Inconsistent Condom Use Between Serodifferent Sexual Partnerships to the Human Immunodeficiency Virus

Overview

Journal Rev Lat Am Enfermagem

Specialty Nursing

Date 2019 Dec 12

PMID 31826163

Citations 7

Authors

Renata Karina Reis

Elizabete Santos Melo

Nilo Martinez Fernandes

Marcela Antonini

Lis Aparecida de Souza Neves

Elucir Gir

Affiliations

Soon will be listed here.

Abstract

Objective: to analyze predictors of inconsistent condom use among HIV-positive people with sexual immunodeficiency virus serodifferent sexual partnership.

Method: cross-sectional, analytical study with a consecutive non-probabilistic sample consisting of people living with the human immunodeficiency virus with serodifferent sexual partnership and who were in outpatient clinical follow-up. Data were collected through individual interviews guided by a semi-structured questionnaire and subsequently analyzed with bivariate analysis and logistic regression.

Results: Seven variables were independently associated with inconsistent condom use. Schooling less than 11 years of schooling (4.9 [2.4-10.1]), having multiple partnerships (5.0 [1.3-19.6]), using alcohol (2.1 [1.1 -4.4]) or other drugs (2.8 [1.2-6.3]), do not receive advice from a healthcare professional (2.0 [1.1-3.9]), have no knowledge of treatment as prevention (3.0 [1,2-6,9]) and not knowing that undetectable viral load reduces the risk of human immunodeficiency virus transmission (3.8 [1,1-13,7]) were predictors for inconsistent condom use.

Conclusion: The study showed that psychosocial factors interfere with consistent condom use between serodifferent partnerships. Thus, it is highlighted that there is a need for comprehensive interventions that include the integration of clinical and psychosocial care.

Citing Articles

Effectiveness of educational intervention among seropositive women about knowledge about HIV sexual transmission.

Alves R, Sousa L, de Moura J, Gir E, Reis R Rev Bras Enferm. 2023; 76(3):e20220371.

PMID: 37610951 PMC: 10441211. DOI: 10.1590/0034-7167-2022-0371.

Inconsistent use of male condoms among HIV-negative men who have sex with other men.

Sousa L, Elias H, Caliari J, Oliveira A, Gir E, Reis R Rev Lat Am Enfermagem. 2023; 31:e3890.

PMID: 37132716 PMC: 10208632. DOI: 10.1590/1518-8345.6327.3890.

Psychosocial support for HIV serodiscordant couples.

Lelaka C, Moyo I, Tshivhase L, Mavhandu-Mudzusi A Health Psychol Behav Med. 2022; 10(1):537-556.

PMID: 35756334 PMC: 9225695. DOI: 10.1080/21642850.2022.2084098.

Risky sexual practice and associated factors among people living with HIV/AIDS receiving antiretroviral therapy in Ethiopia: Systematic review and meta-analysis.

Hareru H, Kaso A, Ashuro Z, Mareg M PLoS One. 2022; 17(4):e0266884.

PMID: 35421163 PMC: 9009662. DOI: 10.1371/journal.pone.0266884.

Serodiscordance predictors among couples in the HIV context: implications for health care.

Antonini M, Pontes P, Melo E, Alves R, Gir E, Sorensen W BMC Public Health. 2021; 21(1):1849.

PMID: 34645401 PMC: 8513240. DOI: 10.1186/s12889-021-11835-0.

References

da Silva A, Camargo Junior K . [The invisibility of serodiscordance in care for people with HIV/AIDS]. Cien Saude Colet. 2011; 16(12):4865-74. DOI: 10.1590/s1413-81232011001300035. View

Kennedy C, Medley A, Sweat M, OReilly K . Behavioural interventions for HIV positive prevention in developing countries: a systematic review and meta-analysis. Bull World Health Organ. 2010; 88(8):615-23. PMC: 2908966. DOI: 10.2471/BLT.09.068213. View

Speros C . Promoting health literacy: a nursing imperative. Nurs Clin North Am. 2011; 46(3):321-33, vi-vii. DOI: 10.1016/j.cnur.2011.05.007. View

Pilapil M, Morris L, Saito K, Kouya F, Maku V, Kwalar R . Retrospective analysis of the prevalence of and factors associated with condom use among young HIV-infected women in Cameroon. SAGE Open Med. 2016; 4:2050312115626432. PMC: 4724765. DOI: 10.1177/2050312115626432. View

Davey D, Kilembe W, Wall K, Khu N, Brill I, Vwalika B . Risky Sex and HIV Acquisition Among HIV Serodiscordant Couples in Zambia, 2002-2012: What Does Alcohol Have To Do With It?. AIDS Behav. 2017; 21(7):1892-1903. PMC: 5493513. DOI: 10.1007/s10461-017-1733-6. View

Shewamene Z, Legesse B, Tsega B, Bhagavathula A, Endale A . Consistent condom use in HIV/AIDS patients receiving antiretroviral therapy in northwestern Ethiopia: implication to reduce transmission and multiple infections. HIV AIDS (Auckl). 2015; 7:119-24. PMC: 4403739. DOI: 10.2147/HIV.S79122. View

Nakku-Joloba E, Pisarski E, Wyatt M, Muwonge T, Asiimwe S, Celum C . Beyond HIV prevention: everyday life priorities and demand for PrEP among Ugandan HIV serodiscordant couples. J Int AIDS Soc. 2019; 22(1):e25225. PMC: 6338102. DOI: 10.1002/jia2.25225. View

Wells B, Rendina H, Kelly B, Golub S, Parsons J . Demographic Predictors of Event-Level Associations between Alcohol Consumption and Sexual Behavior. J Urban Health. 2015; 93(1):155-69. PMC: 4794469. DOI: 10.1007/s11524-015-0015-8. View

Magidson J, Biello K, Safren S, Rosenberger J, Novak D, Mayer K . Engagement in HIV care and sexual transmission risk behavior among men who have sex with men using online social/sexual networking in Latin America. AIDS Care. 2015; 27(8):1055-62. PMC: 4425577. DOI: 10.1080/09540121.2015.1017796. View

10.

Papas R, Gakinya B, Mwaniki M, Wu X, Lee H, Martino S . Associations with Unprotected Sexual Behavior Among HIV-Infected Drinkers in Western Kenya. AIDS Behav. 2018; 22(9):2840-2850. PMC: 6239984. DOI: 10.1007/s10461-018-2150-1. View

11.

Mosisa G, Woldemichael K, Ayalew F . Risky sexual behavior and associated factors among antiretroviral therapy attendees in Nekemte Referral Hospital, Western Ethiopia: a cross-sectional study. HIV AIDS (Auckl). 2018; 10:125-131. PMC: 6044365. DOI: 10.2147/HIV.S159670. View

12.

Bavinton B, Holt M, Grulich A, Brown G, Zablotska I, Prestage G . Willingness to Act upon Beliefs about 'Treatment as Prevention' among Australian Gay and Bisexual Men. PLoS One. 2016; 11(1):e0145847. PMC: 4704706. DOI: 10.1371/journal.pone.0145847. View

13.

Mattson C, Freedman M, Fagan J, Frazier E, Beer L, Huang P . Sexual risk behaviour and viral suppression among HIV-infected adults receiving medical care in the United States. AIDS. 2014; 28(8):1203-11. PMC: 4004641. DOI: 10.1097/QAD.0000000000000273. View

14.

Bajunirwe F, Bangsberg D, Sethi A . Alcohol use and HIV serostatus of partner predict high-risk sexual behavior among patients receiving antiretroviral therapy in South Western Uganda. BMC Public Health. 2013; 13:430. PMC: 3645971. DOI: 10.1186/1471-2458-13-430. View

15.

Hallal R, Raxach J, Barcellos N, Maksud I . Strategies to prevent HIV transmission to serodiscordant couples. Rev Bras Epidemiol. 2015; 18 Suppl 1:169-82. DOI: 10.1590/1809-4503201500050013. View

16.

Kalichman S, Cherry C, Kalichman M, Amaral C, White D, Pope H . Integrated behavioral intervention to improve HIV/AIDS treatment adherence and reduce HIV transmission. Am J Public Health. 2011; 101(3):531-8. PMC: 3036694. DOI: 10.2105/AJPH.2010.197608. View

17.

Molla A, Gelagay A . Risky sexual practice and associated factors among HIV positive adults attending anti-retroviral treatment clinic at Gondar University Referral Hospital, Northwest Ethiopia. PLoS One. 2017; 12(3):e0174267. PMC: 5369687. DOI: 10.1371/journal.pone.0174267. View

18.

Deuba K, Kohlbrenner V, Koirala S, Ekstrom A . Condom use behaviour among people living with HIV: a seven-country community-based participatory research in the Asia-Pacific region. Sex Transm Infect. 2017; 94(3):200-205. PMC: 5969330. DOI: 10.1136/sextrans-2017-053263. View

19.

Fernandes N, Hennington E, Bernardes J, Grinsztejn B . [Vulnerability to HIV infection in serodiscordant couples in Rio de Janeiro, Brazil]. Cad Saude Publica. 2017; 33(4):e00053415. DOI: 10.1590/0102-311X00053415. View

20.

McGrath J, Winchester M, Kaawa-Mafigiri D, Walakira E, Namutiibwa F, Birungi J . Challenging the paradigm: anthropological perspectives on HIV as a chronic disease. Med Anthropol. 2014; 33(4):303-17. PMC: 4390365. DOI: 10.1080/01459740.2014.892483. View