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
doi: 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:

African American people – Behavior – Copulation – Heterosexuals – HIV diagnosis and management – HIV prevention


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PLOS One


2019 Číslo 12