Condom use errors and problems: a global view

Abstract

Abstract. Background: Significantly more research attention has been devoted to the consistency of condom use, with far fewer studies investigating condom use errors and problems. The purpose of this review was to present the frequency of various condom use errors and problems reported worldwide. Methods: A systematic literature search was conducted for peer-reviewed articles, published in English-language journals between 1995 and 2011. Results: Fifty articles representing 14 countries met criteria for inclusion. The most common errors included not using condoms throughout sex, not leaving space at the tip, not squeezing air from the tip, putting the condom on upside down, not using water-based lubricants and incorrect withdrawal. Frequent problems included breakage, slippage, leakage, condom-associated erection problems, and difficulties with fit and feel. Prevalence estimates showed great variation across studies. Prevalence varied as a function of the population studied and the period assessed. Conclusion: Condom use errors and problems are common worldwide, occurring across a wide spectrum of populations. Although breakage and slippage were most commonly investigated, the prevalence of other condom use errors and problems found in this review were substantially higher. As a framework for understanding the role of condom errors and problems in inadequate protection, we put forward a new model: the Condom Use Experience model. This model can be used to generate testable hypotheses for future research. Addressing condom use errors and problems in research and interventions is crucial to closing the gap between the perfect use and typical use of condoms.Additional keywords: condom breakage, condom slippage, sexual behaviour, sexually transmissible infections.

Using Participatory Research to Work With Women from Ethnic Minorities at Risk for HIV Living In Industrialized Countries

“…Traditionally, BCT have assumed that the vulnerability to HIV of WACB was caused by condom use errors and problems: a lack of skills, negative attitudes and norms, a lack of perceived control over sexual practices and because they did not feel vulnerable to HIV or did not believe in the condom's effectiveness to reduce the risk [23][24][25][26][27][28][29][30][31]. In short, BCT conceptualize risk behaviors as an individual's deliberate choice, yet fail to consider relational, social, and cultural aspects of sexual risk behaviors.…”

Adesão à dupla contracepção entre mulheres infectadas pelo HIV

“…O uso de métodos hormonais que sejam compatíveis com uso das terapias antirretrovirais e que possam trazer melhorias clínicas associadas ao uso regular de condom como método de barreira é o desejável 3 . A adesão à dupla contracepção permanece um desafio para a população geral, grupos vulneráveis e entre pessoas infectadas por doença sexualmente transmissível (DST)/HIV/AIDS 4,5 . A taxa de adesão à dupla contracepção referida entre mulheres infectadas pelo HIV gira em torno de 27% 6,7 , com chance maior que três vezes de engravidar de modo não planejado entre as não usuárias de dupla proteção contraceptiva 8 .…”

“…CarloS alBerTo lima da Silva 5 Resumo OBJETIVO: Verificar a adesão à dupla contracepção entre mulheres infectadas pelo HIV usando acetato de medroxiprogesterona de depósito (AMPD) e condom. MÉTODOS: Corte transversal realizado em centro de referência de dezembro 2013 a setembro 2014.…”

Condom Knowledge and Negotiation in Women Living with and without Human Immunodeficiency Virus

“…Proper use has been shown to decrease HIV transmission by 80% [7] and HPV transmission by 70%, [8] however most patients do not use condoms properly. A systematic review found that incomplete use (such as late application or early removal) occurred 17.0% to 51.1% of the time, while other improper techniques (like leaving no space at the tip) ranged from 24.3% to 45.7% [9].…”