scholarly journals Concurrent partnering and condom use among rural heterosexual African-American men

Sexual Health ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 81 ◽  
Author(s):  
JaNelle M. Ricks ◽  
Angelica Geter ◽  
Richard A. Crosby ◽  
Emma Brown

Background Limited research has targeted HIV risk among heterosexual African-American men in the rural south-eastern United States. Methods: A cross-sectional survey was administered to 538 men to assess HIV knowledge, attitudes towards HIV testing and sexual risk behaviour. Results: Fifty-one percent reported consistent condom use in the past 3 months. Monogamous men reported more consistent condom use (t = 3.47, d.f. = 536, P < 0.001). In concurrent partnerships, condom use was inversely related to age (adjusted odds ratio (AOR) = 0.98, 95% confidence interval (CI) = 0.95–0.998, P = 0.03) and increased with the number of female partners (AOR = 1.49, 95% CI = 1.26–1.76, P < 0.001). Conclusions: African-American HIV prevention outreach should include focus on concurrent partnering in rural settings.

2018 ◽  
Vol 45 (2) ◽  
pp. 147-154 ◽  
Author(s):  
Carmen H Logie ◽  
Candice L Lys ◽  
Jamie Fujioka ◽  
Nancy MacNeill ◽  
Kayley Mackay ◽  
...  

BackgroundSexually transmitted infections (STI) prevention in the Northwest Territories (NWT), Canada is an urgent concern as STI prevalence is seven-fold the national average. The study objective was to explore factors associated with sexual activity and condom use among adolescents in the NWT.MethodsWe conducted a cross-sectional survey with youth aged 13–18-years-old in 17 NWT communities. We use Poisson regression models with a robust sandwich error variance to estimate adjusted relative risks estimates of the likelihood of experiencing the primary outcomes of sexual activity (vaginal/anal/oral sex) and consistent condom use (oral/anal sex) in the past 3 months by gender.ResultsParticipants (n=607; mean age: 14.2 years; SD: 1.5) included adolescent cisgender girls (n=302; 49.5%), cisgender boys (n=298; 48.9%) and transgender persons (n=7; 1.2%). Most identified as Indigenous (n=444; 73.1%) and 14.0% (n=85) as lesbian, gay, bisexual or queer sexuality (LGBQ+). Among sexually active individuals (n=115), less than half (n=54; 47.0%) reported past 3 month consistent condom use. In adjusted analyses among girls, sexual activity was associated with age, STI knowledge, and alcohol/drug use; LGBQ+ identity and alcohol/drug use were associated with reduced likelihood of condom use. Among boys, sexual activity was associated with age and alcohol/drug use; LGBQ+ identity was associated with increased likelihood of condom use.ConclusionsFindings demonstrate sexual activity among adolescents in the NWT varies by gender, age, and alcohol/drug use. Consistent condom utilisation was low, particularly for those using alcohol/drugs. Gender-tailored STI prevention strategies with Northern adolescents should address alcohol/drug use and build protective factors.


2019 ◽  
Author(s):  
Megan Clare Craig-Kuhn ◽  
Norine Schmidt ◽  
Gérard Gomes ◽  
Glenis Scott ◽  
Shannon Watson ◽  
...  

Sexual Health ◽  
2007 ◽  
Vol 4 (3) ◽  
pp. 211 ◽  
Author(s):  
Richard Crosby ◽  
Ralph J. DiClemente ◽  
William L. Yarber ◽  
Gregory Snow ◽  
Adewale Troutman

This descriptive study evaluated the validity of self-reported condom use among young African American men. Thirty percent (n = 79) of the men reported consistent condom use. After accounting for late application and/or early removal of condoms, slippage, and breakage, 26 men remained classified as consistent users. Among the 79 men initially classified as consistent condom users, 695 sexual episodes were reported as ‘condom-protected;’ however, after correcting for user error, 29.6% of the sexual episodes were actually not protected. Studies assessing self-reported condom use among young African American men should assess user errors as well as frequency of condom use.


PEDIATRICS ◽  
1996 ◽  
Vol 98 (2) ◽  
pp. 269-278 ◽  
Author(s):  
Ralph J. DiClemente ◽  
Mark Lodico ◽  
Olga A. Grinstead ◽  
Gary Harper ◽  
Richard L. Rickman ◽  
...  

Objective. African-American adolescents living in high-risk inner-city environments have been disproportionately affected by the epidemics of human immunodeficiency virus (HIV) and other sexually transmitted diseases. Understanding the factors that influence the use of condoms by adolescents is critical for developing effective behavioral interventions. The present study examined the demographic, psychosocial, and behavioral correlates of condom use among African-American adolescents residing in public housing developements in an HIV epicenter (San Francisco) and prospectively evaluated the stability of these significant cross-sectional variables to predict consistent condom use. Design. A prospective study. Setting. Two public housing developments in San Francisco. Participants. African-American adolescents and young adults between 12 and 21 years of age were recruited though street outreach and completed a theoretically derived research interview assessing HIV-related knowledge, attitudes, and behaviors. After a 6-month period, adolescents completed a follow-up interview similar to the baseline measure. Among adolescents reporting sexual activity in the 6 months before completing the baseline interview (n = 116), logistic regression analysis evaluated the influence of demographic, psychosocial, and behavioral factors on consistent condom use. Results. Adolescents who had high assertive self-efficacy to demand condom use (adjusted odds ratio [OR], 11), perceived peer norms as supporting condom use (OR, 4.2), had greater impulse control (OR, 3.7), were male (OR, 4.7), and were younger (OR, 2.9) were more likely to report consistent condom use. Frequency of sexual intercourse was inversely related to condom use; adolescents with higher numbers of sexual episodes were less likely to use condoms consistently. Prospective analyses identified the baseline level of condom use as the best predictor of condom use at the 6-month followup Adolescents who were consistent condom users at baseline were 7.4 times as likely to be consistent condom users during the follow-up period. Of those adolescents changing their frequency of condom use during the follow-up interval, significantly more engaged in risky behavior; 33.3% changed from consistent to inconsistent condom use, whereas 20.6% changed from inconsistent to consistent use (OR, 1.6). Conclusions. The findings suggest that HIV prevention programs need to be implemented early, before high-risk behaviors are established and may be more difficult to modify.


2017 ◽  
Vol 12 (1) ◽  
pp. 134
Author(s):  
Ratna Dewi Handayani ◽  
Zahroh Shaluhiyah ◽  
Kusyogo Cahyo

ABSTRAKPenelitian pencegahan penularan IMS dan HIV/AIDS melalui hubungan seksual pada pengguna napza suntik yang dilakukan oleh Pusat penelitan Unika Atmajaya menjelaskan bahwa penasun menyadari bahwa menggunakan kondom saat berhubungan seksual merupakan pencegahan terbaik, tetapi penggunaan kondom secara konsisten baru mencapai 19-40% dan dilakukan hanya pada pasangan komersial, sedangkan pada pasangan tetap tidak dilakukan. Pada penelitian ini subyek penelitian dikhususkan pada pengguna napza stimulan mengingat efek yang ditimbulkan salah satunya adalah peningkatan gairah seksual dan perilaku seksual bebas, tujuan penelitian mengetahui faktor-faktor yang mempengaruhi perilaku pemakaian kondom konsisten saat melakukan hubungan seksual pada laki-laki pengguna napza stimulan  di kota Semarang.   Penelitian dilaksanakan dengan metode kuantitatif-explanatory research pendekatan cross sectional kepada seluruh pengguna napza stimulan yang ada dikota Semarang- dibawah binaan HR LSM Graha Mitra.Hasil penelitian menunjukkan 43 orang responden pengguna shabu-sabu dan extacy dimana 36 diantaranya hanya menggunakan extacy saja.  Mereka menggunakan kondom secara konsisten 55.8%, dan tidak menggunakan kondom secara konsisten sebanyak 44.2%. Analisis bivariat penelitian bermakna pada sikap, persepsi manfaat, persepsi kemampuan diri, dan dukungan pasangan seksual. Sedangkan penelitian tidak bermakna pada karakteristik (umur, pendidikan, pekerjaan, status pernikahan, tempat tinggal, status HIV, pengetahuan, persepsi kerentanan, persepsi keparahan, keterjangkauan akses kondom dan ketrampilan pemakaian kondom.  Analisis multivariat memperlihatkan adannya pengaruh variabel independen kepada variabel dependen yaitu sikap dan dukungan pasangan seksual dengan probabilitas penggunaan kondom secara konsisten pada pengguna napza stimulan 13.9%. Kata Kunci: Perilaku, Kondom Konsisten, Napza stimulant. Factors That Affect The Behavior Of Consistent Condom Use During Sexual Intercourse On A Male Stimulant Drugs Users In The City Of Semarang: Research on the prevention of the transmission of STI and HIV/AIDS through sexual intercourse on people who use drugs by injection the study centre Unika Atmajaya explained that IDU’s realized that using condoms during sexual intercourse is the best prevention, but condom use is consistently achieving new 19-40% and is done only on the commercial, while couples on couples still isn't done. On the research subject of research is devoted to users who use drugs stimulants given effect posed one is an increase in sexual arousal and sexual behaviour, the research objectives knowing the factors that affect the behavior of consistent condom use during sexual intercourse on a male stimulant drugs users in the city of Semarang. Research carried out by quantitative methods-explanatory research approach of cross sectional to all users who use drugs stimulants that exists in the city of Semarang-under the patronage of HR NGOS Graha Mitra.The results showed 43 people respondents shabu shabu users sabu and extacy where 36 of them only use the extacy only. They use condoms consistently 55.8%, and not using condoms consistently as much of 44.2%. Analysis of meaningful research on bivariat attitude, perception, perception of the ability of self benefit, and support sexual partners. While the research does not mean on the characteristics (age, education, occupation, marital status, place of residence, HIV status), knowledge, perception, perception of the severity of the vulnerability, the affordability of access condoms and condom use skills. Multivariate analysis shows that influence the dependent variable to the independent variable i.e. attitude and sexual partner support with a probability of use condoms consistently on people who use drugs stimulants 13.9%.Key Words; behavior, Condom Consistently, stimulant Drugs


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