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Individual and partnership characteristics associated with consistent condom use in a cohort of cisgender men who have sex with men and transgender women in Nigeria.

作者信息

Olawore Oluwasolape, Crowell Trevor A, Ketende Sosthenes C, Ramadhani Habib O, Liu Hongjie, Ake Julie A, Kokogho Afoke, Adebajo Sylvia, Charurat Man E, Nowak Rebecca G, Baral Stefan D

机构信息

Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Suite 3507, Baltimore, MD, 21205, USA.

U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.

出版信息

BMC Public Health. 2021 Jun 30;21(1):1277. doi: 10.1186/s12889-021-11275-w.


DOI:10.1186/s12889-021-11275-w
PMID:34193101
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8243438/
Abstract

BACKGROUND: This study reports on the individual and partnership characteristics that influence consistent condom use in cisgender men who have sex with men (MSM) and transgender women (TGW) attending trusted community centers that provide HIV prevention and treatment services in Nigeria. METHODS: Adults assigned male at birth who reported anal sex with male partners who enrolled between March 2013-2019 and had information about at least one male sexual partner were included in these analyses. At enrollment and follow-up visits every 3 months for up to 18 months, participants were administered detailed questionnaires that collected information about demographics, sexual practices, HIV risk behaviors, and characteristics and behaviors of their partners in the previous year (at enrollment) or the preceding 3 to 6-months (at follow-up visits). Logistic regression models with generalized estimating equations were used to assess the odds ratio (OR) and 95% confidence intervals (CI) of individual, partner, and partnership characteristics associated with consistent condom use (CCU). A participant was defined as consistently using condom if they reported always using condoms all the time they had insertive, receptive or both types of anal sex with a male partner. RESULTS: At the individual level, CCU was positively associated with higher education, disclosure of key population status to a healthcare worker and negatively associated with poor access to condoms. At the partner and partnership level, CCU was associated with partners with higher education (aOR: 1.36; 95% CI: 1.07-1.72), casual relationships (aOR: 1.22; 95% CI: 1.11-1.34) and relationships in which partners encouraged the participant to use condoms with other partners (aOR: 1.14; 95% CI: 1.02-1.28). Relationships in which the partner was married to a woman and/or the partner's HIV status positive or unknown were negatively associated with CCU. CONCLUSIONS: These findings suggest that individuals in relationships where partners were more open and encouraged safer sex were more likely to consistently use condoms. HIV prevention programs should consider leveraging communication to sexual partners to encourage condom use as this may support condom use with other sexual partners. Given sustained and growing HIV and STI epidemics among MSM and TGW, even with pre-exposure prophylaxis scale-up, it is crucial to continue to study optimal implementation strategies to increase condom use.

摘要

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Int J Environ Res Public Health. 2025-4-11

[2]
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[3]
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Prev Med Rep. 2024-10-30

[4]
Inconsistent condom use with casual partners among men who have sex with men in Brazil: a cross-sectional study.

Rev Bras Epidemiol. 2023

[5]
Consistent condom use and associated factors among HIV positive women of reproductive age on anti-retroviral treatment in Ogun State, Nigeria.

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[6]
Determinants of consistent condom use among Filipino women: Results from the 2017 Philippine National Demographic and Health Survey.

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本文引用的文献

[1]
Information-Motivation-Behavioral Skills model of consistent condom use among transgender women in Shenyang, China.

BMC Public Health. 2020-3-26

[2]
The characteristics of mixing patterns of sexual dyads and factors correlated with condomless anal intercourse among men who have sex with men in Guangzhou, China.

BMC Public Health. 2019-6-10

[3]
Time to change the paradigm: limited condom and lubricant use among Nigerian men who have sex with men and transgender women despite availability and counseling.

Ann Epidemiol. 2018-12-21

[4]
Individual and Network Factors Associated With HIV Care Continuum Outcomes Among Nigerian MSM Accessing Health Care Services.

J Acquir Immune Defic Syndr. 2018-9-1

[5]
HIV prevalence and behavioral and psychosocial factors among transgender women and cisgender men who have sex with men in 8 African countries: A cross-sectional analysis.

PLoS Med. 2017-11-7

[6]
Stigma, access to healthcare, and HIV risks among men who sell sex to men in Nigeria.

J Int AIDS Soc. 2017-4-20

[7]
HIV acquisition and transmission among men who have sex with men and women: What we know and how to prevent it.

Prev Med. 2017-4-24

[8]
High prevalence of HIV, chlamydia and gonorrhoea among men who have sex with men and transgender women attending trusted community centres in Abuja and Lagos, Nigeria.

J Int AIDS Soc. 2016-12-7

[9]
Prevalence and associated factors of condomless receptive anal intercourse with male clients among transgender women sex workers in Shenyang, China.

J Int AIDS Soc. 2016-7-17

[10]
Egocentric Network and Condom Use Among Mid-Age Female Sex Workers in China: A Multilevel Modeling Analysis.

AIDS Patient Care STDS. 2016-4

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