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Barriers to Condom Use among High Risk Men Who Have Sex with Men in Uganda: A Qualitative Study

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  • Geofrey Musinguzi
  • Hilde Bastiaens
  • Joseph K B Matovu
  • Fred Nuwaha
  • Geoffrey Mujisha
  • Juliet Kiguli
  • Jim Arinaitwe
  • Jean-Pierre Van Geertruyden
  • Rhoda K Wanyenze

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.

Suggested Citation

  • Geofrey Musinguzi & Hilde Bastiaens & Joseph K B Matovu & Fred Nuwaha & Geoffrey Mujisha & Juliet Kiguli & Jim Arinaitwe & Jean-Pierre Van Geertruyden & Rhoda K Wanyenze, 2015. "Barriers to Condom Use among High Risk Men Who Have Sex with Men in Uganda: A Qualitative Study," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-13, July.
    • Handle: RePEc:plo:pone00:0132297
    DOI: 10.1371/journal.pone.0132297
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    References listed on IDEAS

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    1. Koblin, B.A. & Chesney, M.A. & Husnik, M.J. & Bozeman, S. & Celum, C.L. & Buchbinder, S. & Mayer, K. & McKirnan, D. & Judson, F.N. & Huang, Y. & Coates, T.J., 2003. "High-Risk Behaviors among Men Who Have Sex with Men in 6 US Cities: Baseline Data from the EXPLORE Study," American Journal of Public Health, American Public Health Association, vol. 93(6), pages 926-932.
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    Cited by:

    1. Markus Larsson & Jasmine Mohamed Shio & Michael W Ross & Anette Agardh, 2017. "Acting within an increasingly confined space: A qualitative study of sexual behaviours and healthcare needs among men who have sex with men in a provincial Tanzanian city," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-18, August.

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