Predictors Of Condom Use Research Articles

Predictores del uso del condón en hombres que tienen relaciones sexuales con hombres en Costa Rica: comprobación del modelo de información, motivación y habilidades conductuales

En Costa Rica se han incrementado los nuevos diagnósticos del virus de inmunodeficiencia humana (VIH). La epidemia afecta desproporcionadamente a hombres que tienen relaciones sexuales con hombres (HSH). Por consiguiente, el foco de interés de este estudio se centró en la conducta de protección de estos y la identificación de predictores del uso del condón. El estudio persiguió indagar: a) estrategias personales de protección ante una infección por VIH de HSH de 18 a 24 años en Costa Rica, b) consistencia del uso del condón de este grupo con parejas ocasionales, c) en qué medida puede validarse el modelo de información, motivación y habilidades conductuales (IMB, por sus siglas en inglés) como explicativo del uso del condón. Se realizó una muestra de accesibilidad de 238 HSH de 18 a 24 años. La recopilación de datos se efectuó a través de entrevistas personales estandarizadas. El análisis estadístico se efectuó mediante estadística descriptiva y procedimientos bi y multivariadas. La comprobación del modelo IMB se realizó mediante modelos de ecuaciones estructurales. Los 119 encuestados con parejas ocasionales en los seis meses previos señalaron una amplia gama de estrategias personales de protección. Solo 5.6 % indicó no tomar conscientemente precauciones frente a una infección. De los participantes que mantuvieron relaciones anales con parejas ocasionales en los seis meses previos, 13.4 % indicaron haber utilizado siempre un condón. La prueba del modelo IMB evidenció que el uso del condón está codeterminado por la estrategia personal y la severidad percibida de una infección. Es decir, el modelo IMB no se comprobó en su totalidad. El estudio genera información que puede servir como base para la prevención y destaca el rol de las estrategias personales de protección frente al VIH y de inhibidores situacionales y relacionados a la pareja. Los resultados invitan a la extensión del modelo IMB.

Exploring gender and partner communication: Theory of planned behavior predictors for condom use among urban youth in Zambia

To understand how knowledge and perceptions of condoms and partner communication influence use of condoms in a high HIV prevalence setting and gender-specific differences. A cross-sectional study was conducted in Zambia from 2015 to 2016. The survey included questions on demographics, sexual behavior, contraceptive perceptions, and behaviors. We constructed multivariate regression models using the Theory of Planned Behavior to determine associations between knowledge, perceptions, and perceived control with intended, communicated, and reported use of condoms by gender. The participants were 2388 sexually active urban residents aged 18-24years. In the sample, 1646 (69%) were female, 841 (35%) married,and 1894 (61%) unemployed. Partner communication was the predictor most associated with use of condoms. Among women, partner communication was associated with over three times higher odds of condom use (odds ratio [OR] 3.51, 95% confidence interval [CI] 2.65-4.65) but being married reduced the odds of condom use by 76% (OR 0.24, 95% CI 0.17-0.33). For men, a network of friends that was supportive of the use of contraception was associated with increased odds of 55% for use of condoms (OR 1.55, 95% CI 1.10-2.18). Public health programs aimed at increasing safer sexual behavior and use of condoms must consider improving gender equity and partner communication, as knowledge of contraceptives and positive perceptions are not enough to ensure their use.

Predictors of Condom Use Among People Living with HIV in Karaj: A Cross-Sectional Study

Background: Sexual transmission of HIV/AIDS is a major route for infection and the most effective strategy to control this infection is condom use. Objectives: This study aimed to assess the predictors of condom use among HIV positive patients. Methods: This cross sectional study was a descriptive-analytical study. A total of 121 HIV positive individuals, which included 57 women and 64 men were recruited during five months from a Behavioral Diseases Counseling Center in Karaj. Data were collected by questionnaires including demographic characteristics, drug abuse history, sexual history, depression, and social support. Social support and depression were evaluated by MOS questinnaire and Beck II, respectively.Data analysis was done by SPSS version 19. Results: The mean age of the participants was 36.6 ± 8 years. About 39% of HIV positive patients in this study used a condom during their last sexual encounter; however, consistent use of condom occurred in 28.1% cases in the past three months. Multivariate regression showed that the number of sexual partners’ (β = 0.16), (P < 0.01) age (β = -0.23), (P < 0.05) number of children (β = 0.21), (P < 0.05) and social support (β = 0.58), (P < 0.001) were predictors of condom use. Conclusions: Considering the low rate of condom use among HIV-positive patients, it is essential to provide counseling services and gender sensitive interventions to promote safer sex behavior in this context. As social support is a critical variable to predict condom use, it is suggested to be considered to develop effective prevention programs for people living with HIV.

PREVALENCE AND CORRELATES OF CONDOM ERRORS AMONG SEXUALLY ACTIVE RESIDENTS OF GEM SUB-COUNTY, SIAYA, COUNTY WESTERN KENYA, 2012-2014

Condom effectiveness is compromised by user errors. We set out to examine the rates of condom use and condom errors among sexually active persons living within a Health Demographic Surveillance this high HIV prevalence area in Western Kenya. We analyzed data from the second round of a longitudinal bio-behavioral survey that was conducted in Gem, Siaya County between November 2012 and February 2014.Logistic regression analysis was done to identify predictors of condom use among all sexually active persons and condom errors among participants reporting condom use in the past 3 months. Of 7815 persons interviewed minority (39%) reported having used male condoms with at least one sexual partner in the past 3 months of whom 459 (15%) reported condom errors. Majority of those reporting condom errors had experienced ‘incomplete use’ (i.e. (a combination of early removal, late application or both early removal and late application). Participants who had experienced condom errors were significantly more likely to be aged <25 years and 25-34 years compared to those who were aged 35 years and older (OR 1.5; 95% CI 1.1-1.9 and OR 1.3; 95% CI 1.0-1.8 respectively to have had 3 or more and 2 sexual partners in the past 12 months compared to those who had one (OR 2.4; 95CI 1.7-3.5 and OR 1.6;95%CI 1.2-2.1 respectively),to have reported their sex partners to have ever been drunk during sex (OR 1.7; 95% CI 1.1-2.7), to have used mind altering substances in the past 12 months compared to those who had never used mind altering substances in the past 12 months (OR 1.9; 95% CI 1.2-3.1), and to report that their sex partner had ever used mind altering substances in the past 12 months (OR 1.7; 95% CI 1.0-2.8). Limited experience with condom use and the use mind-altering substances may partly be responsible for condom errors. Sexual and reproductive health programs should provide health education to promote condom use and HIV risk awareness. Additional strategies to mitigate effects of drug abuse as a harm reduction strategy should be considered for HIV prevention.

Socio-demographic, marital and psychosocial predictors of safe sex behaviour among Mozambican women at risk for HIV/AIDS

Heterosexual encounters remain the primary route for HIV transmission in Africa. Safer sex behaviour is not adopted by many women due to several social and psychological factors. This paper aims to identify socio-demographic, marital and psychosocial predictors associated with current sexual activity and condom use in Mozambican women at sexual risk for HIV/AIDS. Women (173), patients at a public hospital and at risk for HIV infection, completed measures of condom use negotiation self-efficacy, perceived barriers against safer sex, current sexual activity and condom use. Having more than 6 years of education and being younger and single were significant predictors for current sexual activity and condom use. Regarding psychosocial factors, talking about AIDS with partners, condom use negotiation self-efficacy and fewer perceived barriers to safer sex were significant predictors for current sexual activity (intention to use and buy/get condoms). Condom use negotiation self-efficacy is a significant predictor for condom use. These results should be considered in new HIV prevention intervention design in Mozambique.

Nonmedical use of prescription drugs during sexual activity as a predictor of condom use among a sample of college students

Objective: To examine the impact of nonmedical use of prescription drugs (NMUPD) during sexual activity on the frequency of condom use among a sample of college students. Participants: Students attending a large Midwestern University (N = 4284) during April 2015. Methods: Retrospective cross-sectional analysis of survey data using logistic regression. Results: Respondents and/or their sexual partners who engaged in NMUPD during sexual activity were significantly less likely to use condoms during 75% or more of past 12-month sexual encounters compared to respondents who had not engaged in lifetime and past 12-month NMUPD. Although not statistically significant, trends suggest that respondents who engaged in NMUPD during sexual activity may be less likely to use condoms than those who engaged in lifetime or past 12-month NMUPD but not during sexual activity. Conclusions: Findings suggest a need for specific strategies for reducing risk behaviors related to prescription drugs and sexual activity.

Predictors for Condom Use With Steady Partners in QUILOMBOLA Communities of Sergipe

Condom use with steady heterosexual partners has been insufficiently addressed in Brazil, because, in this setting, most studies are on the population of men who have sex with men or sex workers. Besides that, the literature on this topic regarding traditional communities is even scarcer. Therefore, the objective of the present study was to identify which factors are related to the consistent use of condoms with steady partners in Quilombola communities in the northeast region of Brazil. A total of 367 individuals from 14 communities were enrolled from September 2016 to June 2017. Logistic regression models for predicting the consistent use of condoms with steady partners were developed. Most of the study participants (90.73%) had steady partners. Regarding personal vulnerability to not using condoms, only 9.91% of those who had steady partners engaged in protected sexual intercourse with the partners. Provision of sexual health information and receiving condoms showed statistical significance (OR = 4.38; CI = 1.7–11.09; p = 0.002), with approximately four times greater probability of consistent condom use with steady partners, pointing to a vulnerability in relation to those who do not receive these resources. It should also be emphasized that low socioeconomic levels and geographic distance of health units can have a negative impact on access to information and condoms.

Education level as a predictor of condom use in jail-incarcerated women, with fundamental cause analysis.

To model condom usage by jail-incarcerated women incarcerated in US local jails and understand results in terms of fundamental cause theory. We surveyed 102 women in an urban jail in the Midwest United States. Chi-square tests and generalized linear modeling were used to identify factors of significance for women who used condoms during last sex compared with women who did not. Stepwise multiple logistic regression was conducted to estimate the relation between the outcome variable and variables linked to condom use in the literature. Logistic regression showed that for women who completed high school odds of reporting condom use during last sex were 2.78 times higher (p=.043) than the odds for women with less than a high school education. Among women who responded no to ever having had a sexually transmitted infection, odds of using a condom during last sex were 2.597 times (p=.03) higher than odds for women who responded that they had had a sexually transmitted infection. Education is a fundamental cause of reproductive health risk among incarcerated women. We recommend interventions that creatively target distal over proximal factors.

Concurrence and selection of sexual partners as predictors of condom use among Mexican indigenous migrant workers.

To identify if the selection of mixed sexual partners and the existence of concurrent partners are predictors of condom use in indigenous migrant agricultural workers from Colima, Mexico. Analytical cross-sectional study using an egocentric sexual network approach. Community interviewers applied a structured questionnaire to 192 indigenous migrant workers in a sugarcane agro-industrial context. Data were analyzed with binary logistic regression; odds ratios (OR) and 95% confidence intervals (CI 95%) were estimated. In the logistic regression model, adjusted odds (OR; 95% CI) of steady condom use were lower within partnerships of the same indigenous ethnicity compared to other partnerships (0.30; 0.17-0.53), partnerships that were concurrent to other partnerships (0.27; 0.15-0.50), and partnerships that used illegal drugs during sex to other partnerships (0.23; 0.11-0.49). Those variables were actually associated with increased risk of unprotected sex (occasionally or never using condoms), and therefore exposures were unprotected. Sexual partners of the same ethnicity, concurrent partnerships and partnerships that use illegal drugs favor the low frequency of constant condom use and, in turn, the vulnerability to STIs and HIV transmission in indigenous migrant agricultural workers.

High condom use but low HIV testing uptake reported by men who purchase sex in Bali, Indonesia

ABSTRACTMen who purchase sex (MWPS) have long been considered as one of the population groups at risk of HIV transmission. However, while HIV-related interventions have been targeted towards this group, few studies have directly recruited MWPS to measure the impact of such interventions. This study aimed to fill the gap for Indonesia by identifying the level and predictors of condom use and HIV testing among MWPS, to inform prevention strategies. A cross-sectional study was conducted by surveying 200 MWPS in Bali, Indonesia in 2015. A structured questionnaire was administered to collect the data. Self-reported condom use on the occasion of last paid sex was very high (88.5%), while a history of HIV testing was low (8.1%). None of the variables identified in this study were associated with condom use at last paid sex. Men were more likely to report a history of HIV testing if they: perceived themselves to be at high risk of HIV, had a higher level of HIV-related knowledge, reported a history of genital ulcers or urethral discharge in the past 12 months, or were aware that confidential HIV testing was available. Implications and limitations of this study are discussed.

Condom Use at Last Sexual Intercourse and Its Correlates among Males and Females Aged 15-49 Years in Nepal.

This study aimed to assess the prevalence and correlates of condom use at last sexual intercourse among people aged 15–49 years in Nepal. Secondary data analysis was performed using the Nepal Demographic and Health Survey 2011. The study was restricted to the respondents who reported ever having had sexual intercourse; 9843 females and 3017 males were included. Condom use was assessed by asking if respondents used condoms in their most recent sexual intercourse. Chi-square test and multivariate logistic regression analysis were performed using Complex Sample Analysis Procedure to adjust for sample weight and multistage sampling design. Overall, 7.6% of total, and 16.3% of males and 6.2% of females reported using condoms in their last sexual intercourse. Living in Far-Western region, age and wealth quintile were positively associated with condom use in both males and females. Being unmarried was the most important predictor of condom use among males. Higher education was associated with increased likelihood of condom use in females. However, mobility, having multiple sexual partners, and HIV knowledge were not significant correlates of condom use in both sexes. A big difference was observed in the variance accounted for males and females; indicating use of condoms is poorly predicted by the variables included in the study among females. Condom use was more associated with sociodemographic factors than with sexual behavior and HIV knowledge.

Predicting Condom Use Outcomes via the Information Motivation Behavioral Skills Model: An Analysis of Young Black Men

ABSTRACTObjectives: This study examines the relationships between information motivation behavioral skills model constructs and their associations with consistent condom use and condom use problems among young Black men. Methods: The authors use baseline data collected from 702 participants in a randomized controlled trial. Analyses involved path modeling and bootstrapped standard errors to estimate associations. Results: Motivation had the largest association with consistent condom use, whereas condom application skills had the largest association with condom use problems. Conclusion: Motivation is the most important predictor of consistent condom use, whereas condom application skills are the most important predictor of condom use problems.

Condom use in adolescents and young women following initiation of long- or short-acting contraceptive methods

ObjectiveThe objective was to determine if young women initiating long-acting reversible contraceptives (LARCs) who report new sexual partner(s) would be less likely to report use of a condom than women using short-acting reversible contraceptive (SARC) methods. Study designWe enrolled a prospective cohort of 13–24-year-old women attending an adolescent-specific contraception clinic. Participants completed questionnaires at the contraceptive initiation visit and 6 months later. At follow-up, we asked if they had sexual intercourse with a new partner, if they had used condoms, if their condom use patterns had changed and why. We analyzed factors associated with condom use. ResultsWe enrolled 1048 women; 771 (73.6%) initiated LARC and 384 (36.6%) initiated SARC. At 6 months, 508 participants (48.5%) completed the follow-up survey: 380 LARC initiators and 128 SARC initiators. Approximately 23% of LARC initiators and 27% of SARC initiators reported a new partner. SARC initiators who had a new partner were more likely to report condom use at least one time than LARC initiators reporting a new partner [82.4% vs. 59.6%; odds ratio (OR): 3.17, 95% confidence interval (CI): 1.19–8.43]. Such condom use was 42% higher among LARC initiators who reported a new sexual partner than those without and 38% higher for SARC initiators. In multivariable logistic regression, new sexual partner [adjusted OR (aOR) 3.29, 95% CI 2.10–5.16], SARC initiation (aOR 2.08, 95% CI 1.35–3.22) and age <20 (aOR 1.68, 95% CI 1.14–2.49) were independent predictors of condom use. ConclusionWhile young women are less likely to report condom use in the 6 months after initiating a LARC than after initiating a short-acting method, both groups increase their condom use similarly if they report a new sexual partner. ImplicationsThe differential in condom use between LARC initiators and SARC initiators is likely related to their perceived need for pregnancy prevention, as both groups increase their condom use similarly if they had new sexual partners.

Determinants of condom use among heterosexual young men and women in southeastern Ghana: a mediation analysis

ABSTRACT Sexual risk behaviour among young people raises public health concerns in Ghana. This study aimed to determine the predictors of condom use among heterosexual young people in the eastern region of Ghana, using a health behaviour theory – the theory of planned behaviour (TPB). Participants completed a questionnaire battery assessing attitudes, subjective norms, perceived behavioural control, intentions and condom use behaviour. Structural equation modelling procedures were used to analyse the data. Attitudes towards condom use and perceived behavioural control over condom use were significantly positively associated with the intention to use condoms. Intention to use condoms predicted condom use behaviour. Moreover, intention to use condoms mediated the attitude–behaviour relationship, and the perceived control–behaviour relationship. These results highlight the importance of using behavioural beliefs, perceived control beliefs and behavioural intention as key variables in condom promotion programmes among in-school heterosexual youth in the eastern region of Ghana.

Latino Sexual Beliefs Scale: An Exploratory Factor Analysis of Latino Men Who Have Sex With Men.

The catalyzing forces behind risky sexual behavior are a rich area of interest for public health researchers concerned with reducing HIV risk. Social cognitive theory would suggest that sexual beliefs are a viable example of one such influential agent. Recognizing that culture plays an important role in forming such sexual beliefs, and seeking to understand the unique HIV risks present for Latino men who have sex with men (MSM), this article presents an exploratory factor analysis of the 13-item Latino Sexual Beliefs Scale (LSBS) created as part of a larger study to investigate predictors of condom use among a sample of 482 MSM born in Brazil, Colombia, and the Dominican Republic and living in the U.S. The current analysis identified two psychometric factors in the LSBS as Romantic Exigency (containing six items with a mean loading of .62) and Sexual Acquiescence (containing seven items with a mean loading of .57). This is the first factor analysis conducted on the 13-item LSBS and represents the first known quantitative measure of Latino cultural sexual beliefs related to condom use for Latino MSM. Implications for future research include further validation, use in studies exploring the role of sexual beliefs on condom use, and possible thematic targets in HIV risk reduction interventions.

The interplay between feelings and beliefs about condoms as predictors of their use

Objective: Negative feelings about condoms are a key barrier to their use. Using the behavioural affective associations model, we examined the joint effects of affective associations and cognitive beliefs about condoms on condom use.Design: In Study 1 (N = 97), students completed measures of their affective associations and cognitive beliefs about sex and condoms, sexual activity and condom use. In Study 2 (N = 171), a measure of behavioural intentions and condom selection task were added.Main outcome measures: Condom use measured in Study 1 as (1) current condom use, and (2) willingness to use condoms; in Study 2 as: (1) behavioural intentions, (2) number of condoms selected.Results: Affective associations with sex and condoms were behaviour-specific, were directly associated with the respective behaviour, and mediated the relations of cognitive beliefs to behaviour, ps < .05. In Study 2, affective associations were associated with behavioural intentions and the number of condoms selected, ps < .05; cognitive beliefs were indirectly associated with these outcomes through affective associations, indirect effects: ps < .05.Conclusions: Affective associations are a behaviour-specific and proximal predictor of condom use, mediating the effect of cognitive beliefs, suggesting they may be a particularly viable intervention target.

Prevalence and correlates of condom use among single midlife Canadian women and men aged 40 to 59

Reported rates of sexually transmitted infections (STIs) among midlife Canadians have increased. However, there is little data on the STI behavioural risk of this age group. The current study investigated the prevalence and correlates of condom use at last penile vaginal intercourse (PVI) among sexually active single (never married, separated/divorced) Canadians aged 40 to 59 (n=830). Men were more likely than women to report using a condom at last PVI (35.3% vs. 27.6%). Number of partners, dating status, partner type at last sex, and concern about STI were significant bivariate predictors of condom use among men and women. Age, marital status, and erectile difficulties were additional bivariate predictors for men. In multivariate analysis, marital status, number of partners, and partner type predicted condom among men. Divorced and separated men were 53% less likely to use a condom than single, never married men. Men who reported 2 or more partners over the past year were almost 2 times more likely to use a condom than men who had one partner over the past year. As partner type at last sex moved from casual to more committed, men were 26% less likely to report condom use at last PVI. Among women, partner type at last sex was the only significant multivariate predictor of condom use, as partner type moved from casual to more committed, condom use was 33% less likely. Condom use was not associated with decreased pleasure during PVI. Educational STI prevention interventions targeting single midlife Canadians are needed.

The Risk of Sexually Transmitted Infection and Its Influence on Condom Use among Pregnant Women in the Kintampo North Municipality of Ghana.

Sexually transmitted infection (STI) affects the reproductive health of both men and women worldwide. Condoms are important part of the available preventive strategies for STI control. The lack of proper risk-perception continues to impede women's ability to negotiate condom use with their partners. This paper is the outcome of secondary analysis of data collected in a cross-sectional survey that explored the perception of risk of STI and its influence on condom use among 504 pregnant women attending antenatal clinic at two health facilities in the Kintampo North Municipality. Consecutively, three Focus Group Discussions were conducted among 22 pregnant women which was analyzed using thematic analysis technique. Multivariate logistic regression analysis was used to identify possible predictors of condom use and risk of STI. Respondents mean age was 26.0 ± 5.9 years. 47% of respondents self-identified themselves as high risk for contracting STI, 50% of whom were married. High risk status (OR = 2.1, 95% CI: 1.1–4.4), ability to ask for condoms during sex (OR = 0.3, 95% CI: 0.1–0.73), and partner's approval of condom use (OR = 0.2, 95% CI: 0.01–0.05) were independent predictors of condom use. Condom use (OR 2.9 (1.5–5.7); p = 0.001) and marital status (engaged, OR 2.6 (1.5–4.5); p = 0.001) were independent predictors of risk of STI. Women who self-identified themselves as high risk for STI successfully negotiated condom use with their partners. This is however influenced by partner's approval and ability to convince partner to use condoms. Self-assessment of STI risk by women and the cooperation of male partners remain critical.

Predictors of male condom utilization in Plateau State, Nigeria.

Nigerian men play major roles in the reproductive decision-making process, including issues concerning fertility. Despite efforts made by the government to reduce the incidence of HIV by using condom as a means of dual protection, the utilization of male condom is still relatively low in Nigeria. This study aimed to assess the condom utilization and predictors of condom use among male respondents in Plateau State. An analysis of secondary data of the 2013 Nigeria Demographic Health Survey dataset was done. Data were collected through a cross-sectional study using multistage cluster sampling technique from 393 consenting males aged 15-49 years in Plateau State using a semistructured, closed-ended questionnaire. Survey data quality was ascertained using field check tables during data entry. The dataset was analyzed using SPSS version 21.0 software (SPSS, IBM Corp, Armonk, NY, USA). Condom utilization prevalence rate was calculated for the 393 males, while predictors were determined by logistic regression. P ≤ 0.05 was considered statistically significant. Mean age of the respondents was 31.05 ± 9.395 years. Most (90.3%) of the respondents were aware of at least one of the various family planning methods. The prevalence of condom use among them was 15.5% with the 20-29 years' age group having the highest proportion (28.8%). Significant associations were found between condom use and age, level of wealth, level of education, marital status, knowledge of contraception, occupation, and religion. Predictors of condom use include level of wealth (middle class), not being married, and primary level education. The prevalence of male condom use is low in Plateau State. The predictors of condom use are level of wealth, being unmarried, and primary level of education. Having only a primary level of education and been in the middle class reduces the likelihood of using condoms while being unmarried increases it.

Percepción de autoeficacia, asertividad sexual y uso del condón en jóvenes colombianos

The correct and consistent use of condoms during sexual intercourse is a highly effective procedure for the prevention of HIV / AIDS as well as other sexually transmitted infections (STIs). Some studies report that psychosocial skills and interaction promote the development of safe sexual relations by using condoms. The objective of this study was to determine to what extent the perception of self-efficacy and sexual assertiveness predicts condom use in sexual activity in a group of young people. The study was descriptive correlational and predictive. The sample consisted of 645 young people aged between 19 and 26 years who reported having had sex or being sexually active. Results showed that, unlike men, the perception of self-efficacy coupled with sexual assertiveness are strong predictors of condom use in women's sexual relations, whereas for men only sexual assertiveness predicts condom use in sexual relations.