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Factors Associated With Condom Failure in a Longitudinal Cohort of Men Who Have Sex With Men and Transgender Women in Abuja and Lagos, Nigeria.
- Source :
-
Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2021 Mar 01; Vol. 86 (3), pp. 329-338. - Publication Year :
- 2021
-
Abstract
- Background: Effective condom use is a critical intervention to limit the spread of HIV and other sexually transmitted infections, particularly among individuals in high-risk networks who practice anal sex. We characterized condom failures in cisgender men who have sex with men and transgender women in Nigeria.<br />Setting: The TRUST/RV368 cohort provided condoms, compatible lubricants, and safer sex education to men who have sex with men and transgender women at community-engaged health centers in Abuja and Lagos, Nigeria.<br />Methods: Participants completed structured interview questions about condom usage and failure every 3-6 months. Robust Poisson regression models with generalized estimating equations were used to estimate relative risks and 95% confidence intervals for prespecified factors potentially associated with condom failure in the previous month.<br />Results: From September 2013 to September 2019, 2221 of 2737 participants (81.1%) reported condom use for anal sex with a male partner in the last month, and 305 (13.7%) reported condom failure during this time. Multivariate analyses demonstrated an increased risk of condom failure at postenrollment visits, as well as in participants who reported frequent Internet use, 2 or more casual sexual partners, and 2-4 main sexual partners. Those who cohabited with a woman had reduced risk.<br />Conclusions: Condom failure was common in this population despite freely available condoms, compatible lubrication, and education. Increased risk of condom failure over time could reflect message fatigue a ceiling for effective condom use, or new uptake of condoms by inexperienced users.<br />Competing Interests: The authors have no conflicts of interest to disclose.<br /> (Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc.)
- Subjects :
- Adult
Cohort Studies
Female
Homosexuality, Male
Humans
Male
Nigeria epidemiology
Risk Factors
Self Report
Sexual Behavior
Sexual Partners
Sexually Transmitted Diseases epidemiology
Young Adult
Condoms
HIV Infections epidemiology
HIV Infections prevention & control
Sexual and Gender Minorities
Transgender Persons
Subjects
Details
- Language :
- English
- ISSN :
- 1944-7884
- Volume :
- 86
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of acquired immune deficiency syndromes (1999)
- Publication Type :
- Academic Journal
- Accession number :
- 33234806
- Full Text :
- https://doi.org/10.1097/QAI.0000000000002559