Predictors for Condom Use With Steady Partners in QUILOMBOLA Communities of Sergipe
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Condom use with steady heterosexual partners has been insufficiently addressed in Brazil, because, in this setting, most studies are on the population of men who have sex with men or sex workers. Besides that, the literature on this topic regarding traditional communities is even scarcer. Therefore, the objective of the present study was to identify which factors are related to the consistent use of condoms with steady partners in Quilombola communities in the northeast region of Brazil. A total of 367 individuals from 14 communities were enrolled from September 2016 to June 2017. Logistic regression models for predicting the consistent use of condoms with steady partners were developed. Most of the study participants (90.73%) had steady partners. Regarding personal vulnerability to not using condoms, only 9.91% of those who had steady partners engaged in protected sexual intercourse with the partners. Provision of sexual health information and receiving condoms showed statistical significance (OR = 4.38; CI = 1.7–11.09; p = 0.002), with approximately four times greater probability of consistent condom use with steady partners, pointing to a vulnerability in relation to those who do not receive these resources. It should also be emphasized that low socioeconomic levels and geographic distance of health units can have a negative impact on access to information and condoms.
KeywordsSexually transmitted infections Sexual risk behavior Condom use Vulnerable communities African continental ancestry group
The authors are grateful to the Tiradentes University for the technical and financial support. We are also thankful to the people living in the Quilombola communities in Sergipe.
This work was supported by Coordination for the Improvement of Higher Education Personnel (CAPES), National Competence Mobilization Program for Development Studies (PROMOB), the National Council for Scientific and Technological Development (CNPq), and Tiradentes University.
Compliance with Ethical Standards
The authors declare that they have no competing interests.
Ethics Approval and Consent to Participate
The Research Ethics Committee in Tiradentes University reviewed and approved the survey protocol. That organization follows international ethical standards to ensure confidentiality, anonymity, and informed consent. Necessary measures were taken to maintain confidentiality of the information collected. It was also made clear to the informants that they had full right to refuse to respond any questions or to terminate interviews at any time if and when they want for any reason.
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