Younger Gay and Bisexual Men's Condom Use With Main Regular Sexual Partner in New Zealand

2015 ◽  
Vol 27 (3) ◽  
pp. 257-274 ◽  
Author(s):  
Nathan J. Lachowsky ◽  
Peter J. W. Saxton ◽  
Anthony J. Hughes ◽  
Nigel P. Dickson ◽  
Alastair J. S. Summerlee ◽  
...  
2013 ◽  
Vol 89 (Suppl 1) ◽  
pp. A298.2-A298
Author(s):  
N J Lachowsky ◽  
P J W Saxton ◽  
A J Hughes ◽  
N P Dickson ◽  
A J S Summerlee ◽  
...  

2021 ◽  
Vol 3 (1) ◽  
pp. 1-11
Author(s):  
Phoebe D Ndayala ◽  
Lucy W Ngige ◽  
Alice Ondigi ◽  
Humphries Evelia

The purpose of the study was to assess the relationship between sexual practices and HIV seropositive status disclosure to sexual partners by People Living with Human Immune-Deficiency Virus (PLWHIV) in Nairobi, Kenya. A survey was conducted among 232 PLWHIV who were registered members of HIV support groups in an informal settlement. Results showed that half (50.5%) of the respondents had disclosed their HIV seropositive status to their sexual partners. Chi-square results revealed statistically significant relationships between HIV seropositive disclosure and the following sexual behaviours: condom use in the last sexual encounter (χ2 = 12.144; df = 1; p = 0.001); regular sexual partner (χ2 = 5.124; df = 1; p = 0.024); agreement on HIV testing with sexual partner (χ2 = 3.873; df = 1; p = 0.039) and knowledge of sexual partners’ HIV serostatus (χ2 = 6.536; df = 1; p = 0.011). The binary logistic regression results established four positive predictors of self-disclosure to sexual partners as regular sexual partner (AOR = 2.506; p = 0.012), knowledge of sexual partners’ HIV serostatus (AOR = 3.949; p = 0.015), condom use during the last sexual encounter (AOR = 3.507; p = 0.035) and agreement on HIV testing with sexual partner (AOR = 2.560; p = 0.020).  However, the desire to conceive (AOR = 3.050; p = 0.094) and the method of testing HIV serostatus (AOR = 0.853; p = 0.530) were not significant predictors of HIV seropositivity disclosure. It was concluded that respondents who knew their partners HIV serostatus and also used a condom during their last sexual encounter were four times more likely to disclose than those who were not aware of partners’ serostatus or those who did not use a condom in their last sexual encounter. Furthermore, those who were in regular sexual relationships and also agreed on HIV testing with sexual partners were twice more likely to disclose than those in casual sexual relationships. An analysis of sexual practices of PLWHIV can therefore enhance the formulation of targeted strategies aimed at enhancing HIV prevention and reduction of risky sexual behaviour among PLWHIV.


Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 81 ◽  
Author(s):  
Nathan J. Lachowsky ◽  
Peter J. W. Saxton ◽  
Anthony J. Hughes ◽  
Nigel P. Dickson ◽  
Robin R. Milhausen ◽  
...  

Background Condom promotion remains a cornerstone of HIV/STI control, but must be informed by evidence of uptake and address disparities in use. This study sought to determine the prevalence of, and demographic, behavioural and relational factors associated with, condom use during insertive and receptive anal intercourse with casual partners among younger gay, bisexual and other men who have sex with men (YMSM) in New Zealand. Methods: The 2006–2011 national HIV behavioural surveillance data for YMSM aged 16–29 years was pooled. Separately for each sexual position, frequent (always/almost always) versus infrequent condom use was regressed onto explanatory variables using manual backward stepwise multivariable logistic regression analysis. Results: Three-quarters of YMSM reported frequent condom use during insertive (76.0%) and receptive (73.8%) anal intercourse. YMSM who were exclusively insertive were more likely to report frequent condom use than versatile YMSM. Factors positively associated with frequent condom use, irrespective of sexual position were: in-person versus web-based recruitment, testing HIV negative versus never testing or testing HIV positive, having no recent sex with women, reporting two to five versus one male sexual partner in the past 6 months, reporting no current regular partner, but if in a regular relationship, reporting a boyfriend-type versus fuckbuddy-type partner, and frequent versus infrequent regular partner condom use. Pacific ethnicity and less formal education were negatively associated with frequent condom use only during receptive anal intercourse. Conclusions: The findings from this study demonstrate that condom norms can be actively established and maintained among YMSM. Condom promotion efforts must increase YMSM’s capacity, agency and skills to negotiate condom use, especially for the receptive partner.


2018 ◽  
Author(s):  
◽  
Kimberly C. Hart

Sexually transmitted infections (STI) are a significant public health problem among U.S. women. Single midlife women aged 40-59 are at particular risk for STI. Little is known about the factors that contribute to low sexual health protection and condom non-use in this population. The majority of research on STI prevention has focused on populations of younger women. This cross sectional study, guided by the theory of planned behavior examined relationships between STI perceived risk, attitudes, subjective norms, perceived behavioral control, condom use intention and sexual health behaviors. Data were collected with a convenience sample of single midlife women at risk for STI who participated via a web-based survey. Of the 611 women who entered the survey website, eligible participants (n=285) were predominantly 40-49 years of age (65.6%), Caucasian (94.7%), college graduates, (62.1%) and employed (85.3%). Approximately one-third (31.6%, n=90) indicated a previous STI diagnosis. Half (49.5%) of the women reported they had used a condom use with the last new sexual partner. For the entire sample, attitudes, subjective norms, and perceived behavioral control each significantly correlated with intention to use condoms with a new sexual partner. Logistic regression analysis showed that using a condom with a new sexual partner significantly increased as attitude (p=.002) and intention (p=.001) increased. Higher level of education correlated with decreased subject norms and intention towards condom use. There was a significant decrease in condom use of women with a college degree. A positive correlation was found between STI and number of new sexual partners. However, having more new sexual partners was significantly correlated with decreased condom use. Findings indicated this sample of single midlife women had positive attitudes, subjective norms, perceived behavioral control and intention toward condom use. Yet, a condom was used only half of the time with new sexual partners. Findings from this study can inform interventions and programs that aim to enhance sexual health outcomes and reduce STI acquisition among midlife women.


Author(s):  
Jeffery Adams ◽  
Rommel Coquilla ◽  
Jed Montayre ◽  
Eric Julian Manalastas ◽  
Stephen Neville

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