Perceptions and Practice of Heterosexual Anal Sex amongst VOICE Participants in Uganda, Zimbabwe and South Africa

Duby, Zoe; HartmannMiriam,; MontgomeryElizabeth, T; ColvinChristopher, J; MenschBarbara,; StratenAriane, van der

doi:10.1089/aid.2014.5605.abstract

Cited by 3 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Populations such as FSWs, MSMW and women in general are known to be HIV high risk groups 38 and our study further confirmed that the groups are at high risk of acquiring HIV since majority of the studies identified low prevalence estimates for condom use or inconsistent condom use during AI among these groups. Condom breakage was further reported among FSWs and this could be due to not using lubricants or due to the use of lubricants not suitable for condoms during heterosexual AI as similarly reported in other studies 39 , 40 , 41 .…”

Section: Discussionsupporting

confidence: 64%

Condom use and risk factors of inconsistent or low use of the condoms during heterosexual anal intercourse in sub-Saharan Africa: a scoping review

Nyoni¹,

James²

2022

Afr H. Sci.

View full text Add to dashboard Cite

Background: Anal intercourse (AI) has been reported to be the riskiest among other sexual intercourses in spreading human immunodeficiency virus (HIV) and the risk could be minimized by the use of condoms. Whilst AI is believed to be practised mainly by men who have sex with men, AI has also been reported to occur in heterosexual relationships. However, data on condom use during heterosexual AI are inadequate in sub-Saharan Africa. Method: A scoping review of English language published articles on condom use during heterosexual anal sex, whose studies were conducted in Sub-Saharan Africa from January 2010 to May 2020 was conducted. Articles were searched systematically on PubMed and Google Scholar electronic databases. Heterosexual AI was defined as penile penetrative anal sexbetween a man and a woman regardless of the sexual orientation of the 2 parties involved in the act of heterosexual AI. Findings: A total of 21 studies were eligible for analysis. Most of the studies (17 out of 21) reported females to be involved in heterosexual AI whilst 9 out of 21 studies reported males to be involved in heterosexual AI. The lifetime prevalence estimate of condom use during heterosexual AI ranged from 29%-97.5%. Other prevalence estimates of condom use duringheterosexual anal intercourse were reported over various recall periods which were: 12 months’ recall period with prevalence estimates ranging from 2.9%-59%; prevalence estimates for the past 3 months which ranged from 50%-94.4%; 1 month’s recall period with prevalence estimates ranging from 5%-96% and prevalence estimates for the last intercourse experienced ranging from 1%-55%. Condom use during heterosexual AI was generally low and/or inconsistent among female sex workers (FSWs), men who have sex with men and women (MSMW) and some women in the general population. There were no risk factors identified in the study for the inconsistent or low use of condoms during heterosexual AI. Conclusion: Evidence from this study suggests condom use during heterosexual AI could be fairly low especially among groups such as FSWs, MSMW and some women in the general population. Risk factors for using condoms inconsistently or using condoms less during heterosexual AI are not clear. Heterosexual anal intercourse and condom use during the AIpractice is generally an under-studied subject in Sub-Saharan Africa. Future studies need to explore on heterosexual AI and condom use practices during AI comprehensively so that there can be concrete evidence on the subject which will inform targeted interventions aimed at reducing HIV among heterosexual populations in SSA. Keywords: Heterosexual anal intercourse; condom use; sub-Saharan Africa.

show abstract

Section: Discussionsupporting

confidence: 64%

Condom use and risk factors of inconsistent or low use of the condoms during heterosexual anal intercourse in sub-Saharan Africa: a scoping review

Nyoni¹,

James²

2022

Afr H. Sci.

View full text Add to dashboard Cite

show abstract

“…The present study also found that anal sex was not frequently reported among the student sample surveyed. Anal intercourse is not socially acceptable in Uganda and other parts of Africa, perhaps explaining the low rates reported in the study [51][52][53]. In qualitative studies exploring perceptions of' heterosexual penile-anal intercourse among women in three sub-Saharan African countries (i.e., Zimbabwe, Uganda, and South Africa), participants described this socially stigmatized act as disgusting, embarrassing, sinful, and shameful [51,52].…”

Section: Plos Onementioning

confidence: 76%

“…Anal intercourse is not socially acceptable in Uganda and other parts of Africa, perhaps explaining the low rates reported in the study [ 51 – 53 ]. In qualitative studies exploring perceptions of’ heterosexual penile-anal intercourse among women in three sub-Saharan African countries (i.e., Zimbabwe, Uganda, and South Africa), participants described this socially stigmatized act as disgusting, embarrassing, sinful, and shameful [ 51 , 52 ]. They also added that this type of sexual activity is against cultural and religious morals and that such acts may be practiced only by sex workers, drug addicts, and porn stars.…”

Section: Discussionmentioning

confidence: 99%

Risky sexual behaviours among Ugandan university students: A pilot study exploring the role of adverse childhood experiences, substance use history, and family environment

Kaggwa

Muwanguzi²,

Najjuka³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

Background University students are known to have risky sexual behaviours (RSBs). The severity of the RSB is influenced by many factors, including the family environment, exposure to adverse childhood events (ACEs), and the use of addictive substances. However, there is limited information about the influence of ACEs and the family environment of these students in low-and medium-income countries (LMICs). Therefore, a pilot study was conducted among university students from a LMIC, Uganda. Methods The present study comprised a cross-sectional online survey among Ugandan students at a public university (N = 316; 75% male; 52.2% aged between 18–22 years). The survey included questions relating to socio-demographic information, family environmental information, the Sexual Risk Survey (SRS), and the Adverse Childhood Experiences-International Questionnaire (ACE-IQ). Results Over half (53.8%) reported having had sexual intercourse. Males reported over two times higher mean total SRS score compared to females (χ2 = 4.06, p = 0.044). Approximately one-sixth of the sample had drunk alcohol or used illicit psychoactive substances in the past six months (16.1%). Among four regression analysis models, sociodemographic variables predicted the highest variance (13%), followed by family environment variables (10%), and both psychoactive substance use history (past six months) and ACEs individually explained approximately 5% variance in total SRS score, with the final model predicting 33% of the variance in RSB. Conclusions The present study demonstrated a gender disparity with males involved in more RSB than females, as has been reported in most previous RSB studies. Family environment, sociodemographic factors, substance use, and ACEs all appear to contribute to RSB among university students. These findings will benefit other researchers exploring factors associated with RSB among university students and will help develop interventions to reduce RSB to protect students from unwanted pregnancies, sexually transmitted diseases, and HIV/AIDS.

show abstract

“…This article includes data collected from November 2013 through March 2014 during the second stage of the study, when participants were retrospectively presented with their PK results. The findings related to sexual behaviour captured during the first stage have been published elsewhere [25-27]. Former VOICE participants were recruited from among those who had provided permission to be recontacted and had plasma TFV data.…”

Section: Methodsmentioning

confidence: 99%

Disclosure of pharmacokinetic drug results to understand nonadherence

Straten

Montgomery²,

Musara

et al. 2015

Aids

Self Cite

View full text Add to dashboard Cite

Objectives In VOICE, a phase IIB trial of daily oral and vaginal tenofovir for HIV prevention, ≥50% of women receiving active products had undetectable tenofovir in all plasma samples tested. MTN-003D, an ancillary study using in-depth interviews (IDIs) and focus group discussions (FGDs), together with retrospective disclosure of plasma tenofovir pharmacokinetic (PK) results, explored adherence challenges during VOICE. Methods We systematically recruited participants with PK data (median 6 plasma samples), categorized as low (0%, N=79), inconsistent (1%-74%, N=28), or high (≥75%; N=20) based on frequency of tenofovir detection. Following disclosure of PK results, reactions were captured and adherence challenges systematically elicited; IDIs and FGDs were audio-recorded, transcribed, coded, and thematically analyzed. Results We interviewed 127 participants from South Africa, Uganda, and Zimbabwe. The most common reactions to PK results included surprise (41%; low PK), acceptance (39%; inconsistent PK), and happiness (65%; high PK). Based on participants’ explanations, we developed a typology of adherence patterns: noninitiation, discontinuation, misimplementation (resulting from visit-driven use, variable taking, modified dosing or regimen), and adherence. Fear of product side effects/harm was a frequent concern, fueled by stories shared among participants. Although women with high PK levels reported similar concerns, several described strategies to overcome challenges. Women at all PK levels suggested real-time drug monitoring and feedback to improve adherence and reporting. Conclusions Retrospective provision of PK results seemingly promoted candid discussions around nonadherence and study participation. The effect of real-time drug monitoring and feedback on adherence and accuracy of reporting should be evaluated in trials.

show abstract

Perceptions and Practice of Heterosexual Anal Sex amongst VOICE Participants in Uganda, Zimbabwe and South Africa

Cited by 3 publications

References 0 publications

Condom use and risk factors of inconsistent or low use of the condoms during heterosexual anal intercourse in sub-Saharan Africa: a scoping review

Condom use and risk factors of inconsistent or low use of the condoms during heterosexual anal intercourse in sub-Saharan Africa: a scoping review

Risky sexual behaviours among Ugandan university students: A pilot study exploring the role of adverse childhood experiences, substance use history, and family environment

Disclosure of pharmacokinetic drug results to understand nonadherence

Contact Info

Product

Resources

About