Condom-Use Patterns among Women Who Live in Public Housing Developments in Ponce, Puerto Rico

Norman, Lisa R.; Garriga, Carolina Alvarez; Cintron, L.

doi:10.1353/hpu.2011.0160

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…In part, as a result of the HIV epidemic, much of the sex research in PR has primarily focused on communities at disproportionate risk such as injecting‐drug users (IDUs), men who have sex with men, and HIV‐positive individuals [7–11]. This has limited the amount of data available on the general population and on particular groups previously overseen in research such as women and other sexually active adults [12,13]. Apart from groups at increased risk for HIV infection, there are limited data available on the sexual health characteristics of the Puerto Rican population, in part because of the stigma related to sexuality on the island, and further research is needed [1,14–16].…”

Section: Introductionmentioning

confidence: 99%

“Sexplorando”: Sexual Practices and Condom Use among an Internet-Based Sample of Men and Women in Puerto Rico

Rodríguez-Díaz¹,

Collazo²,

Dodge³

et al. 2014

The Journal of Sexual Medicine

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Introduction Despite the wealth of literature addressing sexual practices and condom use among men and women, very little data are available among Hispanic/Latino populations and in the Caribbean Region. This study adds to the existing literature on sexual practices and condom use in Puerto Rico (PR) and provides comparisons based on sex given the need for more current information on the sexual characteristics and condom use rates among understudied populations. Aim The aim of this study was to assess the rates of sexual practices and condom use among adults, aged 21–49, in PR. Methods We report the prevalence of lifetime and recent (past 3 months) sexual practices by sex, as event-level condom use rates, and condom familiarity and accessibility in an online-based sample of adult men and women in PR. Main Outcome Measures The main variables assessed include sociodemographic characteristics, solo and partnered sexual practices, and condom use frequencies, as well as familiarity and accessibility to male and female condoms. Results Overall, 93% of the sample reported having been sexually active (engaged in oral, vaginal, and/or anal sex) in their lifetime and 78% reported sexual practices in the past 3 months. As in other studies Hispanic/Latino populations, reported rates of anal intercourse (AI) among both men and women were relatively high. Overall, a greater proportion of men reported condom use during all sexual practices (41% vaginal intercourse (VI); 65% receptive AI; 46% insertive AI) than women (22% VI; 18% AI). Conclusions These findings provide current sexual practice and condom use frequency rates that can aid in the understanding of the particular sexual health needs of Hispanic/Latino populations as well as of other groups in the Caribbean. It also serves for the development of future studies and sexual health promotion programs, including comprehensive sexual health care.

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Section: Introductionmentioning

confidence: 99%

“Sexplorando”: Sexual Practices and Condom Use among an Internet-Based Sample of Men and Women in Puerto Rico

Rodríguez-Díaz¹,

Collazo²,

Dodge³

et al. 2014

The Journal of Sexual Medicine

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“…In general worldwide, it is understandable that women in regular relationships tend not to use condoms [29][30][31][32]. It is difficult to expect women to use a condom within the context of a regular relationship in which it is expected that each partner is monogamous.…”

Section: Resultsmentioning

confidence: 99%

I Just Trust Him: The Notion of Consideration as a Barrier to Condom Use amongst Women Who Inject Drugs in Central Java

Saktiawati¹,

Worth²,

Lazuardi³

et al. 2013

WJA

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The HIV epidemic in Indonesia has risen sharply since 2004, from 2682 cases in 2004 to 19,973 in 2009. The main transmission route of HIV in Indonesia is injecting drug use. There is little research on women who inject drugs in Indonesia. In-depth interviews were carried out with 19 women who injected drugs in three small cities in central Java. The interviews explored the living conditions of the women and the context of HIV risk. The transcripts were coded and the data were thematically analyzed. In this paper we report on condom use with regular partners. Condom use was very low with their regular partners, even though both they and their partners were injecting drug users. The reasons women gave were that they trusted their partners (although they realised this trust was shaky). The women used traditional Javanese cultural concepts of consideration to explain why they did not use condoms. This was heightened by other cultural norms of women's place in Javanese society. Although the women in the study were marginalized because of their drug use, they still hold to many Indonesian cultural precepts-of consideration and care for the other above oneself in their relationships with their regular partners which impede condom use. While notions of consideration and harmony were used to explain non-condom use, the same notions could also be used in couple-counseling to assist.

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“…Notwithstanding, these recommendations should be considered in context. In Puerto Rico, high levels of sexuality-related stigma, 12,13,14 poor quality sex education, 15 limited access to contraception, 16,17 and limited participation in the allocation of resources for prevention 18 make prevention of new Zika infections in accordance with these recommendations challenging, if not downright onerous. For example, researchers in Puerto Rico have evidenced that there is poor quality sex education available, 15,19 limited access to contraception, 16,17 low levels of reproductive planning, 20 high levels of gender-based violence, 21 and low rates of condom use among women.…”

Section: Manuscriptmentioning

confidence: 99%

“…In Puerto Rico, high levels of sexuality-related stigma, 12,13,14 poor quality sex education, 15 limited access to contraception, 16,17 and limited participation in the allocation of resources for prevention 18 make prevention of new Zika infections in accordance with these recommendations challenging, if not downright onerous. For example, researchers in Puerto Rico have evidenced that there is poor quality sex education available, 15,19 limited access to contraception, 16,17 low levels of reproductive planning, 20 high levels of gender-based violence, 21 and low rates of condom use among women. 17 Further, two thirds (65%) of pregnancies are unintended, 22 sexual abstinence is rarely practiced among sexually active adults, 17 and abstinence-based sexual education (on which public policies are mostly focused) has proven to be ineffective and morally problematic as it threatens fundamental human rights to health, information, life, and reproductive freedom.…”

Section: Manuscriptmentioning

confidence: 99%

Zika virus epidemic in Puerto Rico: Health justice too long delayed

Rodríguez-Díaz

Garriga-López

Malavé-Rivera

et al. 2017

International Journal of Infectious Diseases

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Summary In 16 months over 35,400 cases of Zika virus infection have been confirmed in Puerto Rico. This represents 85% of all cases reported on the United States of America and its territories. Zika epidemic is exposing the profound failure of socioeconomic policies, as well as of the protection of sexual and reproductive health rights in Puerto Rico. Considering high poverty rates, high levels of sexuality-related stigma, poor quality sex education, limited access to contraception, and limited participation in the allocation of resources for prevention; it is unreasonable to focus public health efforts to prevent Zika virus infection to vector control. The allocation and equitable management of resources for research and intervention are required in order to understand and address barriers and facilitators for prevention at the individual, social, and structural levels. Further, the impact of efforts to tackle the social determinants of Zika virus epidemic in the island should be assessed.

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Condom-Use Patterns among Women Who Live in Public Housing Developments in Ponce, Puerto Rico

Cited by 5 publications

References 32 publications

“Sexplorando”: Sexual Practices and Condom Use among an Internet-Based Sample of Men and Women in Puerto Rico

“Sexplorando”: Sexual Practices and Condom Use among an Internet-Based Sample of Men and Women in Puerto Rico

I Just Trust Him: The Notion of Consideration as a Barrier to Condom Use amongst Women Who Inject Drugs in Central Java

Zika virus epidemic in Puerto Rico: Health justice too long delayed

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