scholarly journals Condom-Associated Erection Problems

2014 ◽  
Vol 10 (2) ◽  
pp. 141-145 ◽  
Author(s):  
Cynthia A. Graham ◽  
Richard Crosby ◽  
Stephanie Sanders ◽  
Robin Milhausen ◽  
William L. Yarber
Keyword(s):  
Condom Use ◽  
Black Men ◽  
Multivariate Analyses ◽  
Recall Period ◽  
Transmitted Infection ◽  
Black African ◽  
Sexually Transmitted ◽  
The Past ◽  
Retrospective Recall ◽  
Condom Fit

Previous research indicates that young men may experience condom-associated erection loss and that these problems may lead to inconsistent or incomplete condom use. The primary aim of this study was to assess, using a retrospective recall period of 2 months, correlates of condom-associated erection problems among young Black men attending sexually transmitted infection (STI) clinics. Data were collected in clinics treating patients with STIs in three southern U.S. cities. Males 15 to 23 years of age who identified as Black/African American and reported recent (past 2 months) condom use were eligible. A total of 494 men participated. Nineteen percent reported that condom-associated erection problems during condom application occurred at least once, and 17.8% indicated erection difficulties occurred during sexual intercourse at least once in the past 2 months. Multivariate analyses identified that condom-associated erection problems were associated with reports of sex with more than one partner during the recall period, reported problems with condom fit and feel, lower motivation to use condoms, and attempts at condom application before having a full erection. Findings suggest that clinic interventions should address possible condom-associated erection problems among young Black men who are at risk of STIs. Encouraging men who may be vulnerable to erection loss when condoms are used to allow sufficient time for sexual arousal to build may be an effective strategy.

scholarly journals Condom use errors and problems: a study of high-risk young Black men residing in three Southern US cities

2014 ◽  
Vol 25 (13) ◽  
pp. 943-948 ◽  
Author(s):  
Richard A Crosby ◽  
Robin R Milhausen ◽  
Stephanie A Sanders ◽  
Cynthia A Graham ◽  
William L Yarber
Keyword(s):  
Condom Use ◽  
Black Men ◽  
Sexually Transmitted Infection ◽  
Sexual Partner ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Multiple Partners ◽  
Southern Us ◽  
Us Cities

The primary aim of this study was to assess self-reported frequencies of selected condom use errors and problems, using a retrospective recall period of 2 months, among young Black men attending sexually transmitted infection clinics. A secondary objective was to determine whether more errors/problems occurred among men reporting sex with multiple partners compared with those reporting one sexual partner. Data were collected in clinics treating patients with sexually transmitted infections in three Southern US cities. Men, 15–23 years of age who identified as Black/African American and reported recent (past 2 months) condom use were eligible (N = 475). Condom use errors and problems were common, with some of the most critical errors occurring for greater than one of every five young Black men, such as late application, early removal, slipping off during sex, and re-using condoms. For 8 (33.3%) of the 24 errors/problems assessed, young Black men reporting more than one sexual partner in the previous 2 months experienced more errors and problems than men reporting only one partner. The disease protective value of condoms may be sub-optimal in this population. A need exists to improve the quality of condom use among young Black men at risk of sexually transmitted infection acquisition or transmission. Intensified clinic-based intervention that helps young Black men improve the quality of their condom use behaviours is warranted.

scholarly journals Violence experience by perpetrator and associations with HIV/STI risk and infection: a cross-sectional study among female sex workers in Karnataka, south India

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021389 ◽  
Author(s):  
Alicja Beksinska ◽  
Ravi Prakash ◽  
Shajy Isac ◽  
H L Mohan ◽  
Lucy Platt ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Violence ◽  
Sex Workers ◽  
Partner Violence ◽  
Female Sex Workers ◽  
South India ◽  
Syphilis Infection ◽  
Transmitted Infection ◽  
The Past ◽  
Female Sex

ObjectivesFemale sex workers (FSWs) experience violence from a range of perpetrators, but little is known about how violence experience across multiple settings (workplace, community, domestic) impacts on HIV/sexually transmitted infection (STI) risk. We examined whether HIV/STI risk differs by the perpetrator of violence.MethodsAn Integrated Biological and Behavioural Assessment survey was conducted among random samples of FSWs in two districts (Bangalore and Shimoga) in Karnataka state, south India, in 2011. Physical and sexual violence in the past six months, by workplace (client, police, coworker, pimp) or community (stranger, rowdy, neighbour, auto-driver) perpetrators was assessed, as was physical and sexual intimate partner violence in the past 12 months. Weighted, bivariate and multivariate analyses were used to examine associations between violence by perpetrator and HIV/STI risk.Results1111 FSWs were included (Bangalore=718, Shimoga=393). Overall, 34.9% reported recent physical and/or sexual violence. Violence was experienced from domestic (27.1%), workplace (11.1%) and community (4.2%) perpetrators, with 6.2% of participants reporting recent violence from both domestic and non-domestic (workplace/community) perpetrators. Adjusted analysis suggests that experience of violence by workplace/community perpetrators is more important in increasing HIV/STI risk during sex work (lower condom use with clients; client or FSW under the influence of alcohol at last sex) than domestic violence. However, women who reported recent violence by domestic and workplace/community perpetrators had the highest odds of high-titre syphilis infection, recent STI symptoms and condom breakage at last sex, and the lowest odds of condom use at last sex with regular clients compared with women who reported violence by domestic or workplace/community perpetrators only.ConclusionHIV/STI risk differs by the perpetrator of violence and is highest among FSWs experiencing violence in the workplace/community and at home. Effective HIV/STI prevention programmes with FSWs need to include violence interventions that address violence across both their personal and working lives.

scholarly journals The Risk of Sexually Transmitted Infection and Its Influence on Condom Use among Pregnant Women in the Kintampo North Municipality of Ghana

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Martha Ali Abdulai ◽  
Frank Baiden ◽  
Samuel Afari-Asiedu ◽  
Lawrence Gyabaa-Febir ◽  
Kwame Kesse Adjei ◽  
...  
Keyword(s):  
High Risk ◽  
Condom Use ◽  
Pregnant Women ◽  
Sexually Transmitted Infection ◽  
Secondary Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Survey ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted

Sexually transmitted infection (STI) affects the reproductive health of both men and women worldwide. Condoms are important part of the available preventive strategies for STI control. The lack of proper risk-perception continues to impede women’s ability to negotiate condom use with their partners. This paper is the outcome of secondary analysis of data collected in a cross-sectional survey that explored the perception of risk of STI and its influence on condom use among 504 pregnant women attending antenatal clinic at two health facilities in the Kintampo North Municipality. Consecutively, three Focus Group Discussions were conducted among 22 pregnant women which was analyzed using thematic analysis technique. Multivariate logistic regression analysis was used to identify possible predictors of condom use and risk of STI. Respondents mean age was 26.0±5.9 years. 47% of respondents self-identified themselves as high risk for contracting STI, 50% of whom were married. High risk status (OR = 2.1, 95% CI: 1.1–4.4), ability to ask for condoms during sex (OR = 0.3, 95% CI: 0.1–0.73), and partner’s approval of condom use (OR = 0.2, 95% CI: 0.01–0.05) were independent predictors of condom use. Condom use (OR 2.9 (1.5–5.7); p=0.001) and marital status (engaged, OR 2.6 (1.5–4.5); p=0.001) were independent predictors of risk of STI. Women who self-identified themselves as high risk for STI successfully negotiated condom use with their partners. This is however influenced by partner’s approval and ability to convince partner to use condoms. Self-assessment of STI risk by women and the cooperation of male partners remain critical.

scholarly journals Desire to father a child and condom use: a study of young black men at risk of sexually transmitted infections

2014 ◽  
Vol 26 (13) ◽  
pp. 941-944 ◽  
Author(s):  
Richard A Crosby ◽  
Cynthia A Graham ◽  
Robin R Milhausen ◽  
Stephanie A Sanders ◽  
William L Yarber ◽  
...  
Keyword(s):  
At Risk ◽  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Black Men ◽  
Sexually Transmitted
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