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

2011 ◽  
Vol 5 (1) ◽  
pp. 125-134 ◽  
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.

scholarly journals Diversities of Sexual Activities and Correlates of Safe Sex Practices Among Adolescents in Plateau State, Nigeria

2021 ◽  
Vol 3 ◽  
Author(s):  
Esther Awazzi Envuladu ◽  
Karlijn Massar ◽  
John B. F. de Wit
Keyword(s):  
Logistic Regression ◽  
Condom Use ◽  
Sexual And Reproductive Health ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sex Partners ◽  
Same Sex ◽  
Consistent Condom Use ◽  
Older Adolescents ◽  
Plateau State

Background: Unsafe sex, particularly, condomless sex exposes adolescents to sexual and reproductive health risks. This study aimed to assess the sexual experiences and to determine the most important covariates of sexual activity and consistent condom use among adolescents in Plateau State, Nigeria.Methods: A cross sectional survey was conducted among 428 adolescents selected from 6 LGAs through a multistage sampling technique. The data was analyzed using the IBM Statistical package for Social Sciences (SPSS) version 23, multiple logistic regression was conducted to determine the covariates of sexual activity and condom use.Results: About one third (38%) of the adolescents were sexually active, 5.7% had same sex partners, 70% had more than one sexual partner and majority (72.4%) were not consistently using condom during sex. Logistic regression results showed that older adolescents (OR = 5.73; CI = 3.72–8.12; p = 0.001) and out of school adolescents (OR = 2.68; CI = 1.79–4.00; p = 0.001) were more likely to be sexually active, while multivariable logistic regression analysis showed age (AOR = 0.33; CI = 0.12–0.90; p = 0.031) and gender as important covariates of being sexually active, (AOR = 6.29; CI = 3.18–12.44; p = 0.001). Inconsistent condom use was more likely among adolescents; with lower education, (OR = 2.14; CI = 1.19–3.85; p = 0.011), having sex with older partners (OR = 0.61; CI = 0.42–0.90; P = 0.013) and with low awareness of SRH issues (OR = 2.08; CI = 1.02–4.22; p = 0.044). The multivariable logistic regression however, showed gender, being male (AOR = 0.43; CI = 0.006–3.09; p = 0.023) as covariate of consistent condom use.Conclusion: Most sexually active adolescents had multiple sexual partners, some had same sex partners and majority were not consistently using condom. Older adolescents and those out of school were more likely to be sexually active. Awareness of SRH issues significantly influenced condom use while gender, specifically being male, was the independent covariate for being sexually active and for consistent condom use. We recommend sexual health intervention targeted at adolescents. In addition, gender should be mainstreamed into adolescent sexual and reproductive health programmes.

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 ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 363 ◽  
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.

Consistent condom use in relationships between seropositive injecting drug users and sex partners who do not inject drugs

AIDS ◽  
1994 ◽  
Vol 8 (3) ◽  
pp. 357-362 ◽  
Author(s):  
Samuel R. Friedman ◽  
Benny Jose ◽  
Alan Neaigus ◽  
Marjorie Goldstein ◽  
Richard Curtis ◽  
...  
Keyword(s):  
Condom Use ◽  
Drug Users ◽  
Injecting Drug Users ◽  
Consistent Condom ◽  
Sex Partners ◽  
Consistent Condom Use

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.

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

CONSISTENCY IN CONDOM USE IN THE CONTEXT OF HIV/AIDS IN ZIMBABWE

2001 ◽  
Vol 33 (1) ◽  
pp. 121-138 ◽  
Author(s):  
JACOB ADETUNJI ◽  
DOMINIQUE MEEKERS
Keyword(s):  
Condom Use ◽  
Marital Relationships ◽  
Consistent Condom ◽  
Multiple Sources ◽  
Consistent Condom Use ◽  
Negative Attitudes ◽  
Positive Attitudes ◽  
Immunodeficiency Virus ◽  
High Prevalence ◽  
Active Adults

Against the backdrop of a high prevalence of the human immunodeficiency virus infection in Zimbabwe, this paper analyses data from the 1997 Zimbabwe Sexual Behaviour and Condom Use Survey to throw light on the degree to which sexually active adults consistently use condoms in high-risk sexual situations. The multivariate results indicate that at the time of the survey, consistent condom use in non-marital relationships is significantly higher for males than females, higher among those who had access to information about condoms from multiple sources than among those with limited access, and higher among those who have positive attitudes to condoms than among those with negative attitudes. Even though consistent condom use with non-marital partners is higher for those who know a source where condoms can be obtained, this effect is due to the fact that these respondents have more positive attitudes towards condoms. Likewise, the higher levels of consistent condom use exhibited by those who are aware of the efficacy of condoms are due to the fact that men have higher awareness of this, and men use condoms more consistently than women. In sum, the results suggest that the effects of the respondents’ sex and their knowledge of the prophylactic importance of condoms and where condoms might be obtained are a function of other socioeconomic advantages they have. It is, therefore, concluded that programmes that use mass media information, education and communication campaigns to reduce shyness, embarrassment and stigma about condom use can help increase consistent use of condoms in non-marital relationships in Zimbabwe.

scholarly journals HBV Infection in Relation to Consistent Condom Use: A Population-Based Study in Peru

PLoS ONE ◽  
2011 ◽  
Vol 6 (9) ◽  
pp. e24721 ◽  
Author(s):  
Antonio Bernabe-Ortiz ◽  
Cesar P. Carcamo ◽  
John D. Scott ◽  
James P. Hughes ◽  
Patricia J. Garcia ◽  
...  
Keyword(s):  
Condom Use ◽  
Population Based ◽  
Hbv Infection ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Population Based Study

scholarly journals Information-Motivation-Behavioral Skills Model of Consistent Condom Use among Transgender Women in Shenyang, China

2020 ◽  
Author(s):  
Huwen Wang ◽  
Ruijie Chang ◽  
Qiuming Shen ◽  
Lhakpa Tsamlag ◽  
Shuxian Zhang ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Structural Equation ◽  
Empirical Support ◽  
Transgender Women ◽  
Equation Modeling ◽  
Consistent Condom ◽  
Imb Model ◽  
Consistent Condom Use ◽  
Behavioral Skills

Abstract Background: The Information-Motivation-Behavioral Skills (IMB) model has received consistent empirical support in the context of HIV prevention among various key populations, but not yet among transgender women (TGW). None effective interventions has been carried out among TGW so far to control their high prevalence of unprotected anal intercourse. The intent of the current study is to examine the application of the IMB model to clarifying the association between condom use correlates and condom use frequency among TGW in China. Methods: Using snowball sampling, we recruited 198 self-identified TGW in Shenyang, China from April 2017 to July 2017. Participants were required to complete a questionnaire assessing their background characteristics and IMB model constructs. Structural equation modeling (SEM) was conducted to demonstrate the utility of the IMB model. Results: The consistent condom use (CCU) rate was 47.0%. Results of SEM indicated that HIV-preventive motivation (comprising condom use attitude and subjective norms; β = 0.823, P < 0.001) and behavioral skills (including condom use skills and self-efficacy; β = 0.979, P = 0.004) were related to more frequent condom use, whereas HIV knowledge was unrelated to condom use (β = 0.052, P = 0.540). Conclusions: The low CCU rate suggested that TGW in China were at high risk of HIV infection and transmission and a key intervention population. HIV-preventive interventions for this population should focus on enhancing motivation and strengthening behavioral skills to increase condom use frequency and reduce HIV infection.

Sign in / Sign up

Export Citation Format

Share Document