Factors associated with non condom using among STIs patients
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Abstract
Background Currently, the situation of sexually transmitted infections (STIs) worldwide and in Thailand is increasing every year, especially among adolescents and youth. This correlates with the number of STI patients in Chiang Rai province, which ranks 5th in the country. Many patients still lack awareness of the dangers of these diseases. Therefore, this research aims to study the factors affecting the non-use of condoms among patients with STIs, to provide guidelines for promoting condom use to prevent sexually transmitted infections.
Objectives The study aims to investigate the prevalence and factors associated with having unprotected sex among individuals with sexually transmitted infections (STIs) in the Mueang Chiang Rai district.
Methods This is a cross-sectional study conducted on patients with sexually transmitted infections. Data were collected using a questionnaire to examine factors influencing the non-use of condoms during the most recent sexual encounter among individuals with sexually transmitted infections attending the Peer Health Clinic at Chiang Rai Prachanukroh Hospital from March 1 to August 31, 2024. A total of 100 participants were included in the study. The analysis was conducted using Multivariable logistic regression with the backward elimination method, and statistical significance was determined using a p-value of < 0.050.
Results A sample of 100 individuals had an average age of 23.94 (± 6.54) years. 60 individuals (60%) reported not using condoms during their most recent sexual encounter. When analyzing multiple factors simultaneously, the factor significantly associated with not using condoms was the lack of condoms during the most recent sexual encounter (aOR 171, 95% CI 36.15-808.90, p<0.001).
Conclusion and Recommendations The prevalence of not using condoms during the most recent sexual encounter among patients with sexually transmitted infections attending the Peer Health Clinic is 60%. The lack of condoms during sexual activity is a factor associated with not using condoms. Therefore, carrying condoms is a behavior that should be promoted and could lead to the development of future public health policies.
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References
STI Statistics. National Overview of STIs in 2023 [Internet]. Atlanta: Centers for Disease Control and Prevention; 2024 [November 12; cited 2025 Mar 14]. Available from: https://www.cdc.gov/sti-statistics/annual/summary.html.
ThaiHealthStat. 10 health situations 2011-2020 [Internet]. Nonthaburi: Health Information System Development Office; [date unknown] [cited 2025 Mar 14]. Available from: https://www.hiso.or.th/thaihealthstat/analysis/report.php?y=25542563.
Nnedu ON, McCorvey S, Campbell-Forrester S, Chang J, Salihu HM, Jolly PE. Factors influencing condom use among sexually transmitted infection clinic patients in Montego Bay, Jamaica. Open Reprod Sci J. 2008;1:45-50.
Babalola S. Gender differences in the factors influencing consistent condom use among young people in Tanzania. Int J Adolesc Med Health. 2006;18(2):287-98.
Fonte VRF da, Pinheiro CDP, Barcelos N de S, Costa CMA, Francisco MTR, Spindola T. Fatores associados ao uso do preservativo entre jovens homens que fazem sexo com homens. Enfermería Global. 2017;16(2):50–93.
Chaiyamahapurk S. Prevalence and risk factor of unprotected sex among HIV-infected patients
in lower north: the second survey. Disease Control Journal. 2021;38(1):24-30.
Noll M, Noll PRES, Gomes JM, Soares Júnior JM, Silveira EA, Sorpreso ICE. Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE). Reprod Health. 2020;17(1):139.
Alcedo S, Kossuth-Cabrejos S, Piscoya A, Mayta-Tristán P. Factors associated with non-use of condoms in an online community of frequent travellers. Travel Med Infect Dis. 2014;12(6 Pt B):750-6.
Ayele WM, Tegegne TB, Damtie Y, Chanie MG, Mekonen AM. Prevalence of consistent condom use and associated factors among serodiscordant couples in Ethiopia, 2020: a mixed-method study. Biomed Res Int. 2021;2021:9923012.
