Factors associated with condom use among HIV-positive women living in Atlanta, Georgia
Autoři:
Priya R. Gursahaney aff001; Sarah Cordes aff002; Ighovwerha Ofotokun aff003; Kristin M. Wall aff004; Denise J. Jamieson aff002; Lisa B. Haddad aff002
Působiště autorů:
University of Cincinnati College of Medicine, Department of Obstetrics and Gynecology, Cincinnati, Ohio, United States of America
aff001; Emory University School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia, United States of America
aff002; Emory University School of Medicine, Department of Medicine, Infectious Disease Division and Grady Health Care System, Atlanta, Georgia, United States of America
aff003; Emory University Rollins School of Public Health, Department of Epidemiology, Atlanta, Georgia, United States of America
aff004
Vyšlo v časopise:
PLoS ONE 14(12)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0225406
Souhrn
Objectives
Consistent condom use is essential to reducing heterosexual transmission of HIV. African Americans are disproportionately affected by HIV in the United States despite comprising a small percentage of the population. Our objectives were to evaluate factors associated with self-reported condom use in a cohort of predominantly African American women receiving HIV care in Atlanta, Georgia.
Methods
A cross-sectional study of reproductive knowledge, attitudes, and practices among adult, sexually-active, HIV-positive women attending the Grady Infectious Disease Clinic in Atlanta, Georgia was conducted from July, 2013 to November, 2014 to evaluate factors associated with self-reported condom use. Primary outcomes included: condom use at last vaginal intercourse and consistent condom use with vaginal intercourse over the last six months. Descriptive, bivariable, and multivariable logistic regression analyses were performed.
Results
Of 187 women enrolled, 170 reported having vaginal intercourse in the last six months. Seventy-four percent used condoms at last vaginal intercourse, whereas 53% reported consistent condom use over the last six months. In adjusted analyses, factors associated with condom use at last intercourse included decreased frequency of sex, no history of drug use, and confidence to discuss condom use with sexual partners (p<0.05). Factors associated with consistent condom use in the past six months were older age, being single/dating, and confidence to discuss condom use with sexual partners. History of drug use, having HIV-positive partners, and unprotected anal intercourse were associated with inconsistent use (p<0.05).
Conclusions
Improved strategies are needed to educate women on the importance of safe sexual practices and condom negotiation. Healthcare providers should strive to have an open dialogue with patients about condom use, whether they engage in anal sex, and its risks.
Klíčová slova:
HIV diagnosis and management – Behavior – Copulation – Heterosexuals – HIV prevention – African American people
Zdroje
1. Centers for Disease Control and Prevention. HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2017 (Vol. 29). https://www.cdc.gov/hiv/statistics/overview/index.html.
2. Joint United Nations Programme on HIV/AIDS (UNAIDS). Global Report: UNAIDS report on the global AIDS epidemic 2013. Published 2013. http://www.unaids.org/en/resources/campaigns/globalreport2013/globalreport.
3. Holmes KK, Levine R, Weaver M. Effectiveness of condoms in preventing sexually transmitted infections. Bull World Health Organ 2004; 82:454–461. 15356939
4. Warner L, Newman DR, Austin HD, Kamb ML, Douglas MM Jr, Malotte CK, et al. Condom effectiveness for reducing transmission of gonorrhea and Chlamydia: The importance of assessing partner infection status. Am J Epidemiol 2005; 159:242–251.
5. Weller S, Davis K. Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database Syst Rev 2002; 1:CD003255.
6. Nasrullah M, Oraka E, Chavez PR, Johnson CH, DiNenno E. Factors associated with condom use among sexually active U.S. adults, national survey of family growth, 2006–2010 and 2011–2013. J Sex Med, 2017; 14: 541–550. doi: 10.1016/j.jsxm.2017.02.015 28364979
7. Crosby RA, Charnigo RA, Weathers C, Calends AM, Shrier LA. Condom effectiveness against non viral sexually transmitted infections: A prospective study using electronic daily diaries. Sex Transm Infect 2012; 88:484–489. doi: 10.1136/sextrans-2012-050618 23002192
8. Haddad LB, Feldacker C, Jamieson DJ, Tweya H, Cwiak C, Chaweza T, et al. Pregnancy prevention and condom use practices among HIV-positive women on antiretroviral therapy seeking family planning in Lilongwe, Malawi. PLoS One 2015: 10:e0121039. doi: 10.1371/journal.pone.0121039 25811849
9. Shewamene Z, Legesse B, Tsega B, Bhagavathula AS, Endale A. Consistent condom use in HIV/AIDS patients receiving antiretroviral therapy in northwestern Ethiopia: implication to reduce transmission and multiple infections. HIV AIDS 2015; 7:119–124.
10. Haddad LB, Tang JH, Krashin J, Wingston N, Hannock T, Samala B, et al. Factors associated with condom use among men and women living with HIV in Lilongwe, Malawi: a cross-sectional study. BMJ Sex Reprod Health 2018; 44: 1–12. doi: 10.1136/bmjsrh-2017-101825 29248899
11. 2010 Census Shows Black Population has Highest Concentration in the South: People Who Reported as Both Black and White More than Doubled. Published Sept 29, 2011. https://www.census.gov/newsroom/releases/archives/2010_census/cb11-cn185.html.
12. Centers for Disease Control and Prevention. HIV and African Americans. Published 2019. https://www.cdc.gov/hiv/group/racialethnic/africanamericans/index.html.
13. Wolitski R. HIV in the African American Community: Progress, But Our Work is Far From Over. Published Feb 7, 2018. https://www.hiv.gov/blog/hiv-african-american-community-progress-our-work-far-over.
14. Centers for Disease Control and Prevention. Condom distribution as a structural level intervention. Published 2018. https://www.cdc.gov/hiv/programresources/guidance/condoms/index.html.
15. Haddad LB, Machen LK, Cordes S, Huylebroeck B, Delaney A, Ofotokun I, et al. Future desire for children among women living with HIV in Atlanta, Georgia. AIDS Care 2016; 28:455–459. doi: 10.1080/09540121.2015.1114996 26702869
16. Poundstone KE, Strathdee SA, Celentano DD. The social epidemiology of human immunodeficiency virus/acquired immunodeficiency syndrome. Epidemiol Rev 2004; 26:22–35. doi: 10.1093/epirev/mxh005 15234945
17. Carter MW, Kraft JM, Hatfield-Timajchy K, Snead MC, Ozeryansky L, Fasula AM, et al. The reproductive health behaviors of HIV-infected young women in the United States: A literature review. AIDS Patient Care STDs 2013; 27:669–680. doi: 10.1089/apc.2013.0208 24320012
18. Clum GA, Chung SE, Ellen JM, Perez LV, Murphy DA, Harper GW, et al. Victimization and sexual risk behavior in young HIV-positive women: Exploration of mediators. AIDS Behav 2012; 16:999–1010. doi: 10.1007/s10461-011-9931-0 21452050
19. Outlaw A, Naar-King S, Janisse H, Parsons JT, Adolescent Trials Network for HIV/AIDS Interventions. Predictors of condom use in a multi-site study of high-risk youth living with HIV. AIDS Educ Prev 2010; 22:1–14. doi: 10.1521/aeap.2010.22.1.1 20166783
20. Sturdevant MS, Belzer M, Weissman G, Friedman LB, Sarr M, Muenz LR, et al. The relationship of unsafe sexual behavior and the characteristics of sexual partners of HIV infected and HIV uninfected adolescent females. J Adolesc Health 2001; 29:64–71. doi: 10.1016/s1054-139x(01)00286-5 11530305
21. Sutton MY, Zhou W, Frazier EL. Unplanned pregnancies and contraceptive use among HIV-positive women in care. PLoS One 2018; 13:e0197216. doi: 10.1371/journal.pone.0197216 29771940
22. Sun M, Peipert JF, Zhao Q, Wilson TE, Weber KM, Sanchez-Keeland L, et al. Trends in contraceptive use among women with human immunodeficiency virus. Obstet Gynecol 2012; 120: 783–790. doi: 10.1097/AOG.0b013e318269c8bb 22996095
23. Sarkar NN. Barriers to condom use. Eur J Contracept Reprod Health Care 2008; 13:114:122. doi: 10.1080/13625180802011302 18465472
24. Copen CE. Condom use during sexual intercourse among women and men aged 15–44 in the United States: 2011–2015 National survey of family growth. Natl Health Stat Report 2017; 105:1–18.
25. Paxton KC, Williams JK, Bolden S, Guzman Y, Harawa NT. HIV risk behaviors among African American women with at-risk male partners. J AIDS Clin Res 2013; 4:221–235. doi: 10.4172/2155-6113.1000221 24455447
26. Elifson KW, Klein H, Sterk CE. Predictors of unsafe sex among at-risk heterosexual women. Womens Health Urb Life 2010; 9:80–106.
27. Lauby JL, Smith PJ, Stark M, Person B, Adams J. A community-level HIV prevention intervention for inner city women: Results of the women and infants demonstration projects. Am J Public Health 2000; 90:216–222. doi: 10.2105/ajph.90.2.216 10667182
28. World Health Organization. Guidance on Couples HIV testing and counseling—including antiretroviral therapy for treatment and prevention in serodiscordant couples: Recommendations for a Public Health Approach. Published 2012. http://www.who.int/hiv/pub/guidelines/9789241501972/en/.
29. Crosby RA, DiClemente RJ, Salazar SF, Wingood GM, McDermott-Sales J, Young AM, et al. Predictors of consistent condom use among young African American women. AIDS Behav 2013; 17:865–871. doi: 10.1007/s10461-011-9998-7 21796442
30. Gursahaney PR, Jeong K, Dixon BW, Wiesenfeld HC. Partner notification of sexually transmitted diseases: Practices and preferences. Sex Transm Dis 2011; 38:821–827. doi: 10.1097/OLQ.0b013e31821c390b 21844737
31. Sterk CE, Klein H, Elifson KW. Perceived condom use self-efficacy among at-risk women. AIDS and Behav 2003; 7:175–182.
32. Crepaz N, Marshall KJ, Aupont LW, Jacobs ED, Mizuno Y, Kay LS, et al. The efficacy of HIV/STI behavioral interventions for African American females in the United States: A meta-alalysis. Am J Public Health 2009; 11:2069–2078.
33. Stolte IG, Dukers NH, Geskus RB, Coutinho RA, de Wit JB. Homosexual men change to risky sex when perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: a longitudinal study. AIDS 2004; 18:303–309. doi: 10.1097/00002030-200401230-00021 15075549
34. Ostrow DE, Fox KJ, Chmiel JS, Silvestre A, Visscher BR, Vanable PA, et al. Attitudes towards highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men. AIDS 2002; 16:775–80. doi: 10.1097/00002030-200203290-00013 11964534
35. Crepaz N, Hart TA, Marks G. Highly active antiretroviral therapy and sexual risk behavior: a meta-analytic review. JAMA 2004; 292:224–236. doi: 10.1001/jama.292.2.224 15249572
36. Zenilman JM, Weisman CS, Rompalo AM, Ellish N, Upchurch DM, Hook EW 3rd, et al. Condom use to prevent incident STDs: the validity of self-reported condom use. Sex Transm Dis 1995; 22:15–22. doi: 10.1097/00007435-199501000-00003 7709320
Článok vyšiel v časopise
PLOS One
2019 Číslo 12
- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Úspěšná resuscitativní thorakotomie v přednemocniční neodkladné péči
- Fixní kombinace paracetamol/kodein nabízí synergické analgetické účinky
Najčítanejšie v tomto čísle
- Methylsulfonylmethane increases osteogenesis and regulates the mineralization of the matrix by transglutaminase 2 in SHED cells
- Oregano powder reduces Streptococcus and increases SCFA concentration in a mixed bacterial culture assay
- The characteristic of patulous eustachian tube patients diagnosed by the JOS diagnostic criteria
- Parametric CAD modeling for open source scientific hardware: Comparing OpenSCAD and FreeCAD Python scripts