Details:

Alternative Title:
Sex Transm Dis
Personal Author:
Grasso, Michael A. ; Schwarcz, Sandra ; Galbraith, Jennifer S. ; Musyoki, Helgar ; Kambona, Caroline ; ... More +
Grasso, Michael A. ; Schwarcz, Sandra ; Galbraith, Jennifer S. ; Musyoki, Helgar ; Kambona, Caroline ; Kellogg, Timothy A. Less -
Corporate Authors:
for the KAIS Study Group
Description:
Background

Condom use continues to be an important primary prevention tool to reduce the acquisition and transmission of HIV and other sexually transmitted infections. However, incorrect use of condoms can reduce their effectiveness.

Methods

Using data from a 2012 nationally representative cross-sectional household survey conducted in Kenya, we analyzed a subpopulation of sexually active adults and estimated the percent that used condoms incorrectly during sex, and the type of condom errors. We used multivariable logistic regression to determine variables to be independently associated with incorrect condom use.

Results

Among 13,720 adolescents and adults, 8014 were sexually active in the previous 3 months (60.3%; 95% confidence interval [CI], 59.0–61.7). Among those who used a condom with a sex partner, 20% (95% CI, 17.4–22.6) experienced at least one instance of incorrect condom use in the previous 3 months. Of incorrect condom users, condom breakage or leakage was the most common error (52%; 95% CI, 44.5–59.6). Factors found to be associated with incorrect condom use were multiple sexual partnerships in the past 12 months (2 partners: adjusted odds ratio [aOR], 1.5; 95% CI, 1.0–2.0; P = 0.03; ≥3: aOR, 2.3; 95% CI, 1.5–3.5; P < 0.01) and reporting symptoms of a sexually transmitted infection (aOR, 2.8; 95% CI, 1.8–4.3; P < 0.01).

Conclusions

Incorrect condom use is frequent among sexually active Kenyans and this may translate into substantial HIV transmission. Further understanding of the dynamics of condom use and misuse, in the broader context of other prevention strategies, will aid program planners in the delivery of appropriate interventions aimed at limiting such errors.


Subjects:
[+]
Article
Source:
Sex Transm Dis. 43(2):87-93.
Pubmed ID:
26766524
Pubmed Central ID:
PMC4930356
Document Type:
Journal Article
Funding:
U2G PS001814/PS/NCHHSTP CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:d1bbe918d6b06ea64c314a9ef1286026b938cd534bff6ce1d596998c1ba2e71b
Download URL:
https://stacks.cdc.gov/view/cdc/40325/cdc_40325_DS1.pdf
File Type:

Supporting Files

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