Barriers to Condom Use among High Risk Men Who Have Sex with Men in Uganda: A Qualitative Study
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Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
PLOS ONE
Abstract
Background Unprotected sexual intercourse is a major risk factor for HIV transmission. Men who have sex with men (MSM) face challenges in accessing HIV prevention services, including condoms.
However, there is limited in-depth assessment and documentation of the barriers to condom use among MSM in sub-Saharan Africa. In this paper, we examine the barriers to condom use among MSM in Uganda.
Methods
The data for this study were extracted from a larger qualitative study conducted among 85 self-identified adult (>18 years) MSM in 11 districts in Uganda between July and December
2013. Data on sexual behaviours and access and barriers to condom use were collected using semi-structured interviews. All interviews were audio-recorded and transcribed verbatim.
This paper presents an analysis of data for 33 MSM who did not use condoms at last sex, with a focus on barriers to condom use. Analysis was conducted using the content analysis approach.
Results
Six major barriers to condom use were identified: Difficulties with using condoms, access challenges, lack of knowledge and misinformation about condom use, partner and relationship related issues, financial incentives and socio-economic vulnerability, and alcohol consumption.
Conclusion
The findings suggest that several reasons account for lack of condom use among high-risk
MSM. The findings are valuable to inform interventions needed to increase condom use among MSM.
Description
This study was to assess unprotected sexual intercourse is a major risk factor for HIV transmission. Men who have sex with men (MSM) face challenges in accessing HIV prevention services, including condoms.
Keywords
Condom Use, Sex - Men Uganda, Unprotected sexual intercourse
Citation
Musinguzi et al. Barriers to Condom Use among High Risk Men Who Have Sex with Men in Uganda: A Qualitative Study. PLOS ONE | DOI:10.1371/journal.pone.0132297 (July 14, 2015).