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Predictors and Barriers to Condom Use in the African Cohort Study.
Analogbei, Tope; Dear, Nicole; Reed, Domonique; Esber, Allahna; Akintunde, Akindiran; Bahemana, Emmanuel; Adamu, Yakubu; Iroezindu, Michael; Maganga, Lucas; Kiweewa, Francis; Maswai, Jonah; Owuoth, John; Ake, Julie A; Polyak, Christina S; Crowell, Trevor A.
Afiliación
  • Analogbei T; Health Implementation Program, Nigerian Ministry of Defense, Abuja, Nigeria.
  • Dear N; US Army Medical Research Directorate-Africa, Abuja, Nigeria.
  • Reed D; US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland.
  • Esber A; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland.
  • Akintunde A; US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland.
  • Bahemana E; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland.
  • Adamu Y; US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland.
  • Iroezindu M; Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland.
  • Maganga L; US Army Medical Research Directorate-Africa, Abuja, Nigeria.
  • Kiweewa F; US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland.
  • Maswai J; Henry Jackson Foundation MRI, Abuja, Nigeria.
  • Owuoth J; US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland.
  • Ake JA; Henry Jackson Foundation MRI, Mbeya, Tanzania.
  • Polyak CS; US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland.
  • Crowell TA; Henry Jackson Foundation MRI, Abuja, Nigeria.
AIDS Patient Care STDS ; 34(5): 228-236, 2020 05.
Article en En | MEDLINE | ID: mdl-32396478
Consistent condom use is an inexpensive and efficacious HIV prevention strategy. Understanding factors associated with condom use and barriers to use can inform strategies to increase condom uptake. The ongoing African Cohort Study prospectively enrolls adults at 12 clinical sites in Uganda, Kenya, Tanzania, and Nigeria. At enrollment, participants are asked about condom use at last sex with a regular partner. Robust Poisson regression models were used to evaluate predictors of self-reported condom use. Participants who reported not using condoms were asked to provide reasons. From January 2013 to September 2019, 2482 participants reported having at least one regular sexual partner in the preceding 6 months. Of those, 1577 (63.5%) reported using a condom at last sex. Condom use was more common among older participants, males, HIV-infected participants, and those with an HIV-infected partner. Married participants, those with a partner of unknown HIV status, and those reporting alcohol use were less likely to report condom use at last sex. Condom use at last sex also varied significantly by clinical site. Partner disapproval or refusal to use a condom was a consistent driver of disparities in condom use among participants who were HIV infected, female, and aged 18-24 years. Effective HIV prevention programs should integrate condom education with the tools necessary to negotiate condom use with regular partners.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parejas Sexuales / Infecciones por VIH / Condones Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: AIDS Patient Care STDS Asunto de la revista: DOENCAS SEXUALMENTE TRANSMISSIVEIS / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2020 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parejas Sexuales / Infecciones por VIH / Condones Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: AIDS Patient Care STDS Asunto de la revista: DOENCAS SEXUALMENTE TRANSMISSIVEIS / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2020 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Estados Unidos