Facilitators and barriers to condom use among Filipinos: A systematic review of literature

Abstract

Background: Between 2010 and 2018, the Philippines had a 203% increase in new human immunodeficiency virus (HIV) infections. The use of condoms is an effective and practical means to prevent HIV transmission. The purpose of this study was to identify facilitators and barriers to condom use among Filipinos guided by the Ecological Model of Health Promotion. Methods: A systematic review of literature using electronic databases was performed using the following keywords: "condom," "Filipinos," and "Philippines." To be included in this review, papers should be (1) research studies, (2) studies that examined condom use, and (3) studies that sampled Filipinos residing in the Philippines. The final sample comprised of 27 articles. Results: Multiple and interrelated factors at the individual and social environment levels influence condom use among different groups of Filipinos. Majority of these factors originated at the intrapersonal level. Some of the facilitators to condom use were knowledge on HIV, higher perceived HIV risk, peer support, positive manager attitude, health provider engagement, and city ordinances. In contrast, some of the barriers to condom use were discomfort and displeasure on condom use, low parental communication, lack of sex education, social stigma, and the high price of condoms. Conclusion: A collaborative, culturally-sensitive, and population-specific approach is essential to develop and implement acceptable, sustainable, and successful condom use interventions.

Determinants of consistent condom use among Filipino women: Results from the 2017 Philippine National Demographic and Health Survey

“…The consideration on pleasure is particularly salient in the Philippine context as the perception that condoms are not comfortable to use and causes displeasure has been found to be a barrier to condom use in a previous review. The same review mentions the need for a "collaborative, culturally-sensitive, and population-speci c approach to develop and implement acceptable, sustainable and successful condom use interventions" [7]. This study adds that more than just condom use, interventions should focus on promoting consistent condom use as the bene ts of preventing STIs and unwanted pregnancies can only come from consistent use of condoms.…”

“…According to the 2017 Philippine National Demographic and Health Survey (NDHS), only 2% of currently married women and 3% of sexually active unmarried women have male partners who have ever used condoms [6]. A systematic review of condom use in the Philippines found 27 studies involving different populations in selected areas throughout the country [7]. The same review have found that the range of prevalence of consistent condom use ranged from 3% among men who have sex with men in Metro Manila to 74% among female sex workers (FSW) in Iloilo City [7][8][9].…”

“…A systematic review of condom use in the Philippines found 27 studies involving different populations in selected areas throughout the country [7]. The same review have found that the range of prevalence of consistent condom use ranged from 3% among men who have sex with men in Metro Manila to 74% among female sex workers (FSW) in Iloilo City [7][8][9]. The same review found that facilitators of condom use in the country include being single, frequent STI tests, greater educational attainment, higher monthly wage, higher perceived HIV risk, engaging with FSW, knowledge of HIV, longer employment period, personal decision, positive attitudes on condom use, HIV status, prevention of pregnancies and STIs, peer in uence, type of work establishment and workplace support, access to health facilities and merchandise stores, health provider engagement, and government policies and regulations.…”

Determinants of consistent condom use among Filipino women: Results from the 2017 Philippine National Demographic and Health Survey

“…According to the 2017 Philippine National Demographic and Health Survey (NDHS), only 2% of currently married women and 3% of sexually active unmarried women have male partners who have ever used condoms [ 8 ]. A systematic review of condom use in the Philippines found 27 studies involving different populations in selected areas throughout the country [ 9 ]. The same review has found that the prevalence of consistent condom use ranged from 3% among men who have sex with men in Metro Manila to 74% among female sex workers (FSW) in Iloilo City [ 9 – 11 ].…”

Development and Evidence of the Validity of the Condom Use Attitudes Scale for Youth and Adults in a Chilean Context

“…Favorable attitudes toward condoms have been shown to lead to healthy sexual behaviors ( De Torres, 2020 ; Kim et al, 2021 ), while unfavorable attitudes decrease the likelihood of condom use ( Ajayi et al, 2019 ; Elshiekh et al, 2020 ) and are associated with other sexual risk behaviors, such as multiple sexual partners ( Shamu et al, 2020 ) and sex under the influence of alcohol or drugs ( Davis et al, 2020 ).…”