Skip to main content

Advertisement

Log in

Predictors for Condom Use With Steady Partners in QUILOMBOLA Communities of Sergipe

  • Published:
Sexuality Research and Social Policy Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Andrade, S. S. C. A., Zaccara, A. A. L., Leite, K. N. S., de Nunes, M. L. A., Coêlho, H. F. C., & Oliveira, S. H. S. (2016). Male and female condoms: What do women of a subnormal agglomerate know. Investig y Educ en Enfermería, 34, 271–279. https://doi.org/10.17533/udea.iee.v34n2a06.

    Article  Google Scholar 

  • Bajaj, S., Ramayanam, S., Enebeli, S., Nsohtabien, H., Andkhoie, M., Yaghoubi, M., Gall, S., Szafron, M., & Farag, M. (2017). Risk factors for sexually transmitted diseases in Canada and provincial variations. Social Medicine, 11, 62–69.

    Google Scholar 

  • Barroso, S. M., Melo, A. P. S., & Guimarães, M. D. C. (2014). Depression in former slave communities in Brazil: Screening and associated factors. Revista Panamericana de Salud Pública, 35, 256–263.

    PubMed  Google Scholar 

  • Bertagnoli, M. S. F. F., & Figueiredo, M. A. C. (2017). HIV-positive pregnant women: Maternity, marital relationships and actions of psychology. Psicologia: Ciência e Profissão, 37(4), 981–994.

    Google Scholar 

  • Bezerra, V. M., de Andrade, A. C. S., César, C. C., & Caiaffa, W. T. (2013). Quilombo communities in Vitória da Conquista, Bahia state, Brazil: Hypertension and associated factors. Cad Saúde Pública, 29, 1889–1902. https://doi.org/10.1590/0102-311X00164912.

    Article  PubMed  Google Scholar 

  • Brasil. (1990). Lei n° 8.080 de 19 de setembro de 1990. Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências. Diário Oficial da União, 19 set.

  • Brasil. (2003). Decreto n° 4.887, de 20 de novembro de 2003. Lex: coletânea de legislação: edição federal, Brasília, p. 4.

  • Brasil. (2007). Decreto n. 6040, de 7 de fevereiro de 2007. Institui a Política Nacional de Desenvolvimento Sustentável dos Povos e Comunidades Tradicionais. Diário Oficial [da] República Federativa do Brasil, p. 57–60.

  • Brasil, Fundação Cultural Palmares. (2017). Comunidades Quilombolas. http://www.palmares.gov.br/?page_id=88. Accessed 24 Sep 2017.

  • Brasil. Secretaria de Políticas de Promoção da Igualdade Racial, Secretaria De Políticas Para Comunidades Tradicionais. (2013). Guia de Políticas Públicas para População Quilombola. Brasília: Programa Brasil Quilombola.

    Google Scholar 

  • Centers For Disease Control And Prevention. (2014). Sexually transmitted disease surveillance 2012. US Department of Health and Human Services, CDC, Atlanta, GA.

  • Choudhry, V., Agardh, A., Stafstrom, M., & Ostergren, P. O. (2015). Patterns of alcohol consumption and risky sexual behavior: A cross-sectional study among Ugandan university students. BMC Public Health, 14, 128.

    Article  Google Scholar 

  • Cicconi, P., Monforte, A., Castagna, A., Quirino, T., Alessandrini, A., Gargiulo, M., Francisci, D., Anzalone, E., Liuzzi, G., Pierro, P., & Ammassari, A. (2013). Inconsistent condom use among HIV-positive women in the “treatment as prevention era”: Data from the Italian DIDI study. Journal of the International AIDS Society, 16, 18591. https://doi.org/10.7448/IAS.16.1.18591.

    Article  PubMed  PubMed Central  Google Scholar 

  • Corbett, A. M., Dickson-Gómez, J., Hilario, H., & Weeks, M. R. (2009). A little thing called love: Condom use in high-risk primary heterosexual relationships. Perspectives on Sexual and Reproductive Health, 41, 218–224. https://doi.org/10.1363/4121809.

    Article  PubMed  PubMed Central  Google Scholar 

  • Emmers-Sommer, T. M., & Allen, M. (2005). Safer sex in personal relationships: The role of sexual scripts in HIV infection and prevention. Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Etsub, E., Worku, A., & Tesfaye, G. (2014). Unprotected sexual practice and associated factors among people living with HIV at ante retroviral therapy clinics in Debrezeit town, Ethiopia: A cross sectional study. Reprod Heal, 11, 1–9. https://doi.org/10.1186/1742-4755-11-56.

    Article  Google Scholar 

  • Ferreira, H. S., & Torres, Z. M. C. (2015). A quilombola community in the northeast region of Brazil: The health of women and children before and after certification. Rev Bras Saude Mater Infant, 15, 219–229. https://doi.org/10.1590/S1519-38292015000200008.

    Article  Google Scholar 

  • Filipini. (2009). Reconfiguração sociométrica da família na contemporaneidade: os desafios de crianças e adolescentes. Revista brasileira de psicodrama., 17, 35–50.

    Google Scholar 

  • Garcia, S., & Souza, F. M. (2010). Vulnerabilities to HIV/AIDS in the Brazilian context: Gender, race and generation inequities. Saude Society, 19, 9–20. https://doi.org/10.1590/S0104-12902010000600003.

    Article  Google Scholar 

  • Gomes, F. S. (2015). Mocambos e Quilombos: Uma história do campesinato negro no Brasil (1ª ed.). São Paulo: Claro Enigma.

  • Gomes, K. O., Reis, E. A., Guimarães, M. D. C., & Cherchiglia, M. L. (2013). Use of health services by Quilombo communities in Southwest Bahia state, Brazil. Cad Saúde Pública, 29, 1829–1842. https://doi.org/10.1590/0102-311X00151412.

    Article  Google Scholar 

  • Kamakura, W., & Mazzon, J. A. (2016). Socioeconomic stratification criteria and classification tools in Brazil. Revista de Administração de Empresas, 56(1), 55–70.

    Article  Google Scholar 

  • Kohler, P., Schmidt, A. J., Cavassini, M., Furrer, H., Calmy, A., Battegay, M., Bernasconi, E., Ledergerber, B., & Vernazza, P. (2015). The HIV care cascade in Switzerland: Reaching the UNAIDS/WHO targets for patients diagnosed with HIV. AIDS, 29, 2509–2515. https://doi.org/10.1097/QAD.0000000000000878.

    Article  PubMed  Google Scholar 

  • Krabbe, E. C., Brum, M. D., Capeletti, C. P., Costa, T. S., Mello, M. L., Vieira, P. R., & Carvalho, T. G. M. L. (2016). Escola, Sexualidade, Práticas Sexuais e Vulnerabilidades para as Infecções Sexualmente Transmissíveis. Rev Interdisciplinar de Ensino, Pesquisa e Extensão, 4, 75–84.

    Google Scholar 

  • Lucea, M. B., Hindin, M. J., Gultiano, S., Kub, J., & Rose, L. (2013). The context of condom use among young adults in the Philippines: Implications for HIV prevention. Health Care for Women International, 34, 227–248. https://doi.org/10.1080/07399332.2012.721414.

    Article  PubMed  PubMed Central  Google Scholar 

  • Marques, A. S., Freitas, D. A., Leão, C. D. A., Oliveira, S. K. M., Pereira, M. M., & Caldeira, A. P. (2014). Primary care and maternal and child health: Perceptions of caregivers in a rural “quilombola” community. Ciênc saúde coletiva, 19, 365–371. https://doi.org/10.1590/1413-81232014192.02992013.

    Article  Google Scholar 

  • Molina, A. B., & Tejada, A. J. R. (2017). Condom use, number of partners and sexual debut in young people in penile-vaginal intercourse, oral sex and anal sex. Rev Int Andrología, 15, 8–14. https://doi.org/10.1016/j.androl.2017.02.009.

    Article  Google Scholar 

  • Nascimento, E. G. C., Cavalcanti, M. A. F., & Alchieri, J. C. (2017). Adherence to condom use: The real behavior in the northeast of Brazil. Rev Salud Pública, 19, 71–80.

    Article  Google Scholar 

  • Rizwan, S. A., Kant, S., Goswami, K., Rai, S. K., & Misra, P. (2014). Influence of alcohol on condom use pattern during non-spousal sexual encounter in male migrant workers in North India. Journal of Postgraduate Medicine, 60, 276–281. https://doi.org/10.4103/0022-3859.138752.

    Article  PubMed  Google Scholar 

  • Rodríguez, I. C. (2016). Intertwined dimensions: Empowerment and attitudes of Mexican teenagers regarding condom use. Rev Latinoam Población, 10, 149–168.

    Google Scholar 

  • Sánchez, R., & Echeverry, J. (2004). Validating scales used for measuring factors in medicine. Revista de Salud Pública, 6, 302–318. https://doi.org/10.1590/S0124-00642004000300006.

    Article  PubMed  Google Scholar 

  • Sanders, S. A., Hill, B. J., Crosby, R. A., & Janssen, E. (2014). Correlates of condom-associated erection problems in young, heterosexual men: Condom fit, self-efficacy, perceptions, and motivations. AIDS and Behavior, 18, 128–134. https://doi.org/10.1007/s10461-013-0422-3.

    Article  PubMed  Google Scholar 

  • Shiferaw, Y., Alemu, A., Assefa, A., Tesfaye, B., Gibermedhin, E., & Amare, M. (2014). Perception of risk of HIV and sexual risk behaviors among university students: Implication for planning interventions. BMC Research Notes, 7, 162.

    Article  Google Scholar 

  • de Souza, L. O., Teles, A. F., de Oliveira, R. J., de Lopes, M. A. O., de Souza, I. A., de Inácio, V. S. S., & Seibert, C. S. (2013). Screening of hemoglobins S and C and the influence of social conditions in their distribution: A study in four quilombola communities, Tocantins state. Saúde Society, 22, 1236–1246. https://doi.org/10.1590/S0104-12902013000400024.

    Article  Google Scholar 

  • Vieira, A. B. D., & Monteiro, P. S. (2013). Quilombola community: Analysis of the persistent problem in health attention under the focus of the intervention bioethics. Saúde em Debate, 37, 610–618. https://doi.org/10.1590/S0103-11042013000400008.

    Article  Google Scholar 

  • Walsh, J. L., Fielder, R. L., Carey, K. B., & Carey, M. P. (2013). Changes in Women’s condom use over the first year of college. Journal of Sex Research, 50, 128–138. https://doi.org/10.1080/00224499.2011.642024.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2017). Sexually transmitted infections. http://www.who.int/mediacentre/factsheets/fs110/en. Accessed 09 Feb 2016.

Download references

Acknowledgments

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.

Funding

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.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Taciana Silveira Passos.

Ethics declarations

Competing Interests

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.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Passos, T.S., Almeida-Santos, M.A., da Paixão, A.L.S.S. et al. Predictors for Condom Use With Steady Partners in QUILOMBOLA Communities of Sergipe. Sex Res Soc Policy 16, 112–120 (2019). https://doi.org/10.1007/s13178-018-0341-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13178-018-0341-1

Keywords

Navigation