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Factors Associated with HIV Discussion and Condom Use with Sexual Partners in an Underserved Community in South Africa
- Journal of Health Care for the Poor and Underserved
- Johns Hopkins University Press
- Volume 27, Number 1, February 2016
- pp. 131-144
- 10.1353/hpu.2016.0015
- Article
- Additional Information
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We examined factors associated with discussing HIV and condom use with a sexual partner. Two cross-sectional surveys were conducted in 2004 prior to the implementation of an HIV awareness campaign in a South African community and in 2008 after a three-year education program. Overall, the proportion of individuals who had discussed HIV with a sexual partner increased from 76% in 2004 to 89% in 2008 (p <.001). Among respondents who had sex six months before completing the surveys, condom use significantly increased from 64% in 2004 to 79% in 2008 (p <.05). Respondents who discussed HIV with a sexual partner were more likely to use condoms than respondents who had not discussed HIV with a sexual partner (OR=2.08, 95% CI=1.16, 3.72). These findings indicate the importance of interventions aimed at promoting HIV awareness and discussion of HIV in communities with individuals at risk of acquiring HIV.