Factors associated with condom use in people living with HIV/AIDS

Silva, Welingthon dos Santos; Oliveira, Francisca Jacinta Feitoza de; Serra, Maria Aparecida Alves de Oliveira; Rosa, Claudia Regina de Andrade Arraes; Ferreira, Adriana Gomes Nogueira

doi:10.1590/1982-0194201500096

Acessibilidade / Reportar erro

Brasil

Acta Paulista de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Acta Paul Enferm. 28 (6) • Nov-Dec 2015 • https://doi.org/10.1590/1982-0194201500096 copy

Factors associated with condom use in people living with HIV/AIDS

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

Identify condom use in people living with HIV/AIS attended at a Specialized Care Service in STD/HIV/AIDS and associate it with sociodemographic and behavioral variables.

Methods

Cross-sectional study, involving 300 people living with HIV/AIDS between 18 and 66 years of age. Student’s t-test was used for intergroup comparison. The association between condom use and the sociodemographic and behavioral factors was verified using Pearson’s correlation tests and its effect was measured through the odds ratio.

Results

It was observed that 79.3% of the participants reported using condoms in sexual relations. Single people had less chance of using condoms than married women. And not revealing the HIV positive status to the partner increases the chances of using the condom.

Conclusion

Condom use is frequent among people living with HIV/AIDS, even when they do not reveal the positive serum status to their partners, but a significant part of the single people have unprotected sexual practices.

Condom; HIV seropositivity; Sexual behavior; Sexual partners; Unsafe sex; Safe sex

Variables	Sex		p-value
Variables	Male n= 140 n(%)	Female n= 160 n(%)	p-value
Age
< 30 years	31(22.1)	41(25.6)	0.48
> 30 years	103(77.9)	119(74.4)	0.48
Education
<10 years	95(67.8)	100(62.5)	0.33
>10 years	45(32.2)	60(37.5)	0.33
Income
<= 1 salary	103(73.5)	123(76.8)	0.50
> 1 salary	37(26.5)	37(23.2)	0.50
Occupation
Yes	124(88.5)	153(95.6)	0.02
No	16(11.5)	07(4.4)	0.02
Marital status
Single	82(58.5)	74(46.2)	0.03
Married	58(41.5)	86(53.8)	0.03
Religion
Yes	128(91.4)	151(94.3)	0.31
No	12(8.6)	09(5.7)	0.31
Ethnic origin
White	22(15.7)	37(23.1)	0.10
Non white	118(84.3)	123(76.9)	0.10
Current sexual practice
Yes	131(93.5)	148(92.5)	0.71
No	9(6.5)	12(7.5)	0.71
Condom use
Yes	116(82.8)	112(76.2)	0.15
No	24(17.2)	38(23.8)	0.15
Difficulty to negotiate
Yes	13(3.2)	36(22.5)	0.002
No	127(90.8)	124(77.5)	0.002
Reveals the serum status to the casual partner
Yes	34(24.2)	48(30)	0.26
No	106(75..8)	112(70)	0.26
Reveals the serum status to the fixed partner
Yes	113(80.7)	133(83.1)	0.58
No	27(19.3)	27(16.9)	0.58
If does not reveal uses condom
Yes	137(97.8)	160(100)	0.06
No	03(2.2)	0	0.06
Knowledge on reinfection
Yes	116(82.8)	125(78.1)	0.30
No	24(17.2)	35(21.9)	0.30
Use ARVT
Yes	123(87.8)	130(81.2)	0.14
No	17(12.2)	29(18.8)	0.14
Change in sexual desire
Yes	43(30.7)	61(38.1)	0.17
No	97(69.3)	99(61.9)	0.17

Variables	Condom use		p-value	CR	95%CI
	Yes n=238	No n=62
	n(%)	n(%)
Sex
Male	116(48.7)	24(38.7)	0.15	1.08	0.96-1.12
Female	112(51.3)	38(61.3)	0.15	1.08	0.96-1.12
Age
< 30 years	59(24.7)	13(20.9)	0.53	1.04	0.91-1.18
> 30 years	179(75.3)	49(79.1)	0.53	1.04	0.91-1.18
Education
<10 years	153(64.2)	46(74.1)	0.16	0.91	0.81-1.02
> 10 years	83(35.8)	16(25.9)	0.16	0.91	0.81-1.02
Income
<= 1 salary	180(75.6)	46(74.1)	0.81	0.98	0.85-1.12
> 1 salary	58(24.4)	16(25.9)	0.81	0.98	0.85-1.12
Occupation
Yes	218(91.5)	59(95.1)	0.34	1.10	0.93-1.30
No	20(8.5)	03(4.9)	0.34	1.10	0.93-1.30
Marital status
Single	117(49.1)	39(62.9)	0.05	0.89	0.79-1.00
Married	121(50.9)	23(37.1)	0.05	0.89	0.79-1.00
Religion
Yes	220(92.4)	59(95.1)	0.45	1.08	0.90-1.30
No	18(7.6)	3(4.9)	0.45	1.08	0.90-1.30
Ethnic origin
White	50(21.1)	09(14.5)	0.25	1.08	0.95-1.23
Non white	188(78.9)	53(85.5)	0.25	1.08	0.95-1.23

Variables	Condom use		p-value	CR	95%CI
Variables	Yes n=238 n(%)	No n=62 n(%)	p-value	CR	95%CI
Current sexual practice
Yes	238(100)	41(66.1)	<0.0001	6.80	5.12-.9.02
No	0	21(33.3)	<0.0001	6.80	5.12-.9.02
Difficulty to negotiate
Yes	38(15.9)	11(17.7)	0.73	0.97	0.82-1.14
No	200(84.1)	51(82.3)	0.73	0.97	0.82-1.14
Reveals serum status to casual partner
Yes	66(27.7)	16(25.8)	0.76	1.02	0.89-1.15
No	172(72.3)	46(74.2)	0.76	1.02	0.89-1.15
Reveals serum status to fixed partner
Yes	196(82.3)	50(80.6)	0.75	1.02	0.87-1.19
No	42(17.7)	12(19.4)	0.75	1.02	0.87-1.19
If does not reveal uses condom
Yes	237(99.5)	60(96.7)	0.04	2.39	0.48-11.8
No	01(0.5)	2(3.3)	0.04	2.39	0.48-11.8
Knowledge on reinfection
Yes	196(82.3)	45(72.5)	0.08	1.14	0.96-1.35
No	42(17.7)	17(27.5)	0.08	1.14	0.96-1.35
Use ARVT
Yes	203(85.2)	50(80.6)	0.33	1.08	0.90-1.30
No	34(14.8)	12(19.4)	0.33	1.08	0.90-1.30
Change in sexual desire
Yes	78(32.7)	26(41.9)	0.17	0.91	0.80-1.04
No	160(67.3)	36(58.1)	0.17	0.91	0.80-1.04

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author. Maria Aparecida Alves de Oliveira Serra. Urbano Santos street, unnumbered, Imperatriz, MA, Brazil. Zip Code: 65900-410. cidinhaenfaufc@yahoo.com.br