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

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

PLOS ONE, 2015, vol. 10, issue 7, 1-13

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.

Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0132297

DOI: 10.1371/journal.pone.0132297

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