Consistent condom use among sexually active hiV-positive women in Amhara region, Ethiopia

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.

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

The Open AIDS Journal ◽

10.2174/1874613601105010125 ◽

2011 ◽

Vol 5 (1) ◽

pp. 125-134 ◽

Cited By ~ 17

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.

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The Impact of Intervention on Sexual Practices of HIV Positive Individuals in Southeast Nigeria

Obstetrics and Gynecology International ◽

10.1155/2009/127480 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

S. N. Obi ◽

N. A. Ifebunandu ◽

H. E. Onah ◽

A. K. Onyebuchi

Keyword(s):

Condom Use ◽

Hiv Transmission ◽

Female Gender ◽

Educational Status ◽

Sexual Practices ◽

Consistent Condom ◽

Hiv Positive ◽

Consistent Condom Use ◽

Monogamous Relationship ◽

The Impact

Objective. To describe the impact of repeating behavioral educational intervention on sexual practices of HIV positive individuals.Method. A prospective cohort study of HIV positive individual was conducted in southeast Nigeria from June 2007 to May 2008. Information on sexual practices was collected at initial visit; education was given and its impact was evaluated afterwards.Results. Knowledge about risk of unprotected intercourse increased by 41%, condom use by 27% and consistent condom use by 55% . The significant predictors of consistent condom use include male gender, multiple sexual partner, as well as good knowledge of HIV transmission, higher educational status and being married. Non use of condom at postintervention survey were characterized by female gender (), monogamous relationship (), little or no education (), and unmarried () respondents.Conclusion. Repeated behavioral education intervention improves consistent condom use among HIV positive individuals and will help curb the spread of HIV/AIDS.

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Corrigendum to “Consistent Condom Use and Associated Factors Among HIV-Positive Clients on Antiretroviral Therapy in North West Ethiopian Health Center, 2016 GC”

AIDS Research and Treatment ◽

10.1155/2019/8218107 ◽

2019 ◽

Vol 2019 ◽

pp. 1-1

Author(s):

Mohammed Seid Ali ◽

Eleni Tesfaye Tegegne ◽

Mekibib Kassa Tessema ◽

Kaleab Tesfaye Tegegne

Keyword(s):

Antiretroviral Therapy ◽

Condom Use ◽

Health Center ◽

Associated Factors ◽

Consistent Condom ◽

Hiv Positive ◽

Consistent Condom Use ◽

North West

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Factors associated with condom use among men and women living with HIV in Lilongwe, Malawi: a cross-sectional study

BMJ Sexual & Reproductive Health ◽

10.1136/bmjsrh-2017-101825 ◽

2017 ◽

Vol 44 (1) ◽

pp. 1.2-12 ◽

Cited By ~ 2

Author(s):

Lisa B Haddad ◽

Jennifer H Tang ◽

Jamie Krashin ◽

Wingston Ng’ambi ◽

Hannock Tweya ◽

...

Keyword(s):

Condom Use ◽

Hiv Care ◽

Consistent Condom ◽

Hiv Positive ◽

Consistent Condom Use ◽

Cross Sectional ◽

Men And Women ◽

Factors Associated ◽

Women Living With Hiv ◽

Living With Hiv

BackgroundUnderstanding the influences on condom use among men and women living with HIV is critical to tailoring sexually transmitted infection/HIV prevention efforts.MethodsThis is a sub-analysis of a cross-sectional survey including 255 women and 220 men who were sexually active, HIV-positive, and attending HIV care visits in Lilongwe, Malawi. We estimated adjusted prevalence ratios (aPRs) to evaluate for factors associated with consistent condom use (always using condoms in the past month) and use at last coitus for men and women in separate models.ResultsAmong women: 38% and 55% reported consistent condom use and condom use at last coitus, respectively. For women, consistent use and use at last coitus were positively associated with the ability to refuse sex without condoms and shared decision-making compared with making the decision alone regarding condom use, and negatively associated with desire for children in the future. Consistent use also increased with longer antiretroviral therapy (ART) use (≥1 year compared with no ART use). Among men: 51% and 69% reported consistent condom use and condom use at last coitus, respectively. For men, the ability to refuse sex without condoms was associated with consistent use and use at last coitus, and believing that condoms should be used with other contraception was associated with consistent use.ConclusionsOur findings demonstrate ongoing low condom utilisation among HIV-positive individuals, and highlight that ART and contraceptive use do not deter condom use. Efforts to increase condom utilisation must recognise individual-level factors that influence use and should focus on relationship dynamics and promotion of empowerment and self-efficacy.

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Consistent condom use and its predictors among female sexual Partners of People who Inject Drugs in Klang Valley, Malaysia

BMC Public Health ◽

10.1186/s12889-019-7855-1 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Rosliza Abdul Manaf ◽

Nigel Dickson ◽

Sarah Lovell ◽

Faisal Ibrahim

Keyword(s):

Condom Use ◽

Urban Areas ◽

Sexual Partners ◽

Consistent Condom ◽

Hiv Positive ◽

Hiv Status ◽

Consistent Condom Use ◽

Inconsistent Condom ◽

Cross Sectional ◽

Klang Valley

Abstract Background Men who inject drugs (MWIDs) comprise the highest percentage of diagnosed HIV cases in Malaysia. Their female partners risk being infected through unprotected sexual contact. This paper reports the prevalence of consistent condom use and its predictors among the wives and regular sexual partners of MWIDs in Klang Valley, Malaysia. Methods A cross-sectional study using a self-administered questionnaire was conducted among the wives and regular sexual partners of MWIDs in the study location; 221 women were recruited through respondent-driven sampling. Data were analysed descriptively for the prevalence of consistent condom use, HIV status and HIV risk-related behaviour. Subsequently, simple and multiple logistic regressions were undertaken to identify the predictors of consistent condom use. Results The prevalence of consistent condom use among respondents was 19.5%. Slightly more than half (52.5%) of respondents had never used condoms with their partner. Fourteen women (6.3%) reported being HIV positive. While 7.7% had HIV-positive partners, 45.7% were unaware of their partner’s HIV status. Consistent condom use was significantly higher among single women (AOR = 4.95; 95% CI: 2.45, 9.99), women who lived in urban areas (AOR = 2.97; 95% CI: 1.30, 6.78), HIV-positive women (AOR = 3.45; 95% CI: 1.13, 10.5) and women involved in sex work (AOR = 3.55, 95% CI: 1.45, 8.67). Conclusions Inconsistent condom use among the majority of female sexual partners of MWIDs underscores the heightened risk faced by these women and calls for alternative prevention methods that women are able to control.

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Correlates of Consistent Condom Use Among HIV-Positive African American Women

Women & Health ◽

10.1300/j013v46n02_04 ◽

2007 ◽

Vol 46 (2-3) ◽

pp. 41-58 ◽

Cited By ~ 35

Author(s):

Jerris L. Raiford ◽

Gina M. Wingood ◽

Ralph J. DiClemente

Keyword(s):

African American ◽

Condom Use ◽

African American Women ◽

Consistent Condom ◽

Hiv Positive ◽

Consistent Condom Use ◽

American Women

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

PLoS ONE ◽

10.1371/journal.pone.0255325 ◽

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.

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