Objective: This study aimed to evaluate factors associated with inconsistent condom use with casual partners in a population of men who have sex with men MSM in Brazil. For the construction of the outcome, we evaluated questions about condom use in all anal intercourse receptive and insertive in the previous six months and the last sexual intercourse.
Estimates were calculated using a weighted complex sample design. We performed a logistic regression analysis to determine the associations between sociodemographic and behavioral factors and inconsistent condom use in sexual relationships with casual male partners.
Results: More than half of our sample Inconsistent condom use was significantly associated with: low education weighted odds ratio โ wOR: 1. Conclusion: Despite being an individual behavior, condom use is related to factors beyond the individual scope. As estimativas foram calculadas usando um desenho amostral complexo ponderado. However, these data do not reflect disparities among other groups. In Latin America, for example, where the epidemic is concentrated in key populations men who have sex with men โ MSM, sex workers, drug users, transgender women, and people deprived of their liberty , there has been no reduction in the rates of new infections since 1.
Even so, the use of the male condom in sexual relations is considered an accessible preventive method, efficiently reducing the sexual transmission of HIV and other sexually transmitted infections STI 5. When used correctly and consistently, the effectiveness of male condoms in anal intercourse is estimated to be 73 to However, the literature points out that many MSM, including the young ones, do not use male condoms or use them inconsistently 8 , 9 , Inconsistent condom use with HIV-positive male partners or unknown serology does not provide protection The relationship established with the sexual partner seems to be an essential component of condom use among MSM.
Studies suggest that there is a higher use of condoms in sexual relations between casual partners when compared to steady partners, due to a possible perception of lower risk and monogamy between the parties 12 , However, few studies seek to understand the factors associated with inconsistent condom use among casual partners, especially in low- and middle-income countries 14 , This article aims to analyze the factors associated with inconsistent condom use with casual partners in a sample of MSM in Brazil to understand this phenomenon.
