Abstract
Background: Between 2010 and 2018, the Philippines had a 203% increase in new human immunodeficiency virus (HIV) infections. The use of condoms is an effective and practical means to prevent HIV transmission. The purpose of this study was to identify facilitators and barriers to condom use among Filipinos guided by the Ecological Model of Health Promotion. Methods: A systematic review of literature using electronic databases was performed using the following keywords: "condom," "Filipinos," and "Philippines." To be included in this review, papers should be (1) research studies, (2) studies that examined condom use, and (3) studies that sampled Filipinos residing in the Philippines. The final sample comprised of 27 articles. Results: Multiple and interrelated factors at the individual and social environment levels influence condom use among different groups of Filipinos. Majority of these factors originated at the intrapersonal level. Some of the facilitators to condom use were knowledge on HIV, higher perceived HIV risk, peer support, positive manager attitude, health provider engagement, and city ordinances. In contrast, some of the barriers to condom use were discomfort and displeasure on condom use, low parental communication, lack of sex education, social stigma, and the high price of condoms. Conclusion: A collaborative, culturally-sensitive, and population-specific approach is essential to develop and implement acceptable, sustainable, and successful condom use interventions.
Highlights
In 2018, the Philippines was one of the countries in the world with the highest human immunodeficiency virus (HIV) incidence-prevalence ratio.[1]
Abstinence, limiting sexual partners, and use of condoms are some of the specific measures to lessen HIV risk.[4]
Materials and Methods Data collection A systematic review of literature was conducted through electronic databases CINAHL, JSTOR, PubMed, SagePub, and ScienceDirect using a combination of keywords, “condom,” “Filipinos,” and “Philippines.” Health Research and Development Information Network (HERDIN), an online portal developed by the Philippine Council for Health Research and Development (PCHRD), was used to locate other national health studies and related information
Summary
In 2018, the Philippines was one of the countries in the world with the highest human immunodeficiency virus (HIV) incidence-prevalence ratio.[1]. The use of condoms is an effective and practical means to prevent HIV transmission. The purpose of this study was to identify facilitators and barriers to condom use among Filipinos guided by the Ecological Model of Health Promotion. Methods: A systematic review of literature using electronic databases was performed using the following keywords: “condom,” “Filipinos,” and “Philippines.” To be included in this review, papers should be (1) research studies, (2) studies that examined condom use, and (3) studies that sampled Filipinos residing in the Philippines. Results: Multiple and interrelated factors at the individual and social environment levels influence condom use among different groups of Filipinos. Majority of these factors originated at the intrapersonal level. Conclusion: A collaborative, culturally-sensitive, and population-specific approach is essential to develop and implement acceptable, sustainable, and successful condom use interventions
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