Rugpao S, Koonlertkit S, Pinjaroen S, Sinchai W, Wongthanee A, Sriplienchan S, Celentano DD, Morrison CS; International Conference on AIDS (15th : 2004 : Bangkok, Thailand).
Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. ThPeC7408.
Department of Obstetrics and Gynaecology, Faculty of Medicine Chiang Mai University, Chiang Mai, Thailand
Background: Condom use for HIV/STD prevention in Thai couples has been infrequently applied. We describe patterns of condom use and sexual risks longitudinally among women receiving ongoing HIV risk reduction counseling. Methods: Women enrolled in the "Hormonal Contraception and the Risk of HIV Acquisition (HC-HIV) Study", received sexual risk reduction counseling at 3-months follow-up visits for 2 years, including risk assessment, HIV/STD preventive measures, and condom use demonstration and practice. Following counseling, participants were interviewed about condom use and sexual behavior in the prior 3 months. Only women who were not sex workers and intended to use condoms as a means for HIV/STD prevention were included in this analysis. Results: Of 1311 women, 96 (7.3%) reported using condoms at their baseline visit. Subsequent use ranged from 8.9% to 10.8%. Among 821 had never previously used condoms, use at 3 months was 8.0%, declining to 7.3% and 7.1% at 12 and 24 months (P<0.001). Condom continuation rates in 66 women who started using condoms significantly decreased overtime: 1.3% and 0.7% at 12 and 24 months, respectively. Of 56 women who had ever used condoms before joining the study, condom use decreased from 57.1% at 3 months to 30.4% at 12 months and 25.0% at 24 months (P<0.001). Their continuation rate also significantly decreased to 8.9% by 24 months. For all women, some sexual risk behaviors decreased over 24 months: having sex during menstruation; anal sex (1.6% to 0.0%); and having sex after using alcohol (11.1% to 4.7%). Other sexual risks were rare and remained unchanged (multiple sex partners; husbands away overnight from home; and spouse having sex with other women in the last 3 months). Conclusion Condom use as a means for HIV/STD prevention in Thai couples and its continuation is low, even with regular and intensive prevention counseling, although some risks under a woman's control decreased.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Communication
- Condoms
- Condoms, Female
- Contraception
- Counseling
- Female
- HIV Infections
- HIV Seropositivity
- Humans
- Male
- Prostitution
- Risk-Taking
- Sex Counseling
- Sexual Behavior
- Sexual Partners
Other ID:
UI: 102281187
From Meeting Abstracts