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PubMed1996

Using the theory of reasoned action (TRA) to understand the decision to use condoms in an STD clinic population.

The theory of reasoned action (TRA) provides useful information when designing health education interventions. In this study, 703 heterosexual STD clinic clients responded to a TRA-based survey. With steady partners, social norms and attitudes toward condom use were significant predictors of intention for both men and women. The interaction of attitude and norm increased prediction for men (R = .64, p < 0.001) and women (R = .70, p < 0.001). With casual partners, attitude was a predictor for men and social norm was a predictor for women. Prior use of condoms increased prediction for men (R = .38, p < 0.001) and women (R = .47, p < 0.001). Findings suggest that, in addition to traditional TRA model variables, the relationship between sexual partners and the individual's prior experience with condom use should be incorporated into attempts to understand this complex, dyadic behavior. Examining specific outcome and normative beliefs also provides important information for intervention design.

Adult↗

PubMed1997

How can psychological theory help to promote condom use in sub-Saharan African developing countries?

Condom use for HIV prevention has been very inconsistent in most sub-Saharan African countries. Studies from around the continent report that knowledge about HIV transmission is variable and seems to be related to gender, socioeconomic and educational status. There is a large body of psychological knowledge about HIV prevention which has been applied to condom promotion campaigns in developed countries. These approaches to condom promotion, based on formal theory, have not been used on a wide scale in African countries and this paper explores ways in which psychological theory might be appropriately applied in a situation of high HIV prevalence.

Africa South of the Sahara↗

PubMed1998

Black South African students' beliefs and attitudes about condoms.

To investigate the beliefs and attitudes of black South African students regarding condoms structured questionnaires were completed anonymously by 1986 students. Most highly endorsed problems were the large number needed for many rounds of sex, partner's feelings of distrust, unpleasantness of purchasing condoms, and that condoms injure the vagina. Encouragement of use should be responsive to local practices.

Adult↗

PubMed1998

Factors associated with nonuse of condoms in heterosexual men and women attending an HIV testing clinic in Israel.

OBJECTIVES: To examine gender differences in HIV-related knowledge, perceived vulnerability, beliefs in self-control, type of sexual partnership, and their associations with nonuse of condoms. METHODS: Heterosexual men and women who voluntarily attended an HIV testing clinic in Israel were asked to complete a self-report questionnaire. Scales of HIV knowledge and control and a single item for vulnerability were used. Type of sexual relationship (monogamous vs. nonmonogramous) and condom use in vaginal sex (never vs. ever) referred to the previous 6 months. Response rate was 84%; 154 men and 109 women participated. RESULTS: Beliefs in self-control did not form a reliable scale and single items were used. No statistically significant gender differences were found in knowledge, vulnerability, or beliefs in self-control. Levels of correct HIV-related knowledge were high, but so were some misconceptions. The vast majority (87%) perceived themselves as vulnerable to HIV infection. The beliefs in self-control were moderate in some items, and low in others. In logistic regression models, different factors were significantly associated with nonuse of condoms in the two genders: the belief that their lifestyle protected them against HIV infection (OR = 2.72, CI = 1.06-7.03) among men, and being monogamous (OR = 3.72, CI = 1.28-10.8) among women. CONCLUSION: Heterosexual men and women attending an HIV testing clinic need counseling to further lower misconceptions about HIV transmission and additional gender-specific counseling to address HIV-related beliefs.

Adult↗

PubMed1999

A pragmatic intervention to promote condom use by female sex workers in Thailand.

An overview is presented of a multifaceted intervention to promote consistent condom use by female commercial sex workers in Thailand, in the context of the government's 100% condom use policy for preventing spread of human immunodeficiency virus (HIV) infection. The project is described with reference to a succession of stages including pre-programme needs assessment, intervention design, implementation and evaluation. The key elements of the intervention were video scenarios and discussions coordinated by health personnel, and video-depicted open-ended narratives aimed at helping sex workers to explore their personal and work-related dilemmas and concerns. A core objective was to enhance sex workers' self-esteem and perceived future with a view to strengthening their motivation to take preventive action against HIV infection. The intervention was evaluated using a combination of qualitative (process evaluation) and quantitative (outcome) methods. The outcome evaluation was undertaken using a pretest, post-test intervention and control group quasi-experimental design. There were significant increases in consistent condom use among the intervention groups but not among the controls. Pragmatic stability is advocated for the Thai sex industry and recommendations are offered for good quality HIV prevention activities.

Adolescent↗

PubMed2000

The impact of new antiretroviral treatments on college students' intention to use a condom with a new sexual partner.

The aim of this study was to evaluate possible changes in predisposing factors in sexual preventive behaviors that could result from the availability of an efficient new antiretroviral therapy. A total of 136 young adults were randomly assigned a vignette to read describing AIDS as a lethal or chronic disease. After reading the vignette, the participants completed a self-administered questionnaire assessing the psychosocial determinants of intention to use a condom with a new sexual partner. The variables were measured according to Ajzen's (1985, 1988, 1991) theory of planned behavior and Triandis's (1977) theory of interpersonal behavior. The experimental manipulation was more successful when the disease was described as lethal (66 of the 68 subjects) rather than chronic (30 of the 68 subjects). For the 96 participants who correctly identified the expected outcome of the disease presented in the vignette, a significant difference in intention was found between the two experimental situations (p < .05). Regression of intention to use condoms on the psychosocial variables yielded an adjusted R2 of .62. Perceived behavioral control, social norms, personal normative belief and anticipated affective reaction were the significant variables explaining this intention. The results suggest that intention to use condoms with a new sexual partner is likely to be modified by the expected outcome of the disease, that is, whether lethal or chronic. Thus, it is suggested that interventions aimed at young adults take into account the impacts the new antiretroviral treatments are likely to have on preventive behaviors.

Acquired Immunodeficiency Syndrome↗

PubMed1988

Condoms to be distributed to police, army and students, Tanzania.

The government-run Daily News says the Tanzanian government will distribute condoms to students, soldiers, and policemen as part of its 5-year program to control AIDS. The program also includes improved screening of donated blood and promotion of the use of sterile instruments in hospitals. The newspaper quotes Dr. Justin Nguma of the national AIDS control committee as saying the condoms are being donated by the World Health Organization. Students, soldiers, and police officers were chosen to receive the condoms because they are seen as sexually active sectors of the population, and because they are generally young. However, he said these groups did not represent sources of AIDS infection. He says Tanzania has recorded over 3,000 AIDS cases. The country's AIDS program also includes a publicity campaign about AIDS and counseling for those with the disease.

Acquired Immunodeficiency Syndrome↗

PubMed1994

Association installs condom machine.

On the occasion of World Population Day (11 July), India installed its first condom vending machine. The machine was inaugurated by Mr. Eruch Lala, an official of the Family Planning Association of India, as part of the association's campaign to help the country curb its rapid population growth rate and stem the spread of AIDS (acquired immune deficiency syndrome). Each condom, called sangam ("union" in English) costs Rupees 2 (about 6.5 US cents). The machine is located at a textile mill in Bombay. The Association said it would install at least 60 such machines in Bombay over the coming months. "A psychological advantage of the machine is that the user need not personally meet the dispenser and can collect a condom without any embarrassment," Mr. Lala said. "The machine is expected to promote efforts at curbing population growth and prevent the spread of AIDS," he said. In a separate report, AIDS has been found to be racing through India just eight years after the first case was detected. Prostitutes, drug addicts and untested blood supplies are the conduits. More than half of the prostitutes in cities such as Bombay have HIV (human immunodeficiency virus), which causes AIDS. The truck drivers and itinerant workers they serve carry it to their own villages, according to the report by Mr. Thomas Wagner writing for the Associated Press. There are 43 million cases of sexually transmitted diseases reported each year in the country, according to the report. The HIV virus has been reported in all 25 states of India. Although the AIDS pandemic came to India later than most large countries, the National AIDS Control Organization estimates there are 1.62 million cases in the population, up 60% from 1993, according to the report. "AIDS is no longer just a problem of high-risk groups; it has spread to every area of India," Dr. P.R. Das Gupta of the national AIDS agency said in an interview. "So many people are migrating from their villages in search of jobs that this epidemic is spreading very fast."

Acquired Immunodeficiency Syndrome↗

PubMed1996

Kenya cardinal burns condoms.

Kenya's top Roman Catholic church official burned condoms and safe sex literature in a ceremony organized by a group opposed to contraception and sex education. About 250 people watched as Cardinal Maurice Otunga and two gynecologists prayed and sang before setting fire to several boxes of condoms and 100 copies of pamphlets promoting safe sex. The pamphlets encouraged condom use to fight the spread of HIV. The World Health Organization has estimated that 1 million of Kenya's 26 million people are infected with HIV or AIDS.

Africa↗

PubMed1997

Condom use banned.

A traditional chief in Swaziland has banned the use of condoms by men in his chiefdom, because they were "misusing and wasting a man's reproductive fluid". The ban, which made front-page news in the Times Newspaper of Swaziland, has shocked nongovernmental organization and family planning officials in the tiny southern African kingdom, the Southern African Press Association reported. Addressing hundreds of his subjects at his Kraal during a visit by health ministry officials, Chief Jameson Ndznatabautfu Maseko said using condoms was against God's laws as stated in the Old Testament. But the chief was willing to continue to allow women to use contraceptive pills, the report said. The chief did not say how he hoped to monitor his male subjects' sex lives but gave instructions that anyone using or being forced to use condoms be reported to him immediately. In a reaction to the chief's comments, health ministry principal secretary, Myekani Vilakati said that if the reports were correct, "the family planning program would have to start all over again, this time starting with educating the country's traditional leaders".

Africa↗

PubMed1995

The relationship of substance use with sex to the use of condoms among young adults in two urban areas of Scotland.

The relationship of the use of alcohol or drugs in conjunction with sexual activity and the use of condoms and other contraceptives was examined among 1378 respondents in a household survey of two urban areas of Scotland. In bivariate analyses, respondents who reported having had sex under the influence of alcohol or drugs were no less likely than respondents with no such experience to report consistent use of condoms, and having had sex under the influence of substances was positively related to lifetime condom use. Multivariate analyses that included gender and urban area as predictors yielded similar findings. The results suggest that individuals who combine sex with alcohol or drugs are not necessarily more likely to engage in riskier sex.

Adolescent↗

PubMedDate not supplied

[A possibility for verifying condom use in sex offenses].

In order to elucidate the circumstances of sexual crimes, the forensic laboratory is increasingly forced to consider whether the offender has used a condom. The detection presented here depends on Lycopodium spores used in several condom coatings. They can easily be detected e.g. in vaginal swabs. A screening of 40 various condoms available in Germany revealed that 32 (= 80%) were coated with Lycopodium spores. The microscopical investigation of the spores is explained and some sources of error in interpretation are discussed.

Condoms↗

PubMedDate not supplied

Sexual behaviour and condom acceptance among Nigerian drivers.

A survey of 180 randomly selected drivers was carried out in June 1994 in Ilorin, Nigeria in order to gain information about high-risk sexual behaviours, to ascertain condom use and to identify obstacles to condom acceptance so as to facilitate the design of an intervention to prevent Sexually Transmitted Diseases/Acquired Immuno-deficiency Disease in this target population. Data was collected through face-to-face interview. Three-quarters of the respondents were married. Multiplicity of sexual partners including casual and commercial contacts, was common. Half of the respondents engaged in high-risk sexual behaviour and a high proportion of them (60 percent) reported unwillingness to use the condom. This was mainly due to general dislike and lack of knowledge of the method. Risk perception was poor. These findings support the need for male reproductive health services especially for this sub-population.

Acquired Immunodeficiency Syndrome↗

PubMedDate not supplied

A sensitive method for evaluating condoms as virus barriers.

A standard test is needed to evaluate condoms as barriers against sexually transmitted diseases, particularly those caused by viruses. The proposed method presented here consists of a previously published simple method using physiologic-based conditions plus improvements to increase test sensitivity and decrease confounding factors such as contamination. Limitations of the method were determined by measuring virus penetration through small, well-defined holes. The method can detect penetration of 2 nL (2 x 10(-6) mL) of challenge virus suspension as well as a hole of 2 microns diameter in a latex condom. The data also indicated that virus penetration of latex condoms occurred quickly, and the hole was then apparently closed or blocked.

Bacteriophage phi X 174↗

PubMed1998

A fluid-filled condom causing intestinal obstruction: nonsurgical therapy of an ileus by ultrasound-guided transabdominal tapping.

Ingested foreign bodies are rare causes of intestinal obstruction in the adult. Condoms, if swallowed, are usually filled with drugs and found in body packers as a vehicle for drug smuggling. We report the case of 31-year-old male who presented with symptoms and signs of intestinal obstruction. He had swallowed a fluid-filled condom the day before. Ultrasonography of the abdomen revealed a fluid-filled foreign body within the small bowel. Due to radiological signs of an ileus and due to the fact that the patient's symptoms did not resolve after spasmolytic therapy the condom was tapped transcutaneously under ultrasonographical guidance. This procedure immediately relieved his symptoms. The further course was uneventful.

Abdominal Pain↗

PubMed1998

Condom use as a dependent variable: measurement issues relevant to HIV prevention programs.

The value of condoms in efforts to slow the spread of HIV infection has been well established in the literature. Behavioral science faces the challenge of promoting condom use through intervention programs. As these programs are evaluated, multiple issues should be considered in relation to measuring participant use of condoms for the purposes of preventing HIV infection. Lack of attention to these issues is likely to create a large number of Type I and Type II errors. Ten common sources of error are described and corresponding recommendations for eliminating these errors are offered. A review of published studies shows that there is little consistency relevant to controlling for these sources of error. Incorporation of standardized methodology will allow for more accurate program evaluation and benefit researchers by facilitating comparisons across studies.

Bias↗

PubMed1993

Adolescents and condom use.

Increasing condom use among adolescents is an essential component of a public health strategy aimed at decreasing rates of sexually transmitted infections and the spread of human immunodeficiency virus infection. This article reviews current data about the contraceptive and prophylactic characteristics of condoms. Data about current levels of use among adolescents and factors demonstrated to affect such use are also summarized. Except where data are scanty or nonexistent, the research studies are limited to those focusing primarily on adolescents and, occasionally, college students. Based on these data, suggestions for increasing condom use among adolescents are presented.

Adolescent↗

PubMed2005

AIDS education, condom demand, and the sexual activity of American youth.

This paper examines the effects of AIDS education at school and at home on the sexual behavior of American youth. Multinomial logit equations of the probabilities of abstinence, sexual intercourse with a condom, and intercourse without a condom are estimated using data from the Youth Risk Behavior Supplement of the 1992 National Health Interview Survey. We find no significant effects of AIDS education on the probability of abstinence, but we do find that AIDS education significantly raises the likelihood of condom-protected relative to unprotected intercourse. These results indicate that risk-altering and risk-revealing AIDS education dominate any utility-altering effects favoring intercourse over abstinence. We also find that young women are influenced by AIDS education to a greater extent than young men. Overall, our results suggest that educating young people about AIDS does not promote sex and encourages safer sex, reducing the likelihood of HIV transmission and lowering the subsequent social costs.

Acquired Immunodeficiency Syndrome↗