Condom failure among men receiving sexually transmissible infection clinic services, Cape Town, South Africa

Sexual Health
S C KalichmanSean Jooste

Abstract

Condoms offer the most realistic and available protection against sexually transmissible infections (STIs), including HIV infection. The protective benefits of condoms are, however, compromised by breaks and tears. The objective of the present study was to examine condom failure and associated behavioural risk factors among men at high-risk for HIV transmission in South Africa. Men (n = 431) receiving STI treatment services at a public clinic completed computer assisted interviews and STI clinic chart abstraction over a 1-year observation period. One in three male STI clinic patients reported a history of condom failure. Condom failure was associated with sexual exchange, alcohol and other drug use, and higher rates of unprotected vaginal intercourse. Men with a history of condom failure were significantly more likely to have an STI diagnosis 1 month before the baseline interview and were significantly more likely to be diagnosed with an STI over the subsequent year. Condom failures are common among STI clinic patients and pose a threat for increased HIV transmission risks.

References

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Citations

Feb 22, 2012·Sexual Health·Mags E BeksinskaJoanne E Mantell
Jun 1, 2011·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Mashiko Setshedi, Suzanne M de la Monte
Jan 24, 2014·AIDS and Behavior·J T F LauD Walden
Aug 19, 2014·Journal of Nursing Management·J-D WagnerJ H Roos
Mar 26, 2014·Journal of Nursing Management·Karien Jooste, Lindi Cairns
Feb 1, 2011·Sexually Transmitted Diseases·Ann DuerrMaurizio Macaluso

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