Condom Use Problems Research Articles

Errors in Condom Use in the Setting of HIV Transmission: A Systematic Review

Background: The efficacy of condom use in declining HIV transmission may be compromised by their incorrect usage. Much focus has been paid on the regularity of condom usage but consumer mistakes and challenges must be considered. Breakage, slipping, leakage, incomplete use and other problems during the sexual event may compromise the protective role of the condom. Objective: To evaluate through a systematic review of published data, the type, and incidence of error and problems in condom use, and their possible role in reducing the preventive action of condoms. Methods: A systematic literature search for peer-reviewed articles published between January 2000 and January 2019, issued in English in peer-reviewed journals, and reporting the occurrence of condom errors/problems among HIV high-risk populations. Results: Twenty studies representing nine countries met the inclusion criteria. The most predominant mistakes associated with condom use included condom breakage, slippage, delayed condom application, early removal, issues related to erection loss and difficulties with fit and feel were reported, failure to squeeze out air, use of expired condoms, reuse of condom, and wearing the condom outside out were other issues noticed. Conclusions: Condom use problems and mistakes are prevalent across the globe. Educational efforts are needed to empower HIV the at-risk population with confidence and knowledge to improve correct condom use and increase preventive activity

Health Seeking Behavior for HIV/AIDS among Public College Community, Ethiopia; A Qualitative Study Using Behavioral Models

Background: Producing quality data for decision at all levels of the health communication is a global imperative. Following that, recently, many organizations are evaluating various prevention communications; however, adequate data has not been obtained. This study is aimed to explore factors that have impact on health seeking behavior for HIV/AIDS among public college community. Methods: Focus group discussions and in-depth interviews were conducted from March 1-30, 2012 with students, teachers and HIV mainstreaming heads in the three colleges of Hadiya Zone, Ethiopia. Data was captured using voice recorders, and field notes were transcribed verbatim from the local language into English. Key constructs and thematic frameworks were developed using the Extended Parallel Process Model (EPPM) and health belief model (HBM), and presented in narratives using the respondents own words. Results: Participants had very low self-susceptibility to HIV/AIDS but they claimed others as highly susceptible. Self-efficacy (confidence in performing the behaviour), and response efficacy (the belief of efficacious of the message) regarding acceptance of recommended preventive message were the most important correlates of the perception. Conclusion: Lack of awareness of self-susceptibility is a critical problem for adaptation of behavior. All the participants’ agree seriousness of the problem which is not attached with using recommended methods. Selecting one recommended response hampered the others prevalence. For instance, low self-efficacy and response efficacy were the critical problems in condom use. Accesses to services for social marketing were poor for a variety of psycho-social and cultural reasons. Prior to the promotion of prevention programs, health service related factors that influence health seeking behaviour must be addressed through appropriate behaviour change communications.

Condom use motivations and selected behaviours with new versus established sex partners

Objective To compare condom use motives and behaviours in the context of penile-vaginal intercourse (PVI) with new versus established sexual partners, using daily event-level data among a clinic-recruited sample. Participants (ages 15-65 years old) were recruited from five sexually transmissible infection (STI) clinics in three United States cities. They were provided with personal digital assistants and instructed to respond to daily questionnaire items regarding PVI events from the past 24h. Generalised estimations equations were used to make inferences on age-adjusted estimated odds ratios, comparing events occurring with established versus new partners. For males, pregnancy prevention was a more common motivation for condom use in new relationships (P<0.001). Males with new sex partners were more likely to report condom use (P<0.005) and also reported fewer errors or problems in condom use with new sex partners (P<0.001). For females, pregnancy prevention (P=0.03), STI acquisition (P<0.001) and STI transmission (P=0.005) were more likely to be motives for condom use with new versus established partners. Also, females with new sex partners were more likely to report condom use (P<0.001) as well as using multiple condoms during a single event (P=0.03). Event-level findings suggest that condom use motivations and behaviours vary depending on whether PVI occurs between established versus new sex partners. Condom use is more likely for PVI with new partners, but other condom-associated behaviours and motivations differ between females and males.

Condom-use errors and problems among teens attending clinics: better or worse than young adults?

Objectives: To compare the frequency of condom-use errors and problems between teens (15-19 years of age) and young adults (20-24 years of age) attending clinics. Also to assess whether the odds of experiencing condom failure were influenced by age group gender and motives for condom use. Methods: As part of a larger study of condom effectiveness youth (15-24 years of age) from five clinics in three US cities were recruited (N = 263). Data were prospectively collected using daily electronic diaries. For each episode of condom use with penile-vaginal sex youths were asked to respond to questions assessing seven errors and five problems in condom use. Data analyses entailed statistical modeling with generalized estimating equations. Results: Teens did not significantly differ from their older counterparts on any of the seven condom-use errors or any of the five condom-use problems. Of all condom-use events teens reported that 20% did not involve condom use from start-to-finish of sex 14.7% involved a condom that had dried out 8.1% involved rushed application 6.7% did not involve adequate lubrication and other errors and problems occurred less often. Further condom failure was not predicted by age group gender or motive for using condoms. Significant interaction effects were not observed. Conclusions: Several forms of condom-use errors/problems occurred with similar frequency when comparing teens and young adults suggesting a need to intervene to improve condom-use behavior regardless of age.

Problems with condoms – a population-based study among Finnish men and women

Objective This study evaluates men's and women's opinions of condom use and problems with it in real life.Methods Random samples of men and women, aged 18–50 years, were drawn from the Finnish Population Register and were mailed a questionnaire on family planning. Response rates were 36% for men (706) and 58% for women (1136). Respondents were asked e.g. about condom use, whether they had had problems with it and why they used condoms. Moreover they were asked if they had received advice on how to use condoms.Results Among both men and women 87% had at some time used condoms. Of all men 37% and of women 34% reported that they had at some time had a failure with condom use; among both men and women one in four had experienced condom breakage. The use of condoms with the main purpose of preventing sexually transmitted diseases was somewhat low. The proportion of respondents having received advice on condom use was greater among younger men and women.Conclusion A patient with problems in condom use is not uncommon in consultations in primary health care, and thus personnel working there hold a key position in promoting condom use. The role of school health care should be assured to offer basic sexual and reproductive counselling to every generation.

Does penile size in younger men cause problems in condom use? a prospective measurement of penile dimensions in 111 young and 32 older men

Objectives. Young men often complain about problems with condom use, but very little information exists about the influence of men’s age on penile dimensions and therefore on possible problems in the use of the most important means of contraception in the young. Methods. We performed a prospective measurement of penile dimensions in 111 men,18 to 19 years old (group A), and in 32 men, 40 to 68 years old (group B). We measured penile length and width in the flaccid state and after visual and manual self-stimulation in group A and after intracavernous injection of prostaglandin E 1 in group B. Results. The mean flaccid length in group A (8.60 cm) and group B (9.22 cm) was significantly different. The mean erect length in group A (14.48 cm) and group B (14.18 cm) was not significantly different. The mean flaccid width at the base was significantly different between group A (3.08 cm) and group B (2.87cm), but the mean flaccid width at the glans was not (group A, 3.02 cm; group B, 3.01 cm). The mean erect width at the base (group A, 3.95 cm; group B, 3.50 cm) and the erect width of the glans (group A, 3.49 cm; group B, 3.32 cm) were significantly different. Conclusions. Our assumption that the problems young men experience with condom use may be because of smaller penises could not be proved. To address the problems in condom use in younger men, a larger variety of condom sizes and better information about condom use may be useful.