Despite high rates of unintended pregnancy, access to a wide range of contraceptive methods, especially injectables and long-acting reversible contraceptives (LARCs), is severely limited in both public and private facilities. Knowledge of contraceptive choices is likewise limited, yet a substantial proportion of women are not using their preferred method among the methods they know of.

Drawing upon 44 in-depth interviews with men in HIV-discordant gay couples (only one man is HIV-positive) in Mexico, I explore whether being aware of the risk of primary infection or re-infection leads to protected sex. The results have policy implications, as the findings show that a significant number of men have participated in unprotected sex. An explanation is that these men perceive unprotected sex as an expression of commitment to their relationship. On the other hand, those who reported always using protection during sex perceive that guarding each other's health provides mutual benefit and shows their commitment to their relationship.

This first region-wide study (N = 2,818) aims to estimate prevalence of HIV-related risks (sexual behavior, HIV disclosure, number of sex partners, violence) and factors associated with these risks as well as evaluate a behavior change communications program targeted to PLHIV in 6 countries in Central America. After 2 years, the program achieved moderate coverage, with 21 % of the sample reporting exposure to interpersonal communications (IPC) and 52 % to mass media program components. The odds of condom use, HIV disclosure, and participation in a self-help group increased by 1.4–1.8 times with exposure to mass media. Exposure to IPC increased odds of condom use by 2.7 and participation in self-help groups by 4.4 times. In addition, being in HIV care or taking ART was associated with condom use and HIV-status disclosure. About 30 % experienced physical or sexual violence, and those who did were 4 times less likely to use condoms. Findings suggest that behavioral interventions for PLHIV can reduce HIV-transmission risks and increase access to care.Electronic supplementary materialThe online version of this article (doi:10.1007/s10461-014-0910-0) contains supplementary material, which is available to authorized users.

salud pública de méxico / vol.41, no.2, marzo-abril de 1999 Uso del condón en hombres con parejas no estables ARTÍCULO ORIGINAL Uso del condón en hombres con parejas no estables en la Ciudad de México* Nieto-Andrade B, Izazola-Licea JA. Uso del condón en hombres con parejas no estables en la Ciudad de México. Salud Publica Mex 1999;41:85-94. ResumenObjetivo. Analizar la asociación de variables sociodemográficas en la utilización del condón durante prácticas sexuales vaginales con parejas no estables. Material y métodos. Los datos provienen de una encuesta probabilística sobre comportamiento sexual aplicada en 1992-1993 a una muestra de hogares en la Ciudad de México y su área conurbada. De 8 068 hombres de 15 a 60 años de edad que proporcionaron información, se seleccionaron 1 535 cuya última relación sexual -con penetración vaginal-había sido con una pareja no estable. Primero se realizó un análisis por componentes principales, para agrupar aquellas variables con dimensiones subyacentes comunes y, a partir de ellos y de algunas variables individuales, se efectuó una regresión logística. Resultados. Las variables que midieron conocimientos sobre el SIDA y sus mecanismos de transmisión y prevención, no tuvieron una relación estadísticamente significativa (p< 0.05) con haber usado condón en la última relación sexual vaginal con una pareja no estable (variable dependiente). En su lugar, las variables que sí presentaron una relación estadísticamente significativa con la variable dependiente, fueron: visión del placer del sexo con condón o sin penetración; autoeficacia para realizar sexo sin penetración; autocompulsión en el uso del condón asociado al SIDA como enfermedad de mayor temor; percepción sobre el carácter evitable de la infección y sobre la efectividad del condón; estado civil; escolaridad; y número de episodios de enfermedades de transmisión sexual (ETS) en toda la vida. Conclusiones. Aunque la provisión de información es importante en las Nieto-Andrade B, Izazola-Licea JA. Condom use among men with non-stable partners in Mexico City. Salud Publica Mex 1999;41:85-94. AbstractObjective. To analyze the association between sociodemographic variables and condom use during vaginal sexual relationships with non-stable partners. Material and methods. Data were taken from a household probability survey on sexual behavior in 1992-1993 in the Mexico City Metropolitan Area. Of the completed survey were obtained 8 068 men of 15 to 60 years of age. 1 535 were selected because they reported that their last sexual relationship with vaginal intercourse had been with a non-stable partner. Principal component analyses were conducted to groups of variables with common underlying structures, these components and other variables were included in a logistic regressions. Condom use during last intercourse was the dependent variable. Results. Feeling that sex with condoms or sex without penetration could be pleasurable, a high ranking in a scale on self-efficacy for condom use, compulsion for using a condom because of being af...