Does a choice of condoms impact sexually transmitted infection incidence? A randomized, controlled trial.

Abstract:

OBJECTIVE:The objective of this study was to assess whether providing a choice of condoms would increase condom acceptability, increase self-reported use, and decrease incident sexually transmitted infection. STUDY:We randomized 414 men presenting with urethral discharge in Jamaica to receive either the "standard" clinic condom or a choice of 4 different types of condoms. Men were treated presumptively at enrollment and followed up at 1, 2, 4, and 6 months. RESULTS:Participants in the choice group had a strong preference (P <0.01) for the most popular condom available in Jamaica. This preference did not translate into higher condom use (P = 0.16). The 6-month cumulative probability of first incidence of gonorrhea, chlamydia, or trichomoniasis was slightly higher in the choice group (21%; 95% confidence interval [CI], 15-28%) versus the control group (17%; 95% CI, 11-23%); the difference in the survival curves was not significant (P = 0.35). CONCLUSION:A choice of condoms may increase perceived acceptability but not lead to increased condom use and subsequently lower sexually transmitted infection rates.

journal_name

Sex Transm Dis

authors

Steiner MJ,Hylton-Kong T,Figueroa JP,Hobbs MM,Behets F,Smikle M,Tweedy K,Powell S,McNeil L,Brathwaite A

doi

10.1097/01.olq.0000187200.07639.c6

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

31-5

issue

1

eissn

0148-5717

issn

1537-4521

pii

00007435-200601000-00010

journal_volume

33

pub_type

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