Condom use correlates among youth living with HIV in South Africa
Lessons for promoting safer sex
Bibliographic Data
| ID | 12894000 |
|---|---|
| Authors | Tonya R Thurman (0000-0002-3488-011X, Tulane University, corresponding author), Tory M Taylor (0000-0003-2392-5076, University of North Carolina at Chapel Hill), Brian Luckett (0000-0001-7561-7329, Tulane University), Alexandra Spyrelis (0000-0001-7719-5414), Johanna Nice (0000-0003-0118-3489, Tulane University) |
| Year | 2023 |
| Volume | 19 |
| Issue | 1 |
| Pages | 211-222 |
| Publication date | 2023-11-23 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Vulnerable Children and Youth Studies (JOURNAL) |
| Journal identifiers | ISSN: 1745-0136 • E-ISSN: 1745-0128 |
| Publisher | Routledge (PUBLISHER • GB) |
| DOI | 10.1080/17450128.2023.2282959 |
| OpenAlex | W4388941381 |
| Language | EN |
| References cited | 40 |
Identifying factors associated with condom use can help inform the design of sexual reproductive health interventions for young people living with HIV. Data were collected from 294 sexually active youth in South Africa aged 14–24 years, living with HIV and aware of their status. Logistic regression found condom use was associated with partner status, disclosure, treatment adherence, knowledge, alcohol use, enacted stigma, and age at known status. Seventy-seven percent reported condom use at last sex, with higher odds among those who: disclosed their status to their last partner (OR = 2.13, 95% CI = 1.09–4.15), had not missed any ART doses in the previous week (OR = 2.67, 95% CI = 1.35–5.27), knew to use condoms when both partners have HIV (OR = 2.65, 95% CI = 1.34–5.25) and learned their status by age 12 (OR = 2.89, 95% CI = 1.30–6.43). Lower odds of condom use were among participants with an HIV-positive partner (OR = 0.36, 95% CI = 0.18–0.73), those who experienced recent stigma (OR = 0.55, 95% CI = 0.31–1.00), who drank at least 1 day per month (OR = 0.43, 95% CI = 0.22–0.84) and females (OR = 0.41, 95% CI = 0.20–0.84). Condom education and services promoting stigma management and safe disclosure could increase condom use among young people living with HIV. Lower condom use among adolescents reporting non-adherence to treatment underscores the critical need for effective interventions
Condom · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Logistic regression · Odds · Odds ratio · Population · Psychiatry · Psychological intervention · Reproductive health · Stigma (botany · Syphilis · Young adult · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues · Gerontology · Internal Medicine
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HIV Viral Load and Transmissibility of HIV Infection
Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda
How to improve the validity of sexual behaviour reporting
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Growing up positive
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Sexual communication self-efficacy, hegemonic masculine norms and condom use among heterosexual couples in South Africa
Mutual HIV status disclosure is associated with consistent condom use in public sector ART clients in Free State province, South Africa
Sex and secrecy
Relationship between viral load and self-report measures of medication adherence among youth with perinatal HIV infection
Alcohol use and HIV serostatus of partner predict high-risk sexual behavior among patients receiving antiretroviral therapy in South Western Uganda
Association of experienced and internalized stigma with self-disclosure of HIV status by youth living with HIV
The limited effect of knowing they are HIV-positive on the sexual and reproductive experiences and intentions of infected adolescents in Uganda
| Citation velocity | historical |
|---|---|
| Highly cited | No |