A negative association between condom availability and incidence of urethral discharge in a closed Malawian community.

Abstract:

:Condom promotion in sub-Saharan Africa has been accused by some conservative groups of encouraging promiscuity. This study explored the relationship between condom availability and sexually transmitted infection (STI) incidence in a closed Malawian community. An audit of clinic records charted the changing availability of condoms and the concurrent incidence of patients presenting with STI-associated urethral discharge (UD). When condoms first became available, their distribution steadily increased and the UD incidence declined. During a three-month period of unavailability, this previously uninterrupted decline was reversed and UD incidence increased. Once condoms again became available, UD incidence resumed its decline. This association was found to be statistically significant (Spearman's correlation coefficient, -0.499; P = 0.035). In a small community largely isolated from neighbouring towns, condom distribution appeared to negatively correlate with the number of patients presenting with UD. This may challenge the local belief that condoms have a damaging effect on sexual health in Malawi.

journal_name

Int J STD AIDS

authors

Metcalfe D

doi

10.1258/095646207781439801

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

559-62

issue

8

eissn

0956-4624

issn

1758-1052

journal_volume

18

pub_type

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