Determinants of Consistent Condom Use Among Iranians Living with HIV/AIDS: Implication for Prevention

Moazen, Babak; Hajizadeh, Shayesteh; Setayesh, Hamid Reza; Mohraz, Minoo; Gouya, Mohammad Mehdí; Dolan, Kate

doi:10.5812/ijhrba.63237

Cited by 7 publications

(9 citation statements)

References 28 publications

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“…HIV-positive people can spread the illness through unprotected sex ( 8 ), but the disease can be avoided if populations are educated about the risks ( 9 ). Abstain, Be Faithful, or Reduce the Number of Sexual Partners, and/or Use a Condom is an HIV/AIDS prevention strategy that is most narrowly defined as Abstain, Be Faithful, or Reduce the Number of Sexual Partners, and/or Use a Condom ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With HIV Preventive Behavior Among Adults in Majang Zone of Gambella Region, Southwest Ethiopia

et al. 2022

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BackgroundHIV-positive people can spread the virus through unprotected sex; however, HIV can be avoided if populations are educated about the risks. In underdeveloped nations, evidence suggests that the ABC method for HIV prevention is quite effective. As a result, the goal of this study was to determine the magnitude of HIV prevention behavior among adults in the Majang zone of Southwest Ethiopia, as well as the factors that influence it.MethodsA community-based cross-sectional study was carried out from March 1st to May 31st, 2019. The data were collected through a face-to-face interview using a modified validated questionnaire among systematically selected study participants. The collected data were coded and entered using Epidata manager version 4.0.2.101 and analyzed using SPSS version 21. A logistic regression analysis was computed to determine the association using crude and adjusted odds ratios at 95% confidence intervals. The level of significance was declared at a p-value less than 0.05.ResultsOf the 772 adults interviewed, the proportion of adults who had good HIV preventive behavior was 51.8%, 95% CI [48.3–55.3%]. Two hundred forty (31.9%) were used abstinence as a type of HIV preventive behavior followed by being faithful (16.1%) and consistent condom use (7.3%). The study also found that respondents with the age group ≥27 years old (AOR = 1.56, 95% CI [1.3–3.12]), marital status (being married (AOR = 6.30, 95% CI [4.48–11.4]), and divorced/widowed (AOR = 5.50, 95% CI [2.60–12.4]) and having good knowledge of HIV prevention methods (AOR = 2.18, 95% CI [1.71–4.00]) were the factors associated with good HIV preventive behavior.Conclusion and RecommendationIn the study area, overall HIV prevention behavior was average. The characteristics linked with successful HIV prevention behavior among adults in the Majang community included increasing age, being married or divorced/widowed, and having a solid understanding of HIV prevention approaches. As a result, policy-level and multi-sectorial intervention approaches from all stakeholders are necessary to develop short- and long-term strategies to address the problem and improve the community’s quality of life.

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Section: Introductionmentioning

confidence: 99%

Factors Associated With HIV Preventive Behavior Among Adults in Majang Zone of Gambella Region, Southwest Ethiopia

et al. 2022

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“…Consistent condom use reduces the probability of HIV transmission per sex act by as much as 95% and reduces the annual HIV incidence in sero-discordant couples by 90-95% when used consistently [17]. However, risky sexual behaviour among HIV-positive people was reported in many studies, and consistent condom use varies from 16.7% [18] to 43% [19]. In another study from Iran, only 25% of people living with HIV always used condoms in the preceding year [20].…”

Section: Discussionmentioning

confidence: 99%

“…The participants had a moderate awareness about HIV prevention. Studies revealed that consistent condom use is associated with participation in an HIV prevention course, knowledge of unsafe sex consequences, and having an HIV-positive sexual partner [18]. However, many highrisk groups do not have adequate awareness of the modes of transmission of HIV, doubt about the role of condoms in preventing HIV, and face reluctance of sexual partners to use condoms due to reduced sexual pleasure [21].…”

Section: Discussionmentioning

confidence: 99%

“…Given that there is still no definitive treatment for AIDS, and prevention is the only way to combat this disease, and since this disease is often acquired through avoidable and modifiable behaviours, the most important barrier to AIDS prevention is the lack of awareness of different aspects of the disease, and educating and informing people, especially women, can be considered as an appropriate strategy to prevent new cases [13]. Safe sex practices became important in the late 1980s as a result of the AIDS epidemic and are now considered as one of the sexual education goals and harm reduction strategies to reduce related risks [18]. Safe sexual activity refers to sexual activities, particularly sexual penetration, and it is carried out using latex condoms and monogamy, with the aim of reducing sexually transmitted diseases such as HIV [19].…”

Section: Introductionmentioning

confidence: 99%

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Investigating the sexual protective behaviour among HIV-positive women in Tehran, Iran

Talebi¹,

Lotfi²,

Kabir³

et al. 2019

HIV & AIDS Review

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Introduction:The third wave of human immunodeficiency virus (HIV) is rising due to high-risk sexual behaviours in Iran. In spite of launching programs to combat HIV in Iran, condom use frequency has not yet reached the optimal level, especially in high-risk groups. The aim of this study was to assess the sexual protection behaviours and awareness among HIV-positive women. Material and methods:This descriptive study was performed on 100 HIV-positive women who referred to the Voluntary and Counselling Centre (VCT) in Tehran and were recruited using a purposive sampling method. Data collection was carried out using HIV/acquired immunodeficiency syndrome (AIDS) awareness and sexual protection behaviour questionnaires. Results:Condom use was practiced only by 22.2% in all their vaginal and anal sexual intercourse during the three months, and 77.8% of the women never used condoms or failed to use them continuously. Their sexual partners were HIV-positive in 71% of cases. The mean ± SD of awareness score about HIV/AIDS was 7.60 ± 3.31, indicating average awareness of the subjects in the study. A total of 49.1% of the participants stated that their sexual partners' reluctance was the most important reason for non-use of condoms, while women were not willing to use condoms in 18.2% of cases. Conclusions:The results of the present study indicated poor sexual protection behaviours in HIV-positive women. As a result, gender-based harm reduction programs to promote safe sexual behaviour, awareness level, and negotiation power for condom use in HIV-positive women is more important than ever.

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“…Furthermore, Iranian studies of condom use in PLWH and other at-risk groups with mood disorders are few. 14 , 15 , 16 Given the importance of condoms in preventing STIs, this study aimed to identify associations between depression, sleep quality and condom use in this cohort of PLWH.…”

Section: Introductionmentioning

confidence: 99%

Depression, sleep quality and condom use amongst Iranian people living with human immunodeficiency virus

Mahboobi

Najafi

Nakhostin-Ansari

et al. 2020

Southern African Journal of HIV Medicine

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Background Depression is a common mood disorder in people living with human immunodeficiency virus (PLWH) and is associated with risk-taking sexual behaviour. Objectives This study examines depression, sleep quality and condom usage amongst PLWH in Tehran, Iran. Method This cross-sectional study was undertaken between October and November 2019 on 298 PLWH referred to voluntary counselling and testing centres (VCTs) in Tehran. Participants provided information as per the following questionnaires: the Depression, Anxiety, Stress Scale (DASS), the Pittsburgh Sleep Quality Index Questionnaire and a demographic questionnaire that evaluated condom use. Results A total of 298 PLWH, of whom 202 (67.8%) were men with a mean age of 39.81 years, were enrolled in the study. The DASS classified 57% with depression. Fewer than 20% of these used condoms regularly. The majority of depressed patients were men (68.6%) and 31.4% were women. The depressed patients were more likely not to use condoms than those who were not depressed (adjusted odds ratio [OR] = 6.5; 95% confidence interval [CI], 3.70–11.42). The adjusted OR for not using a condom amongst the depressed was 7.12 times greater (95% CI, 5.85–10.11) than in those without depression. Conclusion Our findings suggest that depression is common amongst PLWH in Tehran and is associated with risk-taking sexual behaviour. Appropriate interventions are needed to address mental disorders in PLWH. It is recommended that patients be screened regularly for symptoms of depression and, where indicated, counselled and managed.

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Determinants of Consistent Condom Use Among Iranians Living with HIV/AIDS: Implication for Prevention

Cited by 7 publications

References 28 publications

Factors Associated With HIV Preventive Behavior Among Adults in Majang Zone of Gambella Region, Southwest Ethiopia

Factors Associated With HIV Preventive Behavior Among Adults in Majang Zone of Gambella Region, Southwest Ethiopia

Investigating the sexual protective behaviour among HIV-positive women in Tehran, Iran

Depression, sleep quality and condom use amongst Iranian people living with human immunodeficiency virus

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