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 USA
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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.
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Rates of condom breakage and slippage might be slightly higher during anal intercourse.
“Rates of breakage and slippage might be slightly higher during anal intercourse (28,29).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [28]
The Results report condom breakage rates during insertive and receptive anal intercourse, and discuss factors associated with slippage. They do not compare either rate with vaginal intercourse, so the claim that rates might be slightly higher during anal intercourse is not established by this paper. (LLM, conf=0.82)
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Sexually Transmitted Infections Treatment Guidelines, 2021
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- Authors
- Hernández-Romieu, A. C., Siegler, A. J., Sullivan, P. S., Crosby, R., & Rosenberg, E. S.
- Affiliations
- Emory University (US)
- University of Kentucky (US)
- Corresponding author
- Hernández-Romieu, Alfonso C
- Venue
- Sexually Transmitted Infections
- Publisher
- BMJ
- Published
- 2014-07-30
- Volume
- 90
- Issue
- 8
- Pages
- 602-607
- ISSN
- 0007-134X (ISSN-L)
- 1368-4973
- 1472-3263
- PMC
- PMC4408017
- OpenAlex
- W2119516595
- Cited by
- 28
- References
- 27
- Citations by year
- 2024: 3 · 2023: 1 · 2021: 1 · 2020: 7 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 6 · 2015: 2 · 2014: 2
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Sexually Transmitted Infections (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institutes of Health (UL1TR000454)
- National Institute of Mental Health (R01MH085600)
- National Institute of Allergy and Infectious Diseases (P30AI050409)
- National Center for Advancing Translational Sciences
- National Institute on Minority Health and Health Disparities (RC1MD004370)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD067111)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- condom failure, men who have sex with men, Black men, racial disparities, condom breakage, oil-based lubricants, HIV prevention, Southern United States
- MeSH terms
- Adolescent, Adult, Black or African American, Cross-Sectional Studies, Georgia, Humans, Male, Prospective Studies, Cohort Studies, Condoms, Risk Assessment, Black People, White People, Young Adult
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