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

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...

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Bibliographic Details
Published in:	PloS one 2019-12, Vol.14 (12), p.e0225406-e0225406
Main Authors:	Gursahaney, Priya R, Cordes, Sarah, Ofotokun, Ighovwerha, Wall, Kristin M, Jamieson, Denise J, Haddad, Lisa B
Format:	Article
Language:	eng
Subjects:	Acquired immune deficiency syndrome Adult African American women African Americans AIDS Anal sex Analysis Antiretroviral drugs Biology and Life Sciences Communicable diseases Condoms Contraceptives industry Cross-Sectional Studies Disease transmission Drug abuse Education Female Georgia Health care industry Health Knowledge, Attitudes, Practice HIV HIV (Viruses) HIV Infections - prevention & control HIV patients HIV Seropositivity Human immunodeficiency virus Humans Infectious diseases Medical diagnosis Medicine and Health Sciences Middle Aged Minority & ethnic groups People and places Regression analysis Safe Sex Sex Sexual Behavior Sexual Partners Sexually transmitted diseases Social Sciences STD Surveys and Questionnaires Vagina Women
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Summary:	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. 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. 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
ISSN:	1932-6203 1932-6203