Factors associated with condom use among men and women living with HIV in Lilongwe, Malawi: a cross-sectional study
| Autor: | Haddad Lb, Ganesan R, Kinuthia J, Brahmi D, Ogutu O, Melanie Pleaner, Biraboneye Sp, Morisky De, Caughey Ab, Helen Rees, Healy J, Saiqa Mullick, Urada La, Tsuyuki K, Chaweza T, Jamieson Dj, Daisy Pillay, M. Makua, Wingston Ng’ambi, Gipson Jd, Gaffield Me, Krashin J, Tang Jh, Tweya H, Phiri S, Wanjala S, Regina Maria Barbosa, Benson J, van Roosmalen J, Lubano K, Matthew Chersich, Lathrop E, Andersen K, Naomi Lince-Deroche, Hosseinipour Mc, Smit J, Chelsea Morroni, Han L, Rodriguez Mi, Samala B, Jane Chiwoko, Edwards S |
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| Rok vydání: | 2017 |
| Předmět: |
Program evaluation
Behavior change communication malawi Population antiretroviral therapy hiv 03 medical and health sciences 0302 clinical medicine Nursing Reproductive rights Childbirth Medicine 030212 general & internal medicine education Reproductive health condom education.field_of_study 030505 public health business.industry Research Obstetrics and Gynecology virus diseases 3. Good health Reproductive Medicine Family planning 0305 other medical science business Postpartum period |
| Zdroj: | BMJ Sexual & Reproductive Health |
| ISSN: | 2515-2009 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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