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Factors associated with condom use among HIV-positive women living in Atlanta, Georgia

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 co...

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Autores principales: Gursahaney, Priya R., Cordes, Sarah, Ofotokun, Ighovwerha, Wall, Kristin M., Jamieson, Denise J., Haddad, Lisa B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910822/
https://www.ncbi.nlm.nih.gov/pubmed/31834885
http://dx.doi.org/10.1371/journal.pone.0225406
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author Gursahaney, Priya R.
Cordes, Sarah
Ofotokun, Ighovwerha
Wall, Kristin M.
Jamieson, Denise J.
Haddad, Lisa B.
author_facet Gursahaney, Priya R.
Cordes, Sarah
Ofotokun, Ighovwerha
Wall, Kristin M.
Jamieson, Denise J.
Haddad, Lisa B.
author_sort Gursahaney, Priya R.
collection PubMed
description 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.
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spelling pubmed-69108222019-12-27 Factors associated with condom use among HIV-positive women living in Atlanta, Georgia Gursahaney, Priya R. Cordes, Sarah Ofotokun, Ighovwerha Wall, Kristin M. Jamieson, Denise J. Haddad, Lisa B. PLoS One Research Article 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. Public Library of Science 2019-12-13 /pmc/articles/PMC6910822/ /pubmed/31834885 http://dx.doi.org/10.1371/journal.pone.0225406 Text en © 2019 Gursahaney et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Gursahaney, Priya R.
Cordes, Sarah
Ofotokun, Ighovwerha
Wall, Kristin M.
Jamieson, Denise J.
Haddad, Lisa B.
Factors associated with condom use among HIV-positive women living in Atlanta, Georgia
title Factors associated with condom use among HIV-positive women living in Atlanta, Georgia
title_full Factors associated with condom use among HIV-positive women living in Atlanta, Georgia
title_fullStr Factors associated with condom use among HIV-positive women living in Atlanta, Georgia
title_full_unstemmed Factors associated with condom use among HIV-positive women living in Atlanta, Georgia
title_short Factors associated with condom use among HIV-positive women living in Atlanta, Georgia
title_sort factors associated with condom use among hiv-positive women living in atlanta, georgia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910822/
https://www.ncbi.nlm.nih.gov/pubmed/31834885
http://dx.doi.org/10.1371/journal.pone.0225406
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