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AIDS Care. 2019 Jun 10:1-8. doi: 10.1080/09540121.2019.1622632. [Epub ahead of print]

Gender differences in the relationship of sexual partnership characteristics and inconsistent condom use among people living with HIV in China.

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a School of Public Health , Sun Yat-sen University , Guangzhou , People's Republic of China.
b Center for Migrant Health Policy , Sun Yat-sen University , Guangzhou , People's Republic of China.
c Sun Yat-sen Global Health Institute , Institute of State Governance, Sun Yat-sen University , Guangzhou , People's Republic of China.
d Department of Health Administration and Policy , College of Health and Human Services, George Mason University , Fairfax , VA , USA.
e Department of Infectious Disease , Guangzhou Number Eight People's Hospital , Guangzhou , People's Republic of China.
f School of Public Health , Texas A&M University , College Station , TX , USA.


Few studies have examined the relationship between inconsistent condom use and sexual partnership characteristics among people living with HIV (PLWH). The current study focused on such association and its gender differences. The study was conducted in a large hospital in South China in 2013. A total of 320 dyads (PLWH indexes and their sexual partners) were recruited from an outpatient clinic using convenience sampling. The proportion of inconsistent condom use in the last six months among female indexes was higher than that among male indexes (52.4% vs. 43.6%). Of sexual partnership characteristics, HIV seropositive status was a risk factor for inconsistent condom use for both male and female indexes (aOR = 2.32, 95%CI = 1.15∼4.66, aOR = 3.09, 95%CI = 1.10∼8.67, respectively). For male indexes, lower educational level was also a risk factor (aOR = 2.39, 95%CI = 1.23∼4.67); while having had emotionally intimate relationships was a protective factor (aOR = 0.40, 95%CI = 0.21∼0.77). For female indexes, receiving material support was a risk factor (aOR = 10.17, 95%CI = 2.13∼48.61) and receiving health-related advice was a protective factor (aOR = 0.11, 95%CI = 0.02∼0.55). Future HIV interventions for PLWH need to be gender-sensitive and include their sexual partners.


China; Gender difference; Inconsistent condom use; PLWH; Sexual partnership

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