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Title

Barriers to Condom Use among High Risk Men Who Have Sex with Men in Uganda: A Qualitative Study.

Authors

G Musinquzi, H Bastiaens, JK Matovu, et al.;

Network Affiliation

Other

Organization

 

Journal Name

PLoS One

Publication Date

7/14/2015

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/26172374

Link to full-text

 

PMID

26172374

Abstract

BACKGROUND:

Unprotected sexual intercourse is a major risk factor for HIV transmission. Men who have sex with men (MSM) face challenges in accessing HIV prevention services, including condoms. However, there is limited in-depth assessment and documentation of the barriers to condom use among MSM in sub-Saharan Africa. In this paper, we examine the barriers to condom use among MSM in Uganda.

METHODS:

The data for this study were extracted from a larger qualitative study conducted among 85 self-identified adult (>18 years) MSM in 11 districts in Uganda between July and December 2013. Data on sexual behaviours and access and barriers to condom use were collected using semi-structured interviews. All interviews were audio-recorded and transcribed verbatim. This paper presents an analysis of data for 33 MSM who did not use condoms at last sex, with a focus on barriers to condom use. Analysis was conducted using the content analysis approach.

RESULTS:

Six major barriers to condom use were identified: Difficulties with using condoms, access challenges, lack of knowledge and misinformation about condom use, partner and relationship related issues, financial incentives and socio-economic vulnerability, and alcohol consumption.

CONCLUSION:

The findings suggest that several reasons account for lack of condom use among high-risk MSM. The findings are valuable to inform interventions needed to increase condom use among MSM

Keywords

 

Topic

Intervention; MSM; Substance Abuse

Attachments

Created at 7/16/2015 1:45 PM by Davis, Gregory P
Last modified at 7/16/2015 1:45 PM by Davis, Gregory P