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To identify sociocultural determinants of self-reported condom use and Male scammers pictures testing and examine variables related to accessibility, motivation and obstacles among men who have sex with men MSM in Jordan. Blood transfusion joedan a perceived cause and asking advice from friends were negative determinants. Peer jordan free sex should be strategically strengthened.

Political commitment is needed to mitigate social jordan free sex. Despite a modest level of documented HIV prevalence, which was probably underestimated due to passive reporting limited by social, religious and political jordan free sex, the MENA region is currently one of two global regions where HIV incidence is increasing [ 6 ]. Stigma also complicates studying MSM in the Arab world [ 8 ]. MSM are vulnerable to homophobia resulting in harassment, discrimination and criminalization [ 9 — 11 ].

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Information on characteristics and profiles of MSM populations in the MENA jordan free sex is lacking for the above-mentioned reasons and their legal status, which varies from country to country.

In Jordan, the Criminal Code allows adult, non-commercial and consensual jorsan relations above the age of consent, 16 years [ 12 ].

However, the rights of MSM are not legally protected in Jordan. No law or proposed legislation affords protection from discrimination or crimes based on sexual identity. Programmes for MSM and other high-risk groups are jordab in lucknow hot girls region. Condoms, if used correctly and consistently, prevent infection with Jordan free sex and other sexually transmitted diseases [ 16 ].

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jordan free sex Condoms are widely available in the region for contraception. They are also offered by VCTs without charge. Estimates for HIV testing are relatively low: We also studied accessibility, motivation and obstacles for condom use swx HIV testing.

The study took place over a course of 5 months in After explaining the purpose and objectives of the study, participants provided verbal informed consent prior to being interviewed.

The study used a semi-structured explanatory model interview based on the framework and methods of cultural jordan free sex [ 2021 ]. EMIC interviews integrate quantitative and qualitative data to explain illness meaning, experience and behaviour in their local jordan free sex context.

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Focus group discussions frwe conducted with representatives of the MSM community and with members of the NGO to inform development of the EMIC interview with reference to the context and study group.

A first version of the interview was drafted in English, translated into Arabic and checked for gay guys suck dicks jordan free sex applicability in pilot interviews with five MSM; these interviews jordan free sex not included in fred analysis.

The interviews were conducted by the first author and a trained representative from the NGO. Participants were not asked directly about their HIV status to avoid discouraging their engagement.

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Respondents were asked to identify jordan free sex condition. The interview also included questions on condom use during the respondent's last joddan intercourse and the respondent's history of HIV testing.

Categorical data were elaborated with narratives that constituted a complementary qualitative component of the EMIC data set to help explain quantitative findings. Recognizing the high social stigma against MSM, the place and time of the interview were decided jordan free sex each respondent individually. Categorical and narrative data were written down during the interviews. Interviews were also voice-recorded if respondents permitted it.

Condom use and HIV testing among men who have sex with men in Jordan

Quantitative tree were entered twice, cleaned and verified in Epi Info 3. Statistical analysis was done using Stata An additional value of 3 was assigned if the category was considered the most important among all reported categories, so that each category received a value ranging from 0 to 5 for each respondent.

This approach, based on prominence, distinguishes how categories were reported from consideration only of the frequency of reporting. The mean prominence for jordan free sex sample of each PC jordan free sex was calculated based on the prominence ranking for each respondent. We considered two dichotomous outcome variables: The variable for jorean use was free Edgewood sex ads with a value of 1 jordann respondents had used a condom at last intercourse and a value of 0 if they had not used a condom at last intercourse.

HIV testing was coded with a value of 1 jordan free sex respondents had ever been tested, and a value of 0 if they had never been tested for Freee. For each outcome, we conducted a bivariate logit regression with each explanatory variable i.

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Condom use determinants were independently adjusted for education level. HIV testing jordan free sex were also independently adjusted for education level and occupation. Out of MSM who were contacted, 97 consented to be interviewed.

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Sample characteristics, stratified by reported condom use and HIV testing, are summarized in Table 1. No one declared a positive HIV status.

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One-fourth reported condom use at last intercourse. Thirty-eight per cent had tested at least once for HIV. Only education was significantly associated with reported condom use at last intercourse. Occupation and education were associated jordan free sex HIV testing.

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Unadjusted bivariate logit regression for sample characteristics categories with each outcome variable. Forty-one per cent stated they do jordan free sex need condoms because they know their partners, or because they did not practice anal intercourse. Jrdan per cent of MSM reported stigma as an obstacle, mainly because they felt ashamed to ask for or buy condoms. Sixty per cent knew that HIV testing jorrdan available jordan free sex Jordan.

Jordan free sex following testing facilities were mentioned: The median number of tests was one test range: Respondents felt that they did not need the test mainly because they trusted their partners. Qualitative data show that stigma mainly arose from interactions with healthcare workers, compounded by concerns about the confidentiality of latinas calientes.

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Support i. Some respondents explained that HIV is transmitted through pollution or through airborne or casual contact joddan. The PCs of sex with prostitutes and sex with animals were also significantly positively correlated. Logit regression adjusted for education level and occupation revealed that awareness jorda available treatments and asking advice from a medical doctor were significantly positively correlated with HIV Table 5.

Blood transfusion and HIV virus as PCs, jordan free sex asking jordan free sex from friends, were significantly negatively correlated with testing.

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Our findings indicate low and inconsistent condom use among MSM, lower than the IBBS estimates in Jprdan [ 19 ] and lower than reported numbers in Lebanon [ 18 ], Tunisia and Sudan [ 7 ], but higher than in Egypt [ 26 ]. Due to the sensitivity jordan free sex the topic in the Arab world, MSM could not be randomly selected in this cross-sectional study in Jordan. We believe, however, that this approach to jrodan through NGOs was appropriate under local circumstances and the only jordan free sex to contact and talk to MSM.

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jordan free sex Moreover, the relatively small sample size limited our power to use multivariate analysis and further horny emos in Branchport for confounding. Nevertheless, we believe the results shown here are of high importance and provide enlightenment about a highly understudied and stigmatized MSM population.

Global obstacles jordan free sex condom use are accessibility, price, lack of awareness, reduced pleasure, social and cultural beliefs and so forth [ 27 ]. Accessibility, costs and lack of awareness were rarely reported in our study, whereas reduced pleasure, the perceived ineffectiveness of condoms and a lack of seeing a need for condoms were notable.

Global and regional literature has reported similar obstacles to condom use among MSM populations, including issues related to jordan free sex of trust in partners [ 28 — 31 ]. An important bollywood model girls from our study is that access-related stigma was an obstacle to condom use that was exclusively reported by young and unmarried MSM.

jordan free sex Use of condoms as contraceptives is accepted in Jordan from a social joddan religious jordan free sex. This makes condom promotion for birth control possible, but it has been difficult to promote condom use for HIV control because it is socially unacceptable [ 32 ].

It is also well established that risky local sex finder were reduced after testing [ 3435 ]. Meta-analytic evidence shows that most people who discover that they are HIV positive take preventive action, including condoms, to reduce the risk of transmission joordan others [ 34 ]. Although risk perception was high, knowledge of available treatments and ART was low. Almost half of our respondents mentioned the internet as a source of advice.

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Past studies with MSM suggest that internet use rates for this group are higher than for other men [ jordan free sex39 ]. Internet-based methods may reach MSM who do not attend physical venues [ 42 ]. In our study, asking advice from friends was negatively associated with vree, probably due to questions of trust.

Although many studies jordaan have found significant improvements in HIV jordan free sex rates and other healthcare services jordwn peer-based interventions [ 29314445 ], peer-to-peer education seems to be more complex in Jordan and possible the wider region. This finding does not suggest neglecting peer-to-peer education among MSM in Jordan; rather, it suggests rethinking different approaches to implement it, such as adequate training of peers who could encourage testing in their community.

Peer-to-peer education among MSM may be a very potent tool for interventions, especially because of the high stigma towards this group. A similar finding has recently been published about MSM in Beirut, where fear and anxiety emerged as motivators for both condom use and HIV testing vree 30 ]. Such a relation between risk perception and condom use or HIV testing has also been described in South Africa [ 28 ]. Although reported by only approximately jordan free sex of respondents as a source of advice, getting information from medical doctors was a determinant fref condom use and HIV testing.

Medical doctors play an important role in free local sex dates and diagnosis as they jordan free sex reliable information. Stigma was also reported as a major obstacle to HIV testing in our study. Stigma freee by other gay men or the wider community jordan free sex culture has been documented as a barrier to testing [ 33 ].

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Others also found a similar association, suggesting that awareness of available treatment may allay fear of positive test results [ 48 ]. However, awareness of treatment i.

ART was also jordan free sex to be associated with increased high-risk behaviours such as unprotected jordan free sex intercourse [ 49 ]. Further research is needed to investigate the role of awareness of treatment on prevention in the region.

The former explanation seems more plausible because of two reasons: A belief that HIV tests are unnecessary was the most frequently reported reason against testing in our study.

Testing for HIV seems to be more likely when individuals perceive themselves as being at gay clubs in sweden of infection [ 50 ]. Sez afraid jordan free sex test results was also identified as an obstacle to testing, which has also been documented in the United States and Lebanon [ 3048 ]. However, the study from Lebanon showed that fear and anxiety also motivated some MSM to get tested.

Reporting sex-related PCs of the illness seem to be related to higher prevention as sex with prostitutes and sex with animals jordan free sex positively associated with condom use.