Stigma of infidelity associated with condom use explains low rates of condom uptake: qualitative data from Uganda and Tanzania (Record no. 27935)

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control field 20240606120117.0
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040 ## - CATALOGING SOURCE
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041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Fuller form of name Kathryn Broderick
245 ## - TITLE STATEMENT
Title Stigma of infidelity associated with condom use explains low rates of condom uptake: qualitative data from Uganda and Tanzania
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania :
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS – Bugando] :
Date of publication, distribution, etc. 2023
490 ## - SERIES STATEMENT
Series statement Broderick et al. Reproductive Health (2023) 20:12
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Despite widespread messaging supporting male (external) condom use to prevent HIV in endemic settings, utilization of condoms is low across sub-Saharan Africa. A thorough understanding of barriers to condom use as a form of HIV prevention is necessary to reduce HIV transmission. Here, we present qualitative data from rural eastern Africa to explain low utilization of condoms among heterosexual adults. Focus groups and interviews were conducted in Tanzania and Uganda between 2016 and 2019. A content analysis approach was used to identify attitudes about condoms and factors related to use/non-use. We found that strategies such as abstinence and being faithful to one’s partner are perceived as ideal but rarely achievable methods of HIV prevention. Condoms are used in the setting of “failure” to abstain or be faithful and are therefore stigmatized as markers of infidelity. As such, use within cohabiting and long-term relationships is low. Our data suggest that negative perceptions of condoms may stem from persistent effects of the formerly applied “ABC” HIV prevention approach, a public health messaging strategy that described A—abstinence, B—be faithful, and C—use a condom as tiered prevention tools. Condom uptake could increase if HIV prevention messaging acknowledges existing stigma and reframes condom use for proactive health prevention. These studies were approved by Weill Cornell Medicine (Protocols 1803019105 and 1604017171), Mbarara University of Science and Technology (Protocol 16/0117), Uganda National Council of Science and Technology (Protocol SS-4338), and the Tanzania National Institute for Medical Research (Protocol NIMR/HQ/R.8c/Vol.I/1330).
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Male condom, External condom, HIV/AIDS, Eastern Africa, HIV prevention
700 ## - ADDED ENTRY--PERSONAL NAME
Fuller form of name Christine Aristide
Fuller form of name Brooke W. Bullington
Fuller form of name Juliet Mwanga-Amumpaire
Fuller form of name Jennifer A. Downs
Fuller form of name Radhika Sundararajan
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href=" https://doi.org/10.1186/s12978-023-01563-6"> https://doi.org/10.1186/s12978-023-01563-6</a>
Link text https://doi.org/10.1186/s12978-023-01563-6
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
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          MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO 06/06/2024   20240606120117.0 06/06/2024 06/06/2024 RESEARCH ARTICLES
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