Behavioral interventions for improving condom use for dual protection

Lopez, Laureen M; Otterness, Conrad; Chen, Mario; Steiner, Markus J.; Gallo, Maria F

doi:10.1002/14651858.cd010662.pub2

Cited by 33 publications

(26 citation statements)

References 58 publications

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“…309 That study did, however, find that condoms were 42% effective in prevention of syphilis infection. 309 Unlike condoms, MC is a one-off procedure that does not require future compliance each time a man has sexual intercourse. In this respect MC can be compared with vaccination.…”

Section: -Van Howe 254256-258mentioning

confidence: 89%

Critical evaluation of arguments opposing male circumcision: A systematic review

Morris

Moreton²,

Krieger

2019

J Evidence Based Medicine

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Objective To systematically evaluate evidence against male circumcision (MC). Methods We searched PubMed, Google Scholar, EMBASE and Cochrane databases. Results Database searches retrieved 297 publications for inclusion. Bibliographies of these yielded 101 more. After evaluation we found: Claims that MC carries high risk were contradicted by low frequency of adverse events that were virtually all minor and easily treated with complete resolution. Claims that MC causes psychological harm were contradicted by studies finding no such harm. Claims that MC impairs sexual function and pleasure were contradicted by high‐quality studies finding no adverse effect. Claims disputing the medical benefits of MC were contradicted by a large body of high‐quality evidence indicating protection against a wide range of infections, dermatological conditions, and genital cancers in males and the female sexual partners of men. Risk‐benefit analyses reported that benefits exceed risks by 100‐200 to 1. To maximize benefits and minimize risks, the evidence supported early infant MC rather than arguments that the procedure should be delayed until males are old enough to decide for themselves. Claims that MC of minors is unethical were contradicted by balanced evaluations of ethical issues supporting the rights of children to be provided with low‐risk, high‐benefit interventions such as MC for better health. Expert evaluations of case‐law supported the legality of MC of minors. Other data demonstrated that early infant MC is cost‐saving to health systems. Conclusions Arguments opposing MC are supported mostly by low‐quality evidence and opinion, and are contradicted by strong scientific evidence.

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Section: -Van Howe 254256-258mentioning

confidence: 89%

Critical evaluation of arguments opposing male circumcision: A systematic review

Morris

Moreton²,

Krieger

2019

J Evidence Based Medicine

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“…El embarazo adolescente ha descendido más en la comuna (5,3%; año 2016) que a nivel nacional (9,1%; año 2016) (17). Entre 2010-2015 existe un ligero aumento del uso de MAC, destacando el hormonal, pero preocupa la disminución del uso de preservativos, ya que éste no sólo previene el embarazo, sino también la transmisión de ITS/VIH (25). Estas cifras indican que la responsabilidad de la anticoncepción sigue recayendo en las mujeres.…”

Section: Discussionunclassified

Impacto de las políticas de educación sexual en la salud sexual y reproductiva adolescente en el sur de chile, período 2010 - 2017

Castro-Sandoval

Carrasco‐Portiño

Solar-Bustos

et al. 2019

Rev. chil. obstet. ginecol.

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Antecedentes: Desde los años 2001 y 2012 se incorporan contenidos sobre sexualidad en el currículum de 6º/7º básico y 2º/3o medio. A partir del año 2010 se legaliza que la población adolescente debe recibir educación sexual. Se propusieron siete programas en esta materia para establecimientos educacionales. Su implementación y sus resultados no han sido evaluados. Objetivo: Evaluar el impacto de las políticas de educación sexual implementadas en Chile, en la salud sexual y reproductiva de la población adolescente de la comuna de Concepción entre los años 2010 y 2017. Material y método: Estudio ecológico en establecimientos educacionales e indicadores de salud sexual y reproductiva en adolescentes. Incluyó 51 establecimientos y estadísticas de embarazo, uso de métodos anticonceptivos (MAC), casos de infecciones de transmisión sexual (ITS) y violencia sexual. Resultados: El 43% de éstos implementaron algún programa de educación sexual; El 80% ha incorporado los contenidos curriculares, y la misma cifra ha ejecutado iniciativas propias de sexualidad y asesorías externas con un alcance del 84%. Se observa un descenso del embarazo adolescente, aumento del uso de MAC, pero disminuyó el uso de condón masculino, y un aumento de los casos de gonorrea y VIH, así como las cifras de violencia sexual hacia adolescentes. Conclusiones: A pesar del descenso de algunos indicadores de salud sexual y reproductiva en adolescentes, es preocupante el aumento de las ITS y la disminución del uso de métodos que previenen su contagio, así como la violencia sexual que también es un riesgo para adquirir ITS.

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“…Contraceptive methods are related with RTIs and STIs, and dual protection methods (condoms) are key strategies to prevent against both unintended pregnancy and STIs, including HIV [42] . Condoms are one of the most effective methods of protection against STIs, when used properly and consistently.…”

Section: Discussionmentioning

confidence: 99%

Ureaplasma urealyticum and chlamydia trachomatis among general married migrants in three cities of China: a workplace-based study

Li¹,

Zhou²,

Xu³

et al. 2019

Preprint

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Background Genital tract infections with ureaplasma urealyticum (UU) and chlamydia trachomatis (CT) are the most frequent sexually transmitted infections (STIs). The aim of this study is to understand the prevalence of UU and CT among general internal married migrants and to explore some possible influencing factors, so as to provide some evidences for STIs prevention in China. Methods A cross-sectional study was conducted in three cities of China from March 2016 to February 2017. A total of 3180 internal-married migrants were included. The structured questionnaire survey, gynecological or andrology examination and laboratory detection were conducted by the trained research fellow s. The prevalence of UU and CT was laboratory-confirmed in this study. Results The prevalence of laboratory-confirmed UU and CT were 45.41%, 5.75%, respectively. The co-infection rate was 4.09%. The rates of UU and CT of Shanghai participants (54.01%, 7.35%) were the highest, and the lowest were that of Yinchuan (37.74%, 4.52%). In Urumqi, the prevalence of UU and CT were 44.77%, 5.42%, respectively, but it has the highest co-infection rate. The multiple stepwise logistic regressions found that the prevalence of UU among three cities were different, and the male’s UU infection was lower than that of women (OR=0.71, 95%CI:0.61-0.83), and the 20-34 age group participants had lower UU and CT risk, compared with that of 45-49 age group. Moreover, the white-collar workers had lower risk of UU infection (OR=0.64, 95%CI: 0.49-0.83), compared with laborer, and using condom could reduce the UU infection (OR=0.74, 95%CI: 0.63-0.87). Compared with urban migrants, the rural participants had higher risk of CT infection (OR=1.68, 95%CI: 1.12-2.52), and sex behavior during menstruation could increase the prevalence of CT (OR=1.49, 95%CI: 1.05-2.11). Conclusion The prevalence of UU and CT were high and the co-infection was also serious among general internal married migrants. More health promotion measures about UU and CT should be taken to help general migrants of China, especially women and those with lower social-economic status (laborers from rural area), risky sexual behaviors such as having sex during menstruation should be warned of and condom-use should be promoted.

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Behavioral interventions for improving condom use for dual protection

Cited by 33 publications

References 58 publications

Critical evaluation of arguments opposing male circumcision: A systematic review

Critical evaluation of arguments opposing male circumcision: A systematic review

Impacto de las políticas de educación sexual en la salud sexual y reproductiva adolescente en el sur de chile, período 2010 - 2017

Ureaplasma urealyticum and chlamydia trachomatis among general married migrants in three cities of China: a workplace-based study

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