Use among HIV infected clients seeking care at Rimuka Integrated HIV and Tuberculosis
Site, Kadoma, Zimbabwe 2015. Daniel Chirundu, Brian Shawarira, Rumbidzai
Kazingizi, Pamela Nyaradzai Magande
Inconsistent use of condoms among HIV the infected
during vaginal sex is a cause of concern. Its can lead to STI, unwanted
pregnancies and infection with resistant strains of HIV. A study done in Kadoma
revealed that among the respondents 35% had not used condoms during their last
sexual encounter. It is against this background that we investigated factors
associated with condom use among HIV clients seeking care .
We used an analytical cross sectional study design. The study population were
HIV infected clients seeking care at Rimuka Clinic. A sample size of 150 respondents
were conveniently recruited. Data were captured using a pretested administered questionnaire.
Data were analysed using EpiInfo 7 statistical software. Written informed consent
was obtained from respondents.
We interviewed 150 respondents. The prevalence of
consistent condom use in the 3 months prior to the study was 52% among females
and 37% among males. Factors positively associated with condom use were
partners positive feelings on condom OR=7 p<0.05 . Factors negatively
associated with condom use were being gainfully employed OR= 0.4 p<0.05;
perception that condoms reduce sexual pleasure OR=0.2 p<0.05; thinking that there
is no need for a condom in a long term union, OR = 0.29 p=0.02, no need for
condom if HIV positive OR=0.11 p=0.01; perceptions that condoms are for use by
prostitutes OR=0.23 p=0.04.
Correct consistent condom use should be encouraged
among the HIV infected.
Akawu Denue et. al. (2014). Evaluation of Condom Use and Associated Factors
among Adult HIV Clients in Maiduguri, North Eastern Nigeria: A Comparative
Cross Sectional Study. World Journal of AIDS, 2014, 4, 169-177
[2.] Callegari L
et. al. (2008). Consistent condom use in married Zimbabwean women after a
condom intervention. Sex Transm Dis. 2008 Jun;35(6):624-30. doi:
Chirundu (2014). HRQL Among HIV Infected at Rimuka- Capstone 2014 In press
Hurtado et. al. (2011). Knowledge of HIV transmission and condom use among
HIV-positive heterosexual men and women in Guatemala. Journal of the
International AIDS Society 2011, 14:58
[5.] Dessie Y,
et. al. (2011). Risky sexual practices and related factors among ART attendees
in Addis Ababa public hospitals, Ethiopia: a cross-sectional study. BMC
Public Health. 2011;11:422.
[6.] Elmes J et.
al. (2014). The price of sex: condom use and the determinants of the price of
sex among female sex workers in eastern Zimbabwe. J Infect Dis. 2014 Dec
1;210 Suppl 2:S569-78. doi: 10.1093/infdis/jiu493
[7.] Gregson S
et. al. (2006). HIV decline associated with behavior change in eastern
Zimbabwe. Science. 2006 Feb 3;311(5761):664-6
[8.] Heidi W.
Reynolds (2012). The Measurement of Condom Use in Four Countries in East and
Southern Africa. AIDS Behav. 2012 May; 16(4): 1044–1053. doi:
[9.] Joshua O.
Akinyemi, et. al. (2010). Condom use among antiretroviral therapy patients in
Ibadan, Nigeria. J Infect Dev Ctries 2010; 4(8):495-502.
Cordero Coma et. al. (2014). HIV prevention and marriage: Peer group effects on
condom use acceptability in rural Kenya. SOCIAL Science & Medicine
116:169– 177 September 2014
Addis Alene et. al. (2014). Consistent condom use among sexually active
HIV-positive women in Amhara region, Ethiopia. Open Access Journal of
Contraception 2014:5 85–90
[12.] Mary E.
Randolph et. al. (2007). Sexual Pleasure and Condom Use. Arch Sex Behav.
2007 Dec; 36(6): 844–848. 17. S A Rizwan et. al. (2014). Correlates of
Intention to Use Condom among Male Migrant Factory Workers in Northern India. J
Clin Diagn Res. 2014 Aug; 8(8): JC05– JC08
[13.] Pedraza MA
et. al.(1999). Heterosexual transmission of HIV-1 is associated with high
plasma viral load levels and a positive viral isolation in the infected
partner. J Acquir Immune Defic Syndr. 1999 Jun 1;21(2):120-5
[14.] Stolte IG
et.al. (2001). Increase in sexually transmitted infections among homosexual men
in Amsterdam in relation to HAART. Sex Transm Infect 77: 184 – 186.
[15.] Yalew et.
al. (2012). Patterns of condom use and associated factors among adult HIV
positive clients in North Western Ethiopia: a comparative cross sectional
study. BMC Public Health 2012, 12:308
Shewamene et. al. (2015). Consistent condom use in HIV/AIDS patients receiving
Antiretroviral therapy in northwestern Ethiopia: Implication to reduce transmission
and multiple infections. HIV/AIDS – Research and Palliative Care 2015:7