How often do condoms fail? A cross-sectional study exploring incomplete use of condoms, condom failures and other condom problems among black and white MSM in southern USA

Alfonso C. Hernández-Romieu, Aaron J. Siegler, Patrick S. Sullivan, Richard Crosby, Eli S. Rosenberg

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Results: Nearly 40% of black MSM reported breakage or incomplete use, and they were more likely to report breakage, early removal and delayed application of a condom than white MSM. Only 31% and 54% of MSM reported correct condom use and suboptimal fit/feel of a condom, respectively. The use of oil-based lubricants and suboptimal fit/feel were associated with higher odds of reporting breakage (p=0.009). Suboptimal fit/feel was also associated with higher odds of incomplete use of condoms (p<0.0001).

Conclusions: Incomplete use of condoms and condom failures were especially common among black MSM. Our findings indicate that condoms likely offered them less protection against HIV/sexually transmitted infection when compared with white MSM. More interventions are needed, particularly addressing the use of oil-based lubricants and suboptimal fit/feel of condoms.

Methods: We studied cross-sectional data of 475 MSM who indicated using a condom as an insertive partner in the previous 6 months enrolled in a cohort study in Atlanta, Georgia, USA.

Objectives: To compare the occurrence of risk-inducing condom events (condom failures and incomplete use) and the frequency of their antecedents (condom errors, fit/feel problems and erection problems) between black and white men who have sex with men (MSM), and determine the associations between risk-inducing condom events and their antecedents.

Original languageEnglish
Pages (from-to)602-607
Number of pages6
JournalSexually Transmitted Infections
Volume90
Issue number8
DOIs
StatePublished - Dec 1 2014

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

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