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Condom use problems during anal sex among men who have sex with men (MSM): Findings from the Safe in the City Study
| Content Provider | Scilit |
|---|---|
| Author | D'anna, L. H. O'donnell, L. Margolis, A. D. Warner, L. Korosteleva, O. A. Rietmeijer, C. A. Klausner, J. D. Nomura, W. Malotte, C. K. |
| Copyright Year | 2012 |
| Description | Journal: AIDS Care |
| Abstract | Our research aims were to: (1) assess the prevalence of two condom use problems: breakage or slippage and partial use (delayed application or early removal) among men who have sex with men (MSM) seeking services in urban US STD clinics; and (2) examine the association between these condom use problems and participant, partner and partnership characteristics. Analysis was restricted to HIV-negative MSM who reported having anal sex at least once in the preceding 3 months and who completed both the baseline and 3 month follow-up assessments. Two models were fitted using the generalized estimating equations (GEE) approach. A total of 263 MSM (median age=32 years) reported 990 partnerships. Partnerships with no condom use 422 (42.6%) were excluded. Thus, 207 MSM and 568 partnerships were included. Among condom users, 100% use was reported within 454 partnerships (79.9%) and <100% within 114 (20.1%), and 21(3.7%) reported both condom use problems, 25 (4.4%) reported only breakage, 67 (11.8%) reported only partial use, and 455 (80.1%) reported no errors. The breakage or slippage and partial use rates per condom used were 3.4% and 11.2%, respectively. A significantly higher rate of breakage or slippage occurred among non-main partnerships. Characteristics associated with increased odds for condom breakage or slippage were: lower education level (OR=2.78; CI: 1.1–7.5), non-main partner status (OR=4.1; CI: 1.5–11.7), and drunk or high during sex (OR=2.0; CI: 1.1–3.8), and for partial use: lower education level (OR=2.6; CI: 1.0–6.6), perceived partner sexually transmitted infections (STI) risk (OR=2.4; CI: 1.3–4.2), and inconsistent condom use (OR=3.7; CI: 2.0–6.6). A high percentage of MSM partnerships reported no condom use and among condom users, a sizable proportion did not use them consistently or correctly. MSM may benefit from interventions designed to increase proficiency for condom use with a particular focus on the behaviors of inconsistent and partial condom use. |
| Related Links | http://europepmc.org/articles/pmc3389178?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389178/pdf |
| Ending Page | 1038 |
| Page Count | 11 |
| Starting Page | 1028 |
| ISSN | 09540121 |
| e-ISSN | 13600451 |
| DOI | 10.1080/09540121.2012.668285 |
| Journal | AIDS Care |
| Issue Number | 8 |
| Volume Number | 24 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2012-01-31 |
| Access Restriction | Open |
| Subject Keyword | Journal: AIDS Care Substance Abuse Condom Use Problems Consistent Condom Use Men Who Have Sex with Men Sexual Partnerships |
| Content Type | Text |
| Subject | Public Health, Environmental and Occupational Health Health (social science) Social Psychology |
