Prevalence of Condom Use and Its Related Factors Among Men Who Have Sex With Men in Thailand

Background: The new challenge of human immunodeficiency virus (HIV) prevention exists in men who have sex with men (MSM) and becomes the key population accounting for the vast majority of new HIV infections worldwide. Consistent condom use has been proved to be effective to prevent HIV transmission. Promoting the use of condom is needed; however, knowledge on what factors relevant to the performance of this behavior among MSM in Thailand is limited. Objectives: To examine the prevalence rate of condom use among MSM in Thailand, and to identify related factors of its use. Methods: Participants were recruited using convenience sampling with inclusion criteria. The data were collected using an online questionnaire and then analyzed using chi-square test and Spearman rank correlation. Results: A total of 153 data sets from participants were included in the analysis. The average age was 27.4 ± 5.8 years. The HIV positivity was 6.5%, and consistent condom use was 55.6%. The correlational analysis showed that age (P = .03), intention, attitude, subjective norms, and perceived behavioral control (P < .01) were significantly correlated with consistent condom use. Conclusions: The interventions proposed to promote consistent condom use among MSM should focus on increasing intention, attitude, subjective norms, and/or perceived behavioral control, especially among young MSM in Thailand.

Download Full-text

Condom Use and Related Factors among Rural and Urban Men Who Have Sex With Men in Western China: Based on Information-Motivation-Behavioral Skills Model

American Journal of Men s Health ◽

10.1177/1557988319899799 ◽

2020 ◽

Vol 14 (1) ◽

pp. 155798831989979 ◽

Cited By ~ 2

Author(s):

Ling Hu ◽

Yetao Luo ◽

Xiaoni Zhong ◽

Rongrong Lu ◽

Yang Wang ◽

...

Keyword(s):

Condom Use ◽

Service Providers ◽

Western China ◽

Consistent Condom ◽

Consistent Condom Use ◽

Related Factors ◽

Behavioral Skills ◽

Urban Men ◽

Rural And Urban ◽

Sex With Men

This study aimed to determine the differences in condom use and related factors among rural–urban men who have sex with men (MSM) in Western China. A cross-sectional survey was conducted in Chongqing, Sichuan, and Guangxi, which recruited MSM by non-probability sampling. Data were collected through an anonymous, standardized, and self-reported questionnaire guided by an information–motivation–behavioral skills model. Structural equation model was applied to analyze the related factors. Out of the 1141 MSM included in this analysis, 856 (75%) and 285 (25%) were from urban and rural areas, respectively. The median age was 27 years for both groups. Self-reported consistent condom use for anal sex in the past 6 months was 57.58%. The rate of consistent condom use was lower in rural MSM than in urban MSM (50.88% vs. 59.81%, p = .008). Behavioral skills, HIV/AIDS intervention services, and response costs had direct positive and negative influences on condom use, respectively. By contrast, motivation and information exhibited indirect influence. All the factors were mediated by behavioral skills in rural and urban MSM, except for the information that had no effect among urban MSM but had an indirect effect among rural MSM. These findings suggest that service providers should pay attention to substantial rural–urban differences and design different AIDS prevention and intervention strategies targeting rural and urban MSM.

Download Full-text

What single midlife women think about and do to protect their sexual health

10.32469/10355/68902 ◽

2018 ◽

Author(s):

◽

Kimberly C. Hart

Keyword(s):

Sexual Health ◽

Condom Use ◽

Sexual Partner ◽

Behavioral Control ◽

Public Health Problem ◽

Subjective Norms ◽

Sexual Partners ◽

Midlife Women ◽

Perceived Behavioral Control ◽

Convenience Sample

Sexually transmitted infections (STI) are a significant public health problem among U.S. women. Single midlife women aged 40-59 are at particular risk for STI. Little is known about the factors that contribute to low sexual health protection and condom non-use in this population. The majority of research on STI prevention has focused on populations of younger women. This cross sectional study, guided by the theory of planned behavior examined relationships between STI perceived risk, attitudes, subjective norms, perceived behavioral control, condom use intention and sexual health behaviors. Data were collected with a convenience sample of single midlife women at risk for STI who participated via a web-based survey. Of the 611 women who entered the survey website, eligible participants (n=285) were predominantly 40-49 years of age (65.6%), Caucasian (94.7%), college graduates, (62.1%) and employed (85.3%). Approximately one-third (31.6%, n=90) indicated a previous STI diagnosis. Half (49.5%) of the women reported they had used a condom use with the last new sexual partner. For the entire sample, attitudes, subjective norms, and perceived behavioral control each significantly correlated with intention to use condoms with a new sexual partner. Logistic regression analysis showed that using a condom with a new sexual partner significantly increased as attitude (p=.002) and intention (p=.001) increased. Higher level of education correlated with decreased subject norms and intention towards condom use. There was a significant decrease in condom use of women with a college degree. A positive correlation was found between STI and number of new sexual partners. However, having more new sexual partners was significantly correlated with decreased condom use. Findings indicated this sample of single midlife women had positive attitudes, subjective norms, perceived behavioral control and intention toward condom use. Yet, a condom was used only half of the time with new sexual partners. Findings from this study can inform interventions and programs that aim to enhance sexual health outcomes and reduce STI acquisition among midlife women.

Download Full-text

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

BMC Infectious Diseases ◽

10.1186/s12879-019-4455-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 3

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.

Download Full-text

Intimate Partner Violence Perpetration and Condom Use-Related Factors: Associations with Heterosexual Men’s Consistent Condom Use

AIDS and Behavior ◽

10.1007/s10461-009-9659-2 ◽

2010 ◽

Vol 15 (1) ◽

pp. 153-162 ◽

Cited By ~ 28

Author(s):

Victoria Frye ◽

Danielle Ompad ◽

Christina Chan ◽

Beryl Koblin ◽

Sandro Galea ◽

...

Keyword(s):

Intimate Partner Violence ◽

Condom Use ◽

Partner Violence ◽

Intimate Partner ◽

Consistent Condom ◽

Consistent Condom Use ◽

Related Factors ◽

Intimate Partner Violence Perpetration ◽

Violence Perpetration

Download Full-text

Assessing consistent condom use among migrant men who have sex with men in Shanghai, China: validation of an information–motivation–behavioural skills model

BMC Infectious Diseases ◽

10.1186/s12879-019-4090-4 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Ying Wang ◽

Mengmeng Jia ◽

Dong Yuan ◽

Ajuan Liang ◽

Zhiruo Zhang ◽

...

Keyword(s):

Condom Use ◽

Consistent Condom ◽

Consistent Condom Use ◽

Sex With Men

Download Full-text

Correlations Between Community-Level HIV Preexposure Prophylaxis Coverage and Individual-Level Sexual Behaviors among US Men Who Have Sex with Men

10.1101/2021.07.16.21260658 ◽

2021 ◽

Author(s):

Laura M Mann ◽

Adrien Le Guillou ◽

Steven M Goodreau ◽

Julia L Marcus ◽

Travis Sanchez ◽

...

Keyword(s):

Sexual Behavior ◽

Condom Use ◽

San Francisco ◽

Community Level ◽

Consistent Condom ◽

Total Degree ◽

Modeling Framework ◽

Consistent Condom Use ◽

Preexposure Prophylaxis ◽

Sex With Men

Background HIV preexposure prophylaxis (PrEP) has been associated with changes in sexual behavior after PrEP initiation. However, behavioral differences may also emerge among PrEP non-users in communities with high PrEP coverage. Methods We used demographic, behavioral, and sexual network data from ARTnet, a cross-sectional study of US men who have sex with men conducted during 2017-2019. Multivariable regression models with a Bayesian modeling framework in which individuals were nested within their residential geographic areas were used to estimate associations between area-level PrEP coverage and five sexual behavior outcomes (number of total, main, and casual male partners [network degree]; count of one-time partnerships; and consistent condom use in one-time partnerships), controlling for individual PrEP use. Findings PrEP coverage ranged from 10.3% (Philadelphia) to 38.9% (San Francisco). Total degree was highest in Miami (1.35) and lowest in Denver (0.78), while the count of one-time partners was highest in San Francisco (11.7/year) and lowest in Detroit (1.5/year). Adjusting for individual PrEP use and demographics, community PrEP coverage was associated with higher total degree (adjusted incidence rate ratio [aIRR]=1.73; 95% CrI, 0.92-3.44), casual degree (aIRR=2.05; 95% CrI, 0.90-5.07), and count of one-time partnerships (aIRR=1.90; 95% CrI, 0.46-8.54). Without adjustment for individual PrEP use, these associations were amplified. There were weaker associations with main degree (aIRR=1.21; 95% CrI, 0.48-3.20) and consistent condom use in one-time partnerships (aIRR=1.68; 95% CrI, 0.86-3.35). Interpretation Most of the associations between community PrEP coverage and sexual behavior were explained by individual PrEP use. However, there were residual associations after controlling for individual PrEP use, suggesting that PrEP coverage may partially drive community-level changes in sexual behavior.

Download Full-text