Pending research issues in male condom use promotion

Sexual Health ◽  
2008 ◽  
Vol 5 (4) ◽  
pp. 317 ◽  
Author(s):  
Richard Crosby ◽  
Lee Warner
Keyword(s):  
Condom Use ◽  
Effective Means ◽  
Sufficient Evidence ◽  
Human Papillomavirus Vaccination ◽  
Vaginal Microbicides ◽  
Research Issues ◽  
Protective Behaviour ◽  
Mass Marketing ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Sufficient evidence has accumulated to warrant the expansion of condom use research in several additional directions. Possible risk compensation pertaining to human papillomavirus vaccination and vaginal microbicides is one example. A second area of needed research involves the question of when couples can be advised to safely discontinue condom use given that ‘lifelong’ condom use is not a realistic goal for most people. A third example is intensified research designed to identify more effective means of mass marketing condoms and their use as a health-protective behaviour. As the AIDS and sexually transmissible infection pandemics persist, intensified condom promotion research is an ethical imperative.

scholarly journals Decision making over condom use during menses to avert sexually transmissible infections

Sexual Health ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 90
Author(s):  
Richard A. Crosby ◽  
Cynthia A. Graham ◽  
Stephanie A. Sanders ◽  
William L. Yarber ◽  
Marija V. Wheeler ◽  
...  
Keyword(s):  
Decision Making ◽  
Condom Use ◽  
Structural Level ◽  
Significant Finding ◽  
Web Based ◽  
Sexually Transmissible Infections ◽  
Independent Decision ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Do So

Background The aim of this study was to test the hypothesis that receptive partners in penile–vaginal intercourse (PVI) who exercise independent decision making over condom use during menses do so to avert sexually transmissible infection (STI) transmission or acquisition. Methods: Data were collected through a partnership with Clue, the industry-leading female health app. A brief web-based questionnaire was developed, translated into 10 languages, and made accessible via a URL link sent to Clue users and posted on social media. Inclusion criteria were: age ≥14 years, not being currently pregnant and engaging in PVI and condom use during menses in the past 3 months. The analytical subsample comprised 12889 respondents residing in 146 countries. Results: Twenty per cent indicated independent decision making about condom use during menses. Independent decision making was associated with lower odds of reporting that condoms were used for contraception (adjusted odds ratio (aOR) 0.65; 99% confidence interval (CI) 0.57–0.73) and higher odds that they were used for the prevention of STIs (aOR 1.44; 99% CI 1.28–1.61). A third significant finding pertained to always using condoms during menses; this was less likely among those indicating independent (female only) decision making (aOR 0.69; 99% CI 0.62–0.78). Non-significant associations with another two outcomes were found: protecting the partner against menstrual blood and protecting themselves against semen. Conclusions: Findings from people in 146 countries strongly support the hypothesis that those exercising independent decision making over condom use during menses do so to avert STI transmission or acquisition. That only one-fifth of this global sample reported this type of independent decision making suggests that empowerment-oriented (structural-level) interventions may be advantageous for individuals who are the receptive partner in PVI that occurs during menses.

Assortative sexual mixing patterns in male–female and male–male partnerships in Melbourne, Australia: implications for HIV and sexually transmissible infection transmission

Sexual Health ◽  
2016 ◽  
Vol 13 (5) ◽  
pp. 451 ◽  
Author(s):  
Eric P. F. Chow ◽  
Tim R. H. Read ◽  
Matthew G. Law ◽  
Marcus Y. Chen ◽  
Catriona S. Bradshaw ◽  
...  
Keyword(s):  
Condom Use ◽  
Health Centre ◽  
Rank Correlation ◽  
Risk Groups ◽  
Strong Positive Correlation ◽  
Limited Data ◽  
Spearman’S Rank Correlation ◽  
Mixing Patterns ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background: Assortative mixing patterns have become a new and important focus in HIV/sexually transmissible infection (STI) research in recent years. There are very limited data on sexual mixing patterns, particularly in an Australian population. Methods: Male–female and male–male partnerships attending the Melbourne Sexual Health Centre (MSHC) between 2011 and 2014 were included. Correlation of age between two individuals within a partnership was examined by using Spearman’s rank correlation. The Newman’s assortativity coefficient was used as an aggregate quantitative measurement of sexual mixing for number of partners and condom use. Results: 1165 male–female and 610 male–male partnerships were included in the analysis. There was a strong positive correlation of age in both male–female (rho = 0.709; P < 0.001) and male–male partnerships (rho = 0.553; P < 0.001). The assortative mixing pattern for number of partners was similar in male–female (r = 0.255; 95% CI: 0.221–0.289) and male–male partnerships (r = 0.264; 95% CI: 0.218–0.309). There was a stronger assortative mixing pattern for condom use in male–male (r = 0.517, 95% CI: 0.465–0.569) compared with male–female (r = 0.382; 95% CI: 0.353–0.412) partnerships. Conclusion: Male–female and male–male partnerships have a high assortativity mixing pattern for age, number of partners and condom use. The sexual mixing pattern is not purely assortative, and hence it may lead to increased HIV and STI transmission in certain risk groups.

Corrigendum to: Decision making over condom use during menses to avert sexually transmissible infections

Sexual Health ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 100
Author(s):  
Richard A. Crosby ◽  
Cynthia A. Graham ◽  
Stephanie A. Sanders ◽  
William L. Yarber ◽  
Marija V. Wheeler ◽  
...  
Keyword(s):  
Decision Making ◽  
Condom Use ◽  
Structural Level ◽  
Significant Finding ◽  
Web Based ◽  
Sexually Transmissible Infections ◽  
Independent Decision ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Do So

Background:The aim of this study was to test the hypothesis that receptive partners in penile–vaginal intercourse (PVI) who exercise independent decision making over condom use during menses do so to avert sexually transmissible infection (STI) transmission or acquisition. Methods: Data were collected through a partnership with Clue, the industry-leading female health app. A brief web-based questionnaire was developed, translated into 10 languages, and made accessible via a URL link sent to Clue users and posted on social media. Inclusion criteria were: age ≥14 years, not being currently pregnant and engaging in PVI and condom use during menses in the past 3 months. The analytical subsample comprised 12889 respondents residing in 146 countries. Results: Twenty per cent indicated independent decision making about condom use during menses. Independent decision making was associated with lower odds of reporting that condoms were used for contraception (adjusted odds ratio (aOR) 0.65; 99% confidence interval (CI) 0.57–0.73) and higher odds that they were used for the prevention of STIs (aOR 1.44; 99% CI 1.28–1.61). A third significant finding pertained to always using condoms during menses; this was less likely among those indicating independent (female only) decision making (aOR 0.69; 99% CI 0.62–0.78). Non-significant associations with another two outcomes were found: protecting the partner against menstrual blood and protecting themselves against semen. Conclusions: Findings from people in 146 countries strongly support the hypothesis that those exercising independent decision making over condom use during menses do so to avert STI transmission or acquisition. That only one-fifth of this global sample reported this type of independent decision making suggests that empowerment-oriented (structural-level) interventions may be advantageous for individuals who are the receptive partner in PVI that occurs during menses.

Aboriginal women's stories of sexually transmissible infection transmission and condom use in remote central Australia

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 237 ◽  
Author(s):  
Astrid M. Stark ◽  
Alex Hope
Keyword(s):  
Qualitative Research ◽  
Sexual Assault ◽  
Sexual Health ◽  
Condom Use ◽  
Aboriginal People ◽  
Sociocultural Context ◽  
Perception Of Risk ◽  
Central Australia ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background: Sexually transmissible infection (STI) rates are persistently high in central Australia, creating conditions for a potential HIV pandemic in the area. There is a shortage of qualitative research examining the underlying factors affecting STI transmission in this region. The present study investigates Aboriginal women’s current levels of knowledge regarding STI and their transmission, perception of risk for STI, patterns of condom use, access to condoms and experiences of condom negotiation with their partners. It also explores the sociocultural context of their sexual health. Methods: The present study used qualitative methods with a semistructured questionnaire. Twenty-four women aged 18–35 years from one remote central-Australian Aboriginal community were recruited. Results: The results revealed poor understandings of STI transmission, limited access to condoms and low levels of condom use despite a high perception of risk to STI. They also identified specific issues facing these women regarding the sociocultural context of their condom use, their access to condoms and the transmission of STI. The perceived effects of alcohol abuse, infidelity, sexual assault and shame on the acquisition of STI were significant issues for the women. Conclusion: This research has identified an urgent need for further qualitative research into the sociocultural factors that facilitate the spread of STI among Aboriginal people of remote central Australia. Implications include the need to increase their knowledge regarding STI and STI transmission, to increase women’s access to condoms and to incorporate the teaching of skills to deal with sexual assault and violence into sexual-health education.

Condom use in the context of sex research: a commentary

Sexual Health ◽  
2012 ◽  
Vol 9 (1) ◽  
pp. 103 ◽  
Author(s):  
Cynthia A. Graham
Keyword(s):  
Condom Use ◽  
Sexual Arousal ◽  
Risk Taking ◽  
Personality Characteristics ◽  
Sexual Risk Taking ◽  
Sex Research ◽  
Recent Trends ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

This commentary highlights some recent trends in sex research that have particular relevance for research on condom use, including studies investigating the meaning of sexual arousal, desire and pleasure; a focus on couple-level investigations; and the relevance of individual differences and personality characteristics to sexual risk-taking. Although historically, sexuality-related issues have received little systematic attention in the field of public health, researchers are now paying more attention to the role of pleasure and sexual arousal in condom use. It is argued that a better integration of findings from the area of sex research into the HIV and sexually transmissible infection (STI) field is needed to develop and improve programs to reduce the risk of STIs and unintended pregnancy.

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

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 252 ◽  
Author(s):  
Richard A. Crosby ◽  
Robin R. Milhausen ◽  
Cynthia A. Graham ◽  
William L. Yarber ◽  
Stephanie A. Sanders ◽  
...  
Keyword(s):  
Condom Use ◽  
Pregnancy Prevention ◽  
Personal Digital Assistants ◽  
Vaginal Intercourse ◽  
Sex Partners ◽  
Single Event ◽  
The Past ◽  
Level Data ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

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. Methods: 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 24 h. Generalised estimations equations were used to make inferences on age-adjusted estimated odds ratios, comparing events occurring with established versus new partners. Results: 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). Conclusion: 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.

Young women's misperceptions about sexually transmissible infection testing: a 'clean and clear' misunderstanding

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 273 ◽  
Author(s):  
Sara K. Head ◽  
Richard A. Crosby ◽  
Lydia A. Shrier ◽  
Gregory R. Moore
Keyword(s):  
Young Women ◽  
Sexual Debut ◽  
Risk Behaviour ◽  
Healthcare Setting ◽  
Cross Sectional Study ◽  
Sexual Risk Behaviour ◽  
Cross Sectional ◽  
Sti Testing ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background: This exploratory study investigated young women’s perceptions of sexually transmissible infection (STI) testing received during gynaecological care. Correlates of the incorrect perception that STI testing occurred were assessed. Methods: Cross-sectional study of sexually active young women, age 18–24 years, attending a university healthcare setting for gynaecological care (n = 109). Two hundred and four women were approached and 87 were ineligible; of the remaining 117, 93.2% chose to enrol. Results: Of the women enrolled, 25.7% falsely perceived that they were STI tested (labelled ‘clean and clear’). Only approximately one in seven (14.7%) accurately understood the STI for which they were tested. In multivariate analyses, controlling for race, STI symptoms, depression, number of lifetime visits to the gynaecologist, and suspicion of current STI, three variables were significant: minority race (adjusted odds ratio (AOR) = 4.84, confidence interval (CI) = 1.38–16.96, P = 0.01), earlier age at sexual debut (AOR = 4.67, CI = 1.73–12.57, P = 0.002), and previous STI diagnosis (AOR = 3.38, CI = 1.07–10.66, P = 0.04). Comment: The findings suggest that many young women may have an inaccurate understanding of the STI testing they undergo during gynaecological care and may operate under the misperception they are ‘clean and clear’ of STI. Women with said misperception were more likely to be of minority race and report relatively earlier age of sexual debut and previous STI diagnosis. Further investigation is warranted to determine whether the ‘clean and clear’ misperception influences young women’s sexual risk behaviour.

Addressing sexually transmissible infection in HIV-positive patients. A clinical audit

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 75 ◽  
Author(s):  
Danielle Esler ◽  
Catriona Ooi
Keyword(s):  
New England ◽  
Clinical Audit ◽  
Sexual History ◽  
Hiv Positive ◽  
History Taking ◽  
Health Unit ◽  
Sti Testing ◽  
Sexual History Taking ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Australian guidelines for sexual history taking and sexually transmissible infection (STI) screening of HIV-positive patients do not exist. An audit was conducted to assess current practices of sexual history taking and STI testing of HIV-positive patients attending Hunter New England Sexual Health Unit.

scholarly journals Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men 2014: a review of the evidence

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 217 ◽  
Author(s):  
David J. Templeton ◽  
Phillip Read ◽  
Rajesh Varma ◽  
Christopher Bourne
Keyword(s):  
Nucleic Acid Amplification ◽  
Effective Control ◽  
Sexually Active ◽  
Chlamydia Testing ◽  
Sexually Transmissible Infections ◽  
Sex With Men ◽  
Time Required ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection ◽  
Asymptomatic Men

Men who have sex with men (MSM) in Australia and overseas are disproportionately affected by sexually transmissible infections (STIs), including HIV. Many STIs are asymptomatic, so regular testing and management of asymptomatic MSM remains an important component of effective control. We reviewed articles from January 2009–May 2013 to inform the 2014 update of the 2010 Australian testing guidelines for asymptomatic MSM. Key changes include: a recommendation for pharyngeal chlamydia (Chlamydia trachomatis) testing, use of nucleic acid amplification tests alone for gonorrhoea (Neisseria gonorrhoeae) testing (without gonococcal culture), more frequent (up to four times a year) gonorrhoea and chlamydia testing in sexually active HIV-positive MSM, time required since last void for chlamydia first-void urine collection specified at 20 min, urethral meatal swab as an alternative to first-void urine for urethral chlamydia testing, and the use of electronic reminders to increase STI and HIV retesting rates among MSM.

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