIV knowledge should be promoted in health education, physical and mental health diagnosis and treatment should also be strengthened.

scholarly journals Determinants of Consistent Condom Use Among Filipino Women: Results From the 2017 Philippine National Demographic and Health Survey

2021 ◽  
Author(s):  
Veincent Christian F. Pepito ◽  
Arianna Maever L. Amit ◽  
Clinton S. Tang ◽  
Ryan Gabriel C. Molen ◽  
Luis Miguel B. Co ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Intercourse ◽  
Health Survey ◽  
The Philippines ◽  
Demographic And Health Survey ◽  
Consistent Condom ◽  
High Fertility ◽  
Hiv Knowledge ◽  
Consistent Condom Use ◽  
Education Campaigns

Abstract Background: Consistent condom use had been perennially low in the Philippines, despite being a tested and proven public health intervention to prevent unwanted pregnancy and sexually transmitted infections. Considering the high fertility rate, teenage pregnancy rate, and the rapidly increasing incidence of HIV in the country, we identify the determinants of consistent condom use in the country. Methods: We used data from the individual recode of the 2017 Philippine National Demographic and Health Survey. We used logistic regression for survey data to identify factors associated with consistent condom use. Results: Out of 25,074 respondents, only 261 (1.13%) have used condoms consistently with their most recent partner. Reach of information and education campaigns on contraceptive use via different media ranged from 62% via television to 7% via SMS. After adjusting for confounders, those who were able to ask their partners to use condoms during sexual intercourse has 6.10 times (adjusted odds ratio: 6.10; 95% Confidence Interval (95% CI): 2.00. 18.61) odds of consistent condom use than those who were unable to ask their partners to use condoms during sexual intercourse. Meanwhile, HIV knowledge (aOR: 1.17; 95% CI: 0.99, 1.39), hearing about contraception in television (aOR: 1.54; 95% CI: 0.99, 2.39), age (aOR: 0.98; 95% CI: 0.95, 1.00), and number of children (aOR: 1.09; 95% CI: 0.98, 1.20) have borderline significant associations with consistent condom use. Conclusions: The low percentage of those who use condoms consistently, together with the low reach of information and education campaigns highlight the need to further intensify information and education campaigns to promote consistent condom use. Interventions to improve sexual agency and promote HIV knowledge should be implemented to address the burden of unwanted pregnancies and HIV in the Philippines.

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

2019 ◽  
Vol 19 (1) ◽  
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.

Sexual risk behaviors and practices of female sex workers in Rwanda in over a decade, 2006–2015

2018 ◽  
Vol 29 (13) ◽  
pp. 1316-1323 ◽  
Author(s):  
Mwumvaneza Mutagoma ◽  
Laetitia Nyirazinyoye ◽  
Dieudonné Sebuhoro ◽  
David J Riedel ◽  
Joseph Ntaganira
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Hiv Knowledge ◽  
Consistent Condom Use ◽  
Chi Square ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Female Sex

Female sex workers (FSWs) are at high risk for HIV. Cross-sectional surveys using a venue–day–time approach for recruitment were conducted among FSWs in Rwanda in 2006, 2010 and 2015. Chi square test for trends was computed to determine behavior changes. Logistic regression models were computed to determine risk factors associated with consistent condom use for the 2015 survey. There were 1041, 1338, and 1978 FSWs surveyed in 2006, 2010, and 2015, respectively. Condom use at the last sexual encounter with a client was similar in all surveys: 84.2%, 64.1%, and 83.3% (p = 1.0), respectively. Comprehensive HIV knowledge among FSWs was higher in 2015 than in 2006: 18.4%, 53.1%, and 71.1% (p = 0.00), respectively. Living in Kigali City and the Western province (aOR = 1.9 [95% CI: 1.3–2.8] and aOR = 2.0 [95% CI: 1.4–2.9], respectively) and higher level of education (OR = 2.0 [95% CI: 1.4–2.9]) were positively associated with consistent condom use with a client. Street-based FSWs (aOR = 0.7 [95% CI: 0.6–0.9]); FSWs with sex work as sole occupation (aOR = 0.6 [95% CI: 0.5–0.7]); FSWs who experienced sexually transmitted infections in the last year (aOR = 0.7 [95% CI: 0.5–0.8]) and HIV-positive FSWs (aOR = 0.8 [95% CI: 0.6–0.9]) were less likely to report consistent condom use. HIV prevention methods have evolved among FSWs in RWanda over the last decade, but HIV prevalence remains high. Condom use among many FSWs is inconsistent. New approaches for behavior change and income-generating activities are needed to reduce the vulnerability of FSWs in Rwanda.

scholarly journals HIV Testing and Counseling Leads to Immediate Consistent Condom Use Among South African Stable HIV-Discordant Couples

2013 ◽  
Vol 62 (2) ◽  
pp. 226-233 ◽  
Author(s):  
Nora E. Rosenberg ◽  
Audrey E. Pettifor ◽  
Guy De Bruyn ◽  
Daniel Westreich ◽  
Sinead Delany-Moretlwe ◽  
...  
Keyword(s):  
Condom Use ◽  
Hiv Testing ◽  
South African ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Hiv Testing And Counseling ◽  
Discordant Couples ◽  
Testing And Counseling

scholarly journals Sex inequalities in HIV-related practices in the Brazilian population aged 15 to 64 years old, 2008

2011 ◽  
Vol 27 (suppl 1) ◽  
pp. s27-s35 ◽  
Author(s):  
Ana Roberta Pati Pascom ◽  
Célia Landmann Szwarcwald
Keyword(s):  
Condom Use ◽  
Hiv Testing ◽  
Rural Areas ◽  
Regression Models ◽  
Brazilian Population ◽  
Sexual Life ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Logistic Regression Models ◽  
Urban Rural

The objective of this study is to analyze gender differences in HIV-related practices in the Brazilian population. A national survey was carried out in 2008 with a sample size of 8,000 individuals aged 15-64 years old. The sampling was stratified by macro geographical region and urban/rural areas. Logistic regression models were used to investigate the main predictors of consistent condom use. The results showed that women have less sexy, start sexual life later than men, have fewer casual sexual partners, but use condom less frequently than men. On the other hand, the coverage of HIV testing is significantly greater among women. Significant differences by gender were seen in all HIV-related risky practices. The greater vulnerability was always associated with women, with exception of HIV testing. The low proportion of condom use in infidelity situations was a problem for box sexes and deserves special consideration when developing prevention strategies.

Use of gay app and the associated HIV/syphilis risk among non-commercial men who have sex with men in Shenzhen, China: a serial cross-sectional study

2019 ◽  
Vol 95 (7) ◽  
pp. 496-504 ◽  
Author(s):  
Lan Wei ◽  
Lin Chen ◽  
Haibo Zhang ◽  
Zhengrong Yang ◽  
Huachun Zou ◽  
...  
Keyword(s):  
Condom Use ◽  
Hiv Testing ◽  
Cross Sectional Study ◽  
Consistent Condom ◽  
Recreational Drug ◽  
Consistent Condom Use ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Sexual Behaviours ◽  
Sex With Men

ObjectivesGeosocial networking application specific to men who have sex with men (MSM) (gay app) has revolutionised the social networking of MSM globally, much concern was raised over its linkage to HIV/syphilis risk. This study sought to examine the association between use of gay app and sexual behaviours and HIV/syphilis risk among Chinese MSM.MethodsEligible MSM were recruited through combined offline methods from 2015 to 2017 in Shenzhen, China, with data collected including demographics, sexual behaviours, app use, recreational drug use and HIV testing. All participants are required to sign a written informed consent and take a confidential HIV and syphilis testing.ResultsThe prevalence of app use among non-commercial MSM (NcMSM) has rapidly increased from 12.5% in 2015 to 52.6% in 2017. The primary four apps used were Blued (97.2%), Aloha (18.4%), Jack’d (14.1) and Zank (14.1%). After controlling for confounders, HIV prevalence was still significantly lower among app users than non-app users (adjusted odds ratios [AOR]: 0.77, 95% CI 0.61 to 0.97), yet the lower prevalence of syphilis was not significant (AOR: 0.97, 95% CI 0.76 to 1.23). App-using NcMSM were more likely to be younger, unmarried, self-identified as homosexuality and having higher education level and income than non-app-using NcMSM. App-using NcMSM had higher rate of consistent condom use and HIV testing, higher level of knowledge on HIV/AIDS prevention and condom use; however, they were more likely to have multiple sexual partners, practice receptive role in anal sex and use recreational drug.ConclusionsApp-using NcMSM are more likely to have sexual risk behaviours as well as risk-reduction behaviours such as consistent condom use and HIV testing. Scaled-up and innovative venue-based HIV interventions are warranted for these high-risk MSM frequent social venues with less condom use and fewer HIV tests. Meanwhile, gay app should alternatively serve as an intervention and education platform for the MSM hard-to-reach via venue-based approaches.

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