Inconsistent condom use among public primary care patients with tuberculosis in South Africa
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The high rate of HIV infections among tuberculosis (TB) patients in South Africa calls for urgent HIV reduction interventions in
this subpopulation. While correct and consistent condom use is one of the effective means ofHIV prevention among sexually active
people, there is insufficient research on condom use among TB patients in South Africa. The aim of this paper was to determine
the prevalence of inconsistent condom use among public primary care TB patients and its associated factors using a sample of
4900 TB patients from a cross-sectional survey in three health districts in South Africa. Results indicated that when asked about
their consistency of condom use in the past 3 months, 63.5% of the participants reported that they did not always use condoms.
In the multivariable analysis, being married (OR = 1.66; 95% CI 1.25-2.20) or cohabitating or separated, divorced, or widowed
(OR = 3.67; 1.85-7.29), lower educational level (OR = 0.66; 0.46-0.94), greater poverty (OR = 1.60; 1.25-2.20), not having HIV
status disclosed (OR = 0.34; 0.25-0.48), sexual partner on antiretroviral treatment (OR = 0.38; 0.23-0.60), and partner alcohol
use before sex (OR = 1.56; 1.30-1.90) were significantly associated with inconsistent condom use in the past 3 months. The low
proportion of consistent condom use among TB patients needs to be improved.