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2014 ; 90
(8
): 602-7
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
How often do condoms fail? A cross-sectional study exploring incomplete use of
condoms, condom failures and other condom problems among black and white MSM in
southern U S A
#MMPMID25080511
Hernández-Romieu AC
; Siegler AJ
; Sullivan PS
; Crosby R
; Rosenberg ES
Sex Transm Infect
2014[Dec]; 90
(8
): 602-7
PMID25080511
show ga
OBJECTIVES: To compare the occurrence of risk-inducing condom events (condom
failures and incomplete use) and the frequency of their antecedents (condom
errors, fit/feel problems and erection problems) between black and white men who
have sex with men (MSM), and determine the associations between risk-inducing
condom events and their antecedents. METHODS: We studied cross-sectional data of
475 MSM who indicated using a condom as an insertive partner in the previous
6?months enrolled in a cohort study in Atlanta, Georgia, USA. RESULTS: Nearly 40%
of black MSM reported breakage or incomplete use, and they were more likely to
report breakage, early removal and delayed application of a condom than white
MSM. Only 31% and 54% of MSM reported correct condom use and suboptimal fit/feel
of a condom, respectively. The use of oil-based lubricants and suboptimal
fit/feel were associated with higher odds of reporting breakage (p=0.009).
Suboptimal fit/feel was also associated with higher odds of incomplete use of
condoms (p<0.0001). CONCLUSIONS: Incomplete use of condoms and condom failures
were especially common among black MSM. Our findings indicate that condoms likely
offered them less protection against HIV/sexually transmitted infection when
compared with white MSM. More interventions are needed, particularly addressing
the use of oil-based lubricants and suboptimal fit/feel of condoms.