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 U.S.A.
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 U.S.A.
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DOI：
10.1136/sextrans-2014-051581
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发表时间：
2014-12
影响因子：
3.6
通讯作者：
Rosenberg ES
中科院分区：
文献类型：
--
作者：
Hernández-Romieu AC;Siegler AJ;Sullivan PS;Crosby R;Rosenberg ES
比较黑人和白人MSM的避孕套风险事件(避孕套失效和不完全使用)的发生率及其前因(避孕套错误、合身/感觉问题和勃起问题)的频率，并确定风险避孕套事件和其先行因素之间的关联。我们研究了475名MSM的横断面数据，这些MSM在过去6个月中使用避孕套作为插入性伴侣，在佐治亚州亚特兰大进行了一项队列研究。近40%的黑人MSM报告破裂或未完全使用，他们比白人MSM更有可能报告破裂、早期取出和延迟使用避孕套。只有31%和54%的男男性接触者表示正确使用了避孕套，安全套的合适性/手感不佳。使用油基润滑剂和贴合度/手感较差的患者报告断裂的几率较高(P=0.009)。适合性/手感不佳也与避孕套不完全使用的几率较高有关(P<；0.0001)。不完全使用避孕套和避孕套失效在黑人男男性接触者中尤其常见。我们的发现表明，与白色男男性接触者相比，避孕套可能对他们预防艾滋病毒/性传播感染的保护作用较小。需要更多的干预措施，特别是解决使用油基润滑剂和安全套的适合性/手感不佳的问题。
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 MSM, and determine the associations between risk-inducing condom events and their antecedents. 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, GA. 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). 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/STI when compared to White MSM. More interventions are needed, particularly addressing the use of oil-based lubricants and suboptimal fit/feel of condoms.
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影响因子：
1.7
作者：
D'Anna LH;Margolis AD;Warner L;Korosteleva OA;O'Donnell L;Rietmeijer CA;Klausner JD;Nomura W;Malotte CK;Safe City Study Group
通讯作者：
Safe City Study Group
影响因子：
3.1
作者：
Mustanski B;Ryan DT;Garofalo R
通讯作者：
Garofalo R
影响因子：
3.1
作者：
Crosby, Richard;Diclemente, Ralph J.;Troutman, Adewale
通讯作者：
Troutman, Adewale
影响因子：
2.3
作者：
Yarber, William L.;Crosby, Richard A.;Rothring, Alexis
通讯作者：
Rothring, Alexis
影响因子：
168.9
作者：
Beyrer, Chris;Baral, Stefan D.;van Griensven, Frits;Goodreau, Steven M.;Chariyalertsak, Suwat;Wirtz, Andrea L.;Brookmeyer, Ron
通讯作者：
Brookmeyer, Ron