Exploring Determinants of Condom Use among University Students in Sudan

Elshiekh, Husameddin Farouk; Hoving, Ciska; Vries, Hein de

doi:10.1007/s10508-019-01564-2

Cited by 28 publications

(68 citation statements)

References 42 publications

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“…A sentinel survey showed that the HIV antibody positivity rate increased from 5.73 to 7.98% in MSM between 2010 and 2015 [ 29 ]. However, previous studies in China revealed that condom use in this group was low [ 30 , 31 ], as also reported in our study, and studies from other countries [ 32 , 33 ]; this increases the risk of infection via HIV-positive partners. Changes in sexual attitudes and behaviors also contributed to the increase in prevalence [ 34 , 35 ].…”

Section: Discussionsupporting

confidence: 79%

A spatial analysis of the epidemiology of HIV-infected students in Zhejiang province, China

et al. 2021

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Background The upsurge in HIV infections among students is a matter of particular concern. However, few studies have explored the epidemiological characteristics including the risky sexual networking of HIV-infected students in Zhejiang province, China. Methods Using the provincial surveillance data of HIV-infected students, we conducted a retrospective epidemiology study to describe the epidemiological characteristics of 628 newly diagnosed cases from 2011 to 2016 and detailed information of 124 cases from 2015 to 2016. Spatial analyses were conducted using ArcGIS software, and statistical analyses were performed using SPSS software. Results A total of 628 cases of HIV/AIDS were diagnosed among students in Zhejiang Province, China between 2011 and 2016. The cases showed an overall increasing trend over time, while the proportions of students with HIV disease status, cases diagnosed by HIV voluntary counseling and testing (VCT), and cases of homosexual transmission remained stable over time. Significant spatial heterogeneity in the cases was seen at the county level. Detailed data on 124 HIV-positive individuals collected from the local Center for Disease Control and Prevention (CDC) from 2015 and 2016, showed that the majority of them (85.5%,) engaged in homosexual behavior, and 93.4% had sex with casual partners. These partners included not only social members, but also other students. Online dating applications represented the most common means of seeking and communicating with homosexual partners. The level of awareness regarding the risk of HIV infection, and the amount coverage of face-to-face education towards students were both low. Conclusions HIV infections among students were characterized by increasing trend and spatial clustering in Zhejiang Province between 2011 and 2016, with homosexual sexual activity being the main mode of infection. Interventions are urgently required to prevent HIV infection in this population by increasing awareness of the disease. HIV testing programs and information regarding disease prevention specifically through online dating applications are needed.

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Section: Discussionsupporting

confidence: 79%

A spatial analysis of the epidemiology of HIV-infected students in Zhejiang province, China

et al. 2021

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“…This is similar to results reported from a study in Kenya that assessed PrEP awareness among AGYW (33). One reason for this would be misconceptions about condom use that drives the search for alternative methods of protection other than condoms within this group of individuals (34,35). Furthermore, it is likely that non-condom users just don't like condoms or cannot use condoms because sexual partners may control condom use in a relationship (36,37).…”

Section: Discussionsupporting

confidence: 82%

Low Awareness of Oral and Injectable PrEP Among High-risk Adolescent Girls and Young Women in Kampala, Uganda

Lunkuse

Kamacooko

Muturi-Kioi

et al. 2021

Preprint

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Background: Adolescent girls and young women (AGYW) account for a disproportionate number of new HIV infections worldwide, including Uganda. Although pre-exposure prophylaxis (PrEP) is a highly effective biomedical HIV prevention method, awareness of PrEP among AGYW in Uganda has not been studied systematically. We aimed to assess awareness of PrEP and factors associated with awareness of PrEP among AGYW.Methods: We conducted a cross-sectional study among 14-24-year old AGYW at high risk of HIV infection in Kampala, Uganda from January to October 2019. Data on socio-demographics, behavioral and sexual risks were collected by interview. Awareness of oral or injectable PrEP, the latter of which is currently in late-stage trials, was defined as whether an individual had heard about PrEP as an HIV prevention method. Multivariable robust poisson regression model was used to assess factors associated with oral PrEP awareness.Results: We enrolled 285 participants of whom 39.3% were under 20 years old, 54.7% had completed secondary education, 68.8% had multiple sex partners in the past 3 months, 8.8% were screened as high risk drinkers/ alcohol dependent (AUDIT tool) and 21.0% reported sex work as main occupation. Only 23.2% were aware of oral PrEP and 3.9% had heard about injectable PrEP. The prevalence of oral PrEP awareness was significantly higher among volunteers screened as alcohol dependents (aPR 1.89, 95% CI 1.08-3.29) and those with multiple sexual partners (aPR 1.84, 95% CI 1.01-3.35), but was lower among those who reported consistent condom use with recent sexual partners (aPR 0.58, 95% CI 0.37-0.91). Conclusions: Majority of AGYW were not aware of any kind of PrEP. Those with higher risk behavior, i.e. alcohol dependents or multiple sexual partners, were more aware of oral PrEP. Interventions to increase awareness among female youth are needed. Improving PrEP awareness is critical to increasing PrEP uptake among high-risk AGYW in Uganda.

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“…This exception could be attributed to the involvement of other variables of relevance to condom use (i.e., risk perception, knowledge of risky sexual behaviors, communication with sexual partners) that overlap with people’s affective attitudes toward condom use. Therefore, it is possible that people who manifest a negative attitude might not necessarily reduce condom use, especially if they believe they are susceptible to the risk of transmission or are aware of the risks associated with non-use ( Sheeran et al, 2016 ; Janulis et al, 2017 ; Teye-Kwadjo et al, 2017 ; Elshiekh et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…Evidence shown that there are multiple psychosocial factors that directly or indirectly influence potential condom use, including which sexual communication ( Javier et al, 2018 ), perceived risk ( Elshiekh et al, 2020 ), type of sexual partner (formal or informal) ( Bryan et al, 2017 ), previous condom use, knowledge, self-efficacy, and attitude toward condom use ( Sheeran et al, 2016 ; Janulis et al, 2017 ; Teye-Kwadjo et al, 2017 ). While all these characteristics impact condom use, the factor that has evidenced the most significant impact on condom use is attitude ( Sheeran et al, 1999 ; Mbelle et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

“…Favorable attitudes toward condoms have been shown to lead to healthy sexual behaviors ( De Torres, 2020 ; Kim et al, 2021 ), while unfavorable attitudes decrease the likelihood of condom use ( Ajayi et al, 2019 ; Elshiekh et al, 2020 ) and are associated with other sexual risk behaviors, such as multiple sexual partners ( Shamu et al, 2020 ) and sex under the influence of alcohol or drugs ( Davis et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Development and Evidence of the Validity of the Condom Use Attitudes Scale for Youth and Adults in a Chilean Context

Ferrer-Urbina

Mena-Chamorro²,

Sepúlveda-Páez³

et al. 2021

Front. Psychol.

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Condom use is the most effective preventive behavior against HIV transmission, and its inadequate use is a public health problem that occurs mostly among youth and young adults. Although there are scales that measure condom use, those that exist correspond to English-speaking developments or do not have psychometric evidence to support them, so it is possible that the available adaptations of instruments do not adequately reflect the phenomenon in the Chilean population. Thus, the study aims to develop a scale to assess attitudes toward condom use in Chilean youth and young adults. Initially, a sample of students between 18 and 39 years (n = 520) was used for debugging the instrument. Then, a second sample was taken from the general population aged 18 to 40 (n = 992) to confirm the factor structure of the proposed model. The final scale has 10 items and 3 attitudinal dimensions (affective, cognitive, and behavioral). The results show that the identified structure provides adequate levels (ω > 0.7) or at least sufficient of reliability (ω > 0.6) and presents evidence of validity, based on the internal structure of the test, through ESEM (CFI = 0.993; TLI = 0.984; RMSEA = 0.056). In addition, evidence of validity was obtained based on the relationship with other variables and strong invariance between the scores of men and women. It is concluded that the scale developed has adequate psychometric properties to assess, in brief form, condom use attitudes in equal samples for research and screening purposes.

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Exploring Determinants of Condom Use among University Students in Sudan

Cited by 28 publications

References 42 publications

A spatial analysis of the epidemiology of HIV-infected students in Zhejiang province, China

A spatial analysis of the epidemiology of HIV-infected students in Zhejiang province, China

Low Awareness of Oral and Injectable PrEP Among High-risk Adolescent Girls and Young Women in Kampala, Uganda

Development and Evidence of the Validity of the Condom Use Attitudes Scale for Youth and Adults in a Chilean Context

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