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. 2016 Feb;27(1):131-144.
doi: 10.1353/hpu.2016.0015.

Factors Associated with HIV Discussion and Condom Use with Sexual Partners in an Underserved Community in South Africa

Donaldson F Conserve  1 , Keren Middelkoop  2 , Gary King  3 , Linda-Gail Bekker  2
Affiliations

Factors Associated with HIV Discussion and Condom Use with Sexual Partners in an Underserved Community in South Africa

Donaldson F Conserve et al. J Health Care Poor Underserved. 2016 Feb.

Abstract

We examined factors associated with discussing HIV and condom use with a sexual partner. Two cross-sectional surveys were conducted in 2004 prior to the implementation of an HIV awareness campaign in a South African community and in 2008 after a three-year education program. Overall, the proportion of individuals who had discussed HIV with a sexual partner increased from 76% in 2004 to 89% in 2008 (p < .001). Among respondents who had sex six months before completing the surveys, condom use significantly increased from 64% in 2004 to 79% in 2008 (p < .05). Respondents who discussed HIV with a sexual partner were more likely to use condoms than respondents who had not discussed HIV with a sexual partner (OR=2.08, 95% CI=1.16, 3.72). These findings indicate the importance of interventions aimed at promoting HIV awareness and discussion of HIV in communities with individuals at risk of acquiring HIV.

Keywords: Condoms; HIV; South Africa; discussion; sexual partners.

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