Does discussing sexually transmissible infections or HIV with a parent increase condom use among young women using other contraceptive methods?

Sexual Health ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. 82 ◽  
Author(s):  
Heather Bradley ◽  
Jami S. Leichliter ◽  
Thomas L. Gift
Keyword(s):  
Logistic Regression ◽  
Condom Use ◽  
Young Women ◽  
Sexually Active ◽  
Contraceptive Methods ◽  
Sexual Risks ◽  
Family Growth ◽  
Predicted Probability ◽  
Sexually Transmissible Infections ◽  
Weighted Data

Background Young people may be more likely to use condoms if they discuss sexual risks with their parents. However, no previous study has examined whether discussing sexual risks with a parent is differently associated with condom use among women using and not using other contraceptive methods. Methods: Using weighted data from the 2006–2008 National Survey of Family Growth, we examined condom use at last sex among 1206 sexually active unmarried women aged 15–24 years. Using logistic regression, we examined the association between condom use and discussing sexually transmissible infections (STIs) with parents before the age of 18 years, adjusted for women’s characteristics (age, ethnicity, income and condom use at first sex). We estimated the predicted probability of condom use by whether women discussed STIs with parents, stratified by use of other contraceptive methods. Results: Overall, 53% of women used condoms at last sex. Among 564 women using other contraceptives, 42% used condoms, versus 64% of 642 women not using other contraceptive methods (P < 0.01). After adjustment for covariates, the predicted probability of condom use among women using other contraceptives was 47% among women who discussed STIs with their parents (v. 31% of those not discussing STIs; P < 0.01). Among women not using other contraceptives, the predicted probability of condom use remained 64% regardless of whether they discussed STIs with their parents. Conclusions: Young women who use other contraceptive methods are less likely to use condoms, but discussing STIs with parents is associated with increased condom use among these women.

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

Contraception ◽  
2018 ◽  
Vol 97 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Brittney Bastow ◽  
Jeanelle Sheeder ◽  
Maryam Guiahi ◽  
Stephanie Teal
Keyword(s):  
Condom Use ◽  
Young Women ◽  
Contraceptive Methods ◽  
Short Acting

HIV testing and ethnicity among adolescent girls and young women aged 15–24 years in Ghana: what really matters?

2021 ◽  
pp. 1-17
Author(s):  
Ucheoma Nwaozuru ◽  
Thembekile Shato ◽  
Chisom Obiezu-Umeh ◽  
Florida Uzoaru ◽  
Stacey Mason ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Condom Use ◽  
Hiv Testing ◽  
Adolescent Girls ◽  
Young Women ◽  
Sexual Partners ◽  
Bivariate Analysis ◽  
Multiple Sexual Partners ◽  
Socioeconomic Determinants ◽  
The Relationship

Abstract Despite the high prevalence of HIV among adolescent girls and young women (AGYW) aged 15–24 years in Ghana, HIV testing remains low among this population. The objective of this study was to examine the relationship between ethnicity and HIV testing among AGYW in Ghana. The 2014 Ghana Demographic and Health Survey data were used and analyses were restricted to 3325 female participants aged 15–24 years. Chi-squared tests and a logistic regression model were used to assess the association between ethnicity and HIV testing. Furthermore, the PEN-3 cultural model informed the conceptual framework that explained the relationship between ethnicity and HIV testing behaviour. Results from the bivariate analysis showed an association between ethnicity and HIV testing among AGYW (p<0.05). However, when controlling for other behavioural and socioeconomic determinants of HIV testing in the logistic regression, there was no association between ethnicity and HIV testing. The significant predictors of HIV testing were marital status, having multiple sexual partners, and condom use. The AGYW who were married (adjusted odds ratio [aOR] = 4.56, CI: 3.46–6.08) or previously married (aOR = 4.30, CI: 2.00–9.23) were more likely to test for HIV compared with those who were never married. Having multiple sexual partners (aOR = 0.41, CI: 0.20–0.85) and condom use (aOR = 0.56, CI: 0.38–0.84) were associated with lower odds of HIV testing. The results provide evidence that ethnicity is not associated with HIV testing among AGYW in Ghana, as the bivariate association was attenuated when other behavioural and socioeconomic determinants of HIV testing were accounted for. These findings highlight the importance of considering individual-level factors, community-level factors, and other socio-cultural factors as they really matter in the development of HIV prevention programmes for adolescent girls and young women in Ghana.

scholarly journals Behavioral Profiles and Attitude toward Condom Use among College Students in Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Tewodros Yosef ◽  
Tadesse Nigussie
Keyword(s):  
College Students ◽  
Logistic Regression ◽  
Sexual Behavior ◽  
Condom Use ◽  
Positive Attitude ◽  
Sub Saharan Africa ◽  
Rural Resident ◽  
Sexually Active ◽  
Southwest Ethiopia ◽  
Factors Associated

Background. Unsafe sexual behavior among adolescents still represents a public health challenge. To have safe sex, effective condom utilization is needed. Condom use remains relatively low among adolescents in sub-Saharan Africa. Even though adolescents have good knowledge about condom use, they are still engaged in risky sexual behavior. Objective. To assess condom use and attitude toward condom use among college students in southwest Ethiopia. Methods. A cross-sectional study was conducted among 453 students at Mizan-Aman Polytechnic College in southwest Ethiopia. Data were collected using a structured self-administered questionnaire. The collected data were entered using EpiData version 4.2.0.0 and analyzed using SPSS version 20 statistical software. Binary logistic regression was computed. Independent variables with a p value of less than 0.05 in the multivariable logistic regression model were considered significant. Results. Of the 453, 180 were sexually active. Among those sexually active, 119 (66.1%) used condoms in their last sexual intercourse. The proportion of positive attitude toward condom use was 53.4%, and the mean attitude score for condom use was 28.6 (±9.99 SD) ranging from 10 to 50. The study also found that being male (AOR=1.77, 95% CI [1.19-2.65]), rural resident (AOR=2.20, 95% CI [1.47-3.30]), ever had sex (AOR=1.87, 95% CI [1.23-2.85]), and knowledge of STIs (AOR=1.66, 95% CI [1.10-2.51]) were factors associated with a positive attitude toward condom use. Conclusion. The proportion of positive attitude toward condom use among college students in Ethiopia was low. The study also found that being male, rural resident, ever had sex, and knowledge of STIs were factors associated with a positive attitude toward condom use. Therefore, strengthening information, education, and communication (IEC) on condom self-efficacy; providing condoms on campuses; and imparting education about sexually transmitted infections for young adults are central for improving condom use and attitudes toward condom use. Besides, inculcating sexual and reproductive health in the educational curriculum plays paramount importance.

scholarly journals Factors Associated With Condom Use Among Sexually Active US Adults, National Survey of Family Growth, 2006–2010 and 2011–2013

2017 ◽  
Vol 14 (4) ◽  
pp. 541-550 ◽  
Author(s):  
Muazzam Nasrullah ◽  
Emeka Oraka ◽  
Pollyanna R. Chavez ◽  
Christopher H. Johnson ◽  
Elizabeth DiNenno
Keyword(s):  
Condom Use ◽  
National Survey ◽  
Sexually Active ◽  
Factors Associated ◽  
Family Growth

scholarly journals Premarital relationships and condom use among young people in Suva, Fiji

Sexual Health ◽  
2020 ◽  
Vol 17 (4) ◽  
pp. 337
Author(s):  
Elke Mitchell ◽  
Stephen Bell
Keyword(s):  
Young People ◽  
Condom Use ◽  
Young Women ◽  
Sexual Relationships ◽  
Sexual Pleasure ◽  
Male Dominance ◽  
Urban Setting ◽  
Sexually Transmissible Infections ◽  
Premarital Relationships ◽  
Adult Beliefs

Abstract Background Young people in Fiji experience high rates of sexually transmissible infections and early pregnancy. Despite being identified as a key priority group in national strategies, little is known about use of condoms among young people in premarital relationships. This study aimed to enhance understandings of premarital sex and condom use practices among young people in Fiji. Methods: Focus group discussions with 33 young women and men aged 18–29 years and 17 interviews with young women aged 18–26 years in an urban setting in Fiji were conducted. Inductive thematic analysis examined condom use practices. Results: Participants described a range of contextual influences inhibiting or enabling condom use. Factors inhibiting condom use included sociocultural expectations regarding premarital abstinence; young people’s engagement in hidden sexual relationships; limited intergenerational dialogue about sexual health issues; judgmental attitude of staff at condom access points; male dominance of condom use preferences; and belief condoms disrupt intimacy, reduce sexual pleasure and infer a lack of trust. Factors that enhanced condom use included accessing condoms through discreet methods; adult beliefs that supported safe sex practices; and refusing to have sex without a condom. Conclusion: Findings broaden understandings of young people’s condom use practices in Suva, Fiji. The findings illustrate the need for culturally appropriate youth-centred sexual and reproductive health (SRH) programs and services. Specific strategies that might enhance young people’s condom use include community- and youth-led responses; peer condom distribution; provision of condom dispensers in community settings; scaling up of youth-friendly SRH services; and the delivery of comprehensive sexuality and relationships education.

scholarly journals Contraceptive Method Utilization and Determinant Factors among Young Women (15-24) in Ethiopia: A Mixed-Effects Multilevel Logistic Regression Analysis of the Performance Monitoring for Action 2018 Household Survey

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Gurmesa Tura Debelew ◽  
Mahilet Berhanu Habte
Keyword(s):  
Logistic Regression ◽  
Young Women ◽  
Contraceptive Method ◽  
Performance Monitoring ◽  
Unmet Need ◽  
Mixed Effects ◽  
Multilevel Logistic Regression ◽  
Contraceptive Methods ◽  
Determinant Factors ◽  
The Status

Despite highly effective modern contraceptive methods (both short and long acting) are made widely available and accessible globally, their utilization remains low among young women in low- and middle-income countries, including Ethiopia. Hence, this study is aimed at determining its status and identifying the determinant factors by using nationally representative data. A multilevel analysis of the nationwide Performance Monitoring for Action 2018 of Ethiopia round 6 data, collected from June to July, 2018, was conducted. A total of 982 both married and unmarried young women (15-24) were included in the analysis. Descriptive statistics was used to describe the status of contraceptive method utilization and unmet need across regions. A mixed-effects multilevel logistic regression model was used to identify the determinants of the contraceptive method utilization. Adjusted odds ratios with corresponding 95% confidence intervals were used to show the significance of the associations at p < 0.05 . The status of contraceptive method utilization was 54.8% (95% CI: 51.7%, 57.9%), and 18.6% (95% CI: 16.3%, 21.2%) had unmet need. Afar (12.3%), Harari (12.5%), and Ethiopian Somali (20.0%) regions had the lowest contraceptive method utilization. Wealth quintiles and religion were the higher level variables affecting contraceptive method utilization among the young women. Age, marital status, parity, future birth intention, and knowledge of contraceptive methods were the individual level factors identified as determinants of contraceptive method use among the young women. In conclusion, the status of contraceptive method utilization among the young women in Ethiopia is promising as compared to the national target of 55% for 2020; however, still high unmet need exists. The factors also exist both at the contextual and at individual levels. Hence, multilevel interventions need to be in place giving special emphasis to the low performing regions. Besides, region-specific behavioral interventions and family planning services that will be able to reach the young women need to be designed.

scholarly journals Predictors of male condom use among sexually active heterosexual young women in South Africa, 2012

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Thobani Ntshiqa ◽  
Alfred Musekiwa ◽  
Mandla Mlotshwa ◽  
Kerry Mangold ◽  
Carl Reddy ◽  
...  
Keyword(s):  
South Africa ◽  
Condom Use ◽  
Young Women ◽  
Sexually Active ◽  
Male Condom

scholarly journals Diversities of Sexual Activities and Correlates of Safe Sex Practices Among Adolescents in Plateau State, Nigeria

2021 ◽  
Vol 3 ◽  
Author(s):  
Esther Awazzi Envuladu ◽  
Karlijn Massar ◽  
John B. F. de Wit
Keyword(s):  
Logistic Regression ◽  
Condom Use ◽  
Sexual And Reproductive Health ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sex Partners ◽  
Same Sex ◽  
Consistent Condom Use ◽  
Older Adolescents ◽  
Plateau State

Background: Unsafe sex, particularly, condomless sex exposes adolescents to sexual and reproductive health risks. This study aimed to assess the sexual experiences and to determine the most important covariates of sexual activity and consistent condom use among adolescents in Plateau State, Nigeria.Methods: A cross sectional survey was conducted among 428 adolescents selected from 6 LGAs through a multistage sampling technique. The data was analyzed using the IBM Statistical package for Social Sciences (SPSS) version 23, multiple logistic regression was conducted to determine the covariates of sexual activity and condom use.Results: About one third (38%) of the adolescents were sexually active, 5.7% had same sex partners, 70% had more than one sexual partner and majority (72.4%) were not consistently using condom during sex. Logistic regression results showed that older adolescents (OR = 5.73; CI = 3.72–8.12; p = 0.001) and out of school adolescents (OR = 2.68; CI = 1.79–4.00; p = 0.001) were more likely to be sexually active, while multivariable logistic regression analysis showed age (AOR = 0.33; CI = 0.12–0.90; p = 0.031) and gender as important covariates of being sexually active, (AOR = 6.29; CI = 3.18–12.44; p = 0.001). Inconsistent condom use was more likely among adolescents; with lower education, (OR = 2.14; CI = 1.19–3.85; p = 0.011), having sex with older partners (OR = 0.61; CI = 0.42–0.90; P = 0.013) and with low awareness of SRH issues (OR = 2.08; CI = 1.02–4.22; p = 0.044). The multivariable logistic regression however, showed gender, being male (AOR = 0.43; CI = 0.006–3.09; p = 0.023) as covariate of consistent condom use.Conclusion: Most sexually active adolescents had multiple sexual partners, some had same sex partners and majority were not consistently using condom. Older adolescents and those out of school were more likely to be sexually active. Awareness of SRH issues significantly influenced condom use while gender, specifically being male, was the independent covariate for being sexually active and for consistent condom use. We recommend sexual health intervention targeted at adolescents. In addition, gender should be mainstreamed into adolescent sexual and reproductive health programmes.

Prevalence and correlates of condom use among sexually active men who have sex with men in the United States: findings from the National Survey of Family Growth, 2002, 2006–10 and 2011–13

Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 363 ◽  
Author(s):  
Winston E. Abara ◽  
Emeka Oraka ◽  
William L. Jeffries IV ◽  
Pollyanna Chavez ◽  
Muazzam Nasrullah ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Consistent Condom ◽  
Sexually Active ◽  
Sex Partners ◽  
Risk Behaviours ◽  
Consistent Condom Use ◽  
Family Growth ◽  
Sex With Men ◽  
Sexual Risk Behaviours

Background: Men who have sex with men (MSM) are disproportionately at risk of contracting HIV and other sexually transmissible infections (STIs). Correct and consistent condom use is the most effective method to prevent HIV and other STIs among sexually active MSM. Methods: Using data from the 2002, 2006–10, 2011–13 cycles of the National Survey of Family Growth (NSFG), the overall prevalence of condom use at last sex and by sexual risk behaviours (sex with ≥2 same-sex partners, sex with ≥2 opposite sex partners, sex with a person who injects drugs, sex with an HIV-positive person and exchanged sex for money or drugs) among sexually active MSM (reported oral or anal sex with a male in the preceding 12 months) was estimated. The association between condom use at last sex and demographic and sexual behaviour variables was also evaluated. Results: Approximately 31% of all respondents (n = 618; weighted n = 1 596 702) reported condom use at last sex. Among MSM who reported ≥1 sexual risk behaviour in the past year, prevalence of condom use at last sex ranged from 30 to 38%. After adjusting for covariates, Hispanic MSM [adjusted prevalence ratio (APR) = 1.81, 95%CI = 1.27–2.58] were more likely than White MSM to report condom use at last sex; MSM with a recently diagnosed STI (APR = 1.71, 95%CI = 1.04–2.80) were more likely than MSM without a recently diagnosed STI to report condom use at last sex; and married or cohabitating MSM (APR = 0.29, 95%CI = 0.13–0.66) were less likely than unmarried and not cohabitating MSM to report condom use at last sex. There was no difference in temporal trends in condom use at last sex across the three NSFG cycles [2002 (33.8%); 2006–10 (25.6%); 2011–13 (40.6%), P = 0.926]. Conclusions: This study data suggest that prevalence of condom use among MSM is low, even among MSM who report sexual risk behaviours. The continued promotion of consistent condom use as an effective primary HIV/STI risk-reduction strategy is important because it mitigates HIV and STI risk and also complements the effectiveness of newer HIV prevention approaches such as pre-exposure prophylaxis.

Sign in / Sign up

Export Citation Format

Share Document