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Meta-Analysis
. 2024 Mar 10;14(1):5837.
doi: 10.1038/s41598-024-56574-5.

Consistent condom utilization among sexually active HIV positive individuals in Sub-Saharan Africa: systematic review and meta-analysis

Destaw Endeshaw  1 , Getenet Dessie  2   3 , Ayele Semachew Kasa  2 , Aklilu Endalamaw  2   4 , Tadesse Dagget Tesfaye  2 , Shiferaw Birhanu  2 , Teshager Woldegiyorgis Abate  2   5 , Sahileslassie Afewerk  2 , Eyob Ketema Bogale  2 , Yinager Workineh  2
Affiliations
Meta-Analysis

Consistent condom utilization among sexually active HIV positive individuals in Sub-Saharan Africa: systematic review and meta-analysis

Destaw Endeshaw et al. Sci Rep. .

Abstract

This study aimed to ascertain the pooled prevalence and trend of consistent condom use in Sub-Saharan Africa, addressing the fragmented and inconsistent research on its role in preventing HIV transmission. In this meta-analysis, we systematically searched electronic databases such as PubMed, Embase, Scopus, Web of Science, Global Index Medicus, ScienceDirect, Africa-Wide Information (via EBSCOhost), as well as clinical trial registries, and the search engine Google Scholar. All necessary data were extracted using a standardized data extraction format. The data were analyzed using STATA 17 statistical software. Heterogeneity among the studies was assessed using the I2 test. A random-effect model was computed to estimate the pooled rate of consistent condom utilization. This meta-analysis, which included thirty-three full-text studies, found a pooled prevalence of 44.66% (95% CI 18.49-70.83; I2 = 0.00%) for consistent condom use in Sub-Saharan Africa. While the prevalence fluctuated between 2007 and 2022, the year-to-year variations were not statistically significant. The current study identified low rates of consistent condom use, with utilization fluctuating annually in the study area. Therefore, uncovering the underlying reasons and addressing barriers to consistent condom use is crucial in the region.

Keywords: Consistent condom utilization; Prevalence; Sub-Saharan Africa.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Flowchart of a selection of studies for a systematic review and meta-analysis of the prevalence of CCU in Sub-Saharan Africa, 2023.
Figure 2
Figure 2
Funnel plot For publication bias, Logprop or Lnp (log of proportion) represented in the X-axis and standard error of log proportion in the Y-axis.
Figure 3
Figure 3
The trim fill analysis showed the pooled prevalence when the unpublished studies were filled.
Figure 4
Figure 4
The sensitivity analysis showed the pooled prevalence when the studies omitted step-by step.
Figure 5
Figure 5
A forest plot that describes the meta-analysis result of consistent condom utilization among sexually active HIV-positive individuals in Sub-Saharan Africa, 2023 (n = 33).
Figure 6
Figure 6
A forest plot that describes the sub-group meta-analysis result of consistent condom utilization among sexually active HIV-positive individuals in Sub-Saharan Africa, 2023 (n = 33).
Figure 7
Figure 7
Trend of consistent condom utilization among HIV-positive individuals in Sub-Saharan African countries, 2023.
See this image and copyright information in PMC

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