scholarly journals Fertility Desires and Intentions and the Relationship to Consistent Condom Use and Provider Communication regarding Childbearing among HIV Clients in Uganda

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Glenn J. Wagner ◽  
Rhoda Wanyenze

Family planning services emphasize prevention of unplanned pregnancies, but rarely account for the childbearing desires of HIV clients. We examined the correlates of fertility desires and intentions among 767 HIV clients (34% male) starting antiretrovirals in Uganda. Half of participants had a primary sex partner. Among those with a desire (31%) or intention (24%) for having a child in the near future, 60% had not discussed this with providers. Over one quarter (27%) were told by their provider that they should not bear a child because of their HIV status. In regression analysis, male gender, younger age, higher CD4, having fewer children, and having a primary partner were associated with fertility desires and intentions; having been told by provider not to have a child was associated with intentions but not desires. Among participants with a primary partner, consistent condom use was greater among those with no fertility intentions, as was receipt of advise about family planning, while HIV disclosure to partner was greater among those with intentions. Partner HIV status was not associated with fertility desires or intentions. These findings highlight the need for reproductive health programs for HIV clients to incorporate safer conception counseling and improve communication regarding childbearing.

AIDS Care ◽  
2015 ◽  
Vol 28 (1) ◽  
pp. 119-123 ◽  
Author(s):  
Eleonora C. V. Costa ◽  
Rosa Oliveira ◽  
Domingos Ferreira ◽  
M. Graça Pereira

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rosliza Abdul Manaf ◽  
Nigel Dickson ◽  
Sarah Lovell ◽  
Faisal Ibrahim

Abstract Background Men who inject drugs (MWIDs) comprise the highest percentage of diagnosed HIV cases in Malaysia. Their female partners risk being infected through unprotected sexual contact. This paper reports the prevalence of consistent condom use and its predictors among the wives and regular sexual partners of MWIDs in Klang Valley, Malaysia. Methods A cross-sectional study using a self-administered questionnaire was conducted among the wives and regular sexual partners of MWIDs in the study location; 221 women were recruited through respondent-driven sampling. Data were analysed descriptively for the prevalence of consistent condom use, HIV status and HIV risk-related behaviour. Subsequently, simple and multiple logistic regressions were undertaken to identify the predictors of consistent condom use. Results The prevalence of consistent condom use among respondents was 19.5%. Slightly more than half (52.5%) of respondents had never used condoms with their partner. Fourteen women (6.3%) reported being HIV positive. While 7.7% had HIV-positive partners, 45.7% were unaware of their partner’s HIV status. Consistent condom use was significantly higher among single women (AOR = 4.95; 95% CI: 2.45, 9.99), women who lived in urban areas (AOR = 2.97; 95% CI: 1.30, 6.78), HIV-positive women (AOR = 3.45; 95% CI: 1.13, 10.5) and women involved in sex work (AOR = 3.55, 95% CI: 1.45, 8.67). Conclusions Inconsistent condom use among the majority of female sexual partners of MWIDs underscores the heightened risk faced by these women and calls for alternative prevention methods that women are able to control.


BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e020351
Author(s):  
Shuang-Fei Xu ◽  
Jun-Qing Wu ◽  
Yu-Yan Li ◽  
Chuan-Ning Yu ◽  
Rui Zhao ◽  
...  

ObjectiveWith the increased population mobility and the transition in population policy, scholars are quite concerned about family planning/sexual and reproductive health (SRH) and related factors among internal migrant population of reproductive age. Therefore, the proposed study was designed to explore the association between factors related to family planning/SRH and contraceptive use as well as consistent condom use among the above-described population in China.DesignCross-sectional study.SettingThree municipalities in China, namely Beijing, Shanghai and Chongqing.ParticipantsAmong the 6545 participants, 2099, 2414 and 2031 subjects came from Beijing, Shanghai and Chongqing, respectively.ResultsA total of 6545 eligible participants were included as the full sample, 6188 of whom who had intercourse in the last 3 months were selected as the subsample. Among the subsample, 80.88% (5005/6188) adopted any form of contraceptive methods and 49.14% (3041/6188) consistently used condom in the last three sexual intercourses. Meanwhile, the involved participants had a better mastery of knowledge on SRH than on contraception (p<0.0001). The results of the Heckprobit models revealed that the factors associated with both contraceptive use and consistent condom use were relationship with the first intercourse partner, communication frequency with spouse/sexual partners on sex, actual number of children and knowledge on SRH, while knowledge on contraception and age at first intercourse were associated with contraceptive use and consistent condom use, respectively (p<0.05).ConclusionsIn the current study, we revealed a high-level contraceptive prevalence, a relatively low-level consistent condom use and a poor mastery of knowledge on contraception and SRH. The Heckprobit selection model specified the existence of selection bias, providing evidence on the association between the factors on family planning/SRH and contraceptive use as well as consistent condom use, respectively. Our findings indicated that health institutions should offer appropriate technology and high-quality family planning/SRH services for the internal migrant population in China.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255325
Author(s):  
Bright Opoku Ahinkorah ◽  
John Elvis Hagan ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Georgina Yaa Mensah ◽  
...  

Background Despite considerable efforts to promote condom use, sexually active people in sub-Sahara Africa still engage in risky sexual behaviours, with condom use relatively low. With this high vulnerability of these persons to HIV and sexually transmitted infections, research related to exposure to family planning messages to help curb this trend remains sparse. This study examined how exposure to family planning messages in the midst of some socio-demographic factors is associated with consistent condom use among sexually active never married men in Ghana. Methods Data were obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. Only never married men (15–64 years) who have had sexual experience in the last 12 months were included in the analysis (N = 971). Frequencies, percentages, chi-square tests and binary logistic regression analyses were carried out. Results of the binary logistic regression analysis were presented using crude odds ratios (cOR) and adjusted odds ratios (aOR). Results The results showed that only 26.15% of sexually active never married men in Ghana consistently used condom during sex. Men who were exposed to family planning messages were 51% more likely use condom consistently compared to those who are not exposed [aOR = 1.51, CI = 1.04–2.18]. In terms of the covariates, the likelihood of consistent condom use among men in Ghana was lower among those aged 35 years and above compared to those aged 15–24 [aOR = 0.46 CI = 0.21–0.99]. The odds of consistent condom use among men increased with level of education, with men with higher level of education having the highest odds of consistent condom use compared to those with no formal education [aOR = 9.98, CI = 2.05–48.46]. Men of the richest wealth quintile were more likely to use condom consistently compared to those of the poorest wealth quintile [aOR = 2.62, CI = 1.30–5.27]. Higher odds of consistent condom use was found among men who dwelled in the Central, Northern, and Upper East regions compared to those of the Western region. Conclusion Our findings have established a strong association between exposure to family planning messages alongside age, educational level, wealth, and region of residence and consistent condom use. Men exposed to family planning messages were more likely to use condoms consistently. Designed programs should use intervention strategies that focus on interactive and participatory educational activities to improve sexually active men’s interpersonal communication on family planning messages, especially on consistent condom use with their sexual partners.


2018 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
Ririn Febriana Anggraeni ◽  
Pandu Riono ◽  
M. Noor Farid

Abstrak: Hubungan seks yang berisiko menularkan HIV adalah hubungan seks dengan banyak pasangan dan berganti-ganti pasangan yang sebagian besar didominasi dengan hubungan seks komersial, baik pada kelompok heteroseksual maupun pada kelompok homoseksual atau sejenis. Kelompok yang paling berisiko tertular HIV adalah kelompok homoseksual dan biseksual yang biasa dikategorikan sebagai lelaki seks lelaki atau disebut LSL. Di banyak bagian wilayah, HIV di kalangan LSL muncul dengan penularan HIV yang sangat cepat. Penelitian ini bertujuan untuk mengetahui pengaruh tahu status HIV terhadap penggunaan kondom konsisten pada LSL di Yogyakarta dan Makassar dan melihat adakah perbedaan hasil analisis dengan menggunakan metode RDS dan non RDS terhadap indikator program. Penelitian ini menggunakan data STBP 2013. Dari hasil analisis diperoleh bahwa di Yogyakarta ada pengaruh tahu status HIV terhadap penggunaan kondom konsisten dengan OR sebesar 6,6 dan 95% CI 2,1-20,9, sedangkan di Makassar belum dapat diketahui pengaruh tahu status HIV dengan penggunaan kondom konsisten dengan OR sebesar 1,6  dan 95% CI 0,6 - 4,4. Ada perbedaan hasil analisis dengan menggunakan metode RDS dan non RDS terhadap indikator program. Terdapat pengaruh tahu status HIV dengan penggunaan kondom konsisten pada lelaki yang seks dengan lelaki di Yogyakarta sedangkan di Makassar belum dapat diketahui pengaruh tahu status HIV dengan penggunaan kondom konsisten. Terdapat perbedaan hasil analisis dengan menggunakan metode RDS dan non RDS terhadap indikator program. Abstract:  Sex which higher risk of spreading HIV is sex with multiple partners and change partners that is largely dominated by commercial sex, either on the heterosexual and homosexual group, or similar sexual behaviour. Groups most at risk of contracting HIV is a group of homosexual and bisexual men are commonly categorized as men sex with men, or so-called MSM. In many parts of the region, HIV among MSM appears with HIV infection very quickly. This study aimed to determine the effect knowing their HIV status toward consistency condom use in MSM in Yogyakarta and Makassar and to see the differences between analysis using RDS and non RDS to indicator of program. This study uses data IBBS 2013. From the results of the analysis showed that in Yogyakarta there was an effect Yogyakarta of knowing HIV status toward consistency condom use with an OR of 6,6 and 95%CI 2,1-20,9, while in Makassar is unclear knowing HIV status toward consistent condom use with an OR of 1.6 and 95% CI 0,6 - 4,1. There is differences between analysis using RDS and non RDS to indicator of program. There is Influence of knowing HIV Status to consistent Condom use in Yogyakarta while in Makassar unclear knowing HIV status toward consistent condom use. There is differences between analysis using RDS and non RDS to indicator of program.


2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Ijeoma S. Eze ◽  
Margaret Brady ◽  
Beth Keely

AbstractLatinos in the United States are disproportionately affected by Human Immunodeficiency Virus and sexually transmitted infections (STIs). They account for about 24 % of newly diagnosed AIDS cases each year and are two to three times more likely to develop STIs when compared with non-Latino whites. Limited knowledge of STIs has remained one of the contributing factors to the disparity. The purpose of this study was to implement an educational bundle and evaluate its effectiveness in increasing STI knowledge and consistent condom use among adult Latinos seen in an outpatient clinic that serves low income patients. A pre- and post-test design was used to evaluate changes in STI knowledge and consistency of condom use. The educational bundle consisted of YouTube STI-related videos, a pre-designed one to one educational session, provision of condoms and STI-related educational materials. Self-administered questionnaires were used to collect data at baseline and one week post implementation of the educational bundle. Forty-six Latinos (18 females and 28 males) ranging in ages 19 to 60 years participated in the project. The total mean STI knowledge and condom use frequency improved from pre-test (M = 1.67, M = 3.09) to post-test (M = 3.80, M = 5.33). Results of paired samples t-tests demonstrated statistically significant differences between total mean STI knowledge (t(45) = –15.48, p < 0.001) and condom use frequency (t(45) = –7.09, p < 0.001) at pre-test and post-testing. The educational bundle was effective in increasing STI knowledge and consistent condom use among adult Latinos in an outpatient clinic. Further study needs to be done to determine the long-term effect of this mode of education for this population.


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