Condom effectiveness in reducing heterosexual HIV transmission: a systematic review and meta-analysis of studies on HIV serodiscordant couples

Giannou, Foteini; Tsiara, Chrissa; Nikolopoulos, Georgios K.; Talias, Μichael A.; Benetou, Vassiliki; Καντζάνου, Μαρία; Bonovas, Stefanos; Hatzakis, Angelos

doi:10.1586/14737167.2016.1102635

Cited by 65 publications

(53 citation statements)

References 61 publications

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“…Right after HIV discovery, condom effectiveness in reducing the HIV risk was evaluated (Conant, Hardy, Sernatinger, Spicer, & Levy, 1986;Davis & Weller, 1999;Judson, Ehret, Bodin, Levin, & Rietmeijer,1989;Pinkerton & Abramson, 1997;Rietmeijer, Krebs, Feorino, & Judson,1988;Van de Perre, Jacobs, & Sprecher-Goldberger, 1987). Regarding heterosexual transmission, a 60%-96% relative risk reduction has been estimated (Giannou et al, 2015;Lassi, Imam, Dean, & Bhutta, 2014;Liu et al, 2014;UNAIDS, 2004;Weller & Davis, 2002). A meta-analysis carried out by Giannou et al, 2015 evaluated HIV infection RRs after comparing "always" versus "never", and "always" versus "not always" use and estimated that, consistent use provide an approximately 70% relative reduction in HIV risk.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding heterosexual transmission, a 60%-96% relative risk reduction has been estimated (Giannou et al, 2015;Lassi, Imam, Dean, & Bhutta, 2014;Liu et al, 2014;UNAIDS, 2004;Weller & Davis, 2002). A meta-analysis carried out by Giannou et al, 2015 evaluated HIV infection RRs after comparing "always" versus "never", and "always" versus "not always" use and estimated that, consistent use provide an approximately 70% relative reduction in HIV risk.…”

Section: Introductionmentioning

confidence: 99%

“…In all four studies, free condoms were distributed and as much as a 77% relative reduction in HIV risk was observed for consistent use (Giannou et al, 2015). To achieve the maximum protective effect, condoms must be used consistently and correctly (Centers for Disease Control and Prevention, 2014;Food and Drug Administration;Workowski, & Bolan, 2015) but in SSA use is still low and mostly inconsistent (MacQuarrie, Bradley, Gemmill, & Staveteig, 2014;Mutevedzi, & Newell, 2014;Papo, Bauni, Sanders, Brocklehurst, & Jaffe, 2011;UNAIDS, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Male condom use, multiple sexual partners and HIV: a prospective case-control study in Kinshasa (DRC)

Carlos

Burgueño

et al. 2016

AIDS Care

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In the Democratic Republic of Congo no previous studies have assessed the factors associated with different patterns of condom use and with multiple sexual partners and the association between condom use simultaneously taking into account multiple sexual partnerships, and HIV infection. We carried out a prospective case-control study. From December 2010 until June 2012, 1,630 participants aged 15-49 getting HIV Voluntary Counseling and Testing in a hospital in Kinshasa were selected. Cases were new HIV diagnosis and controls were HIVnegative participants detected along the study period. We recruited 274 cases and 1,340 controls that were interviewed about HIV-related knowledge, attitudes and behaviours.Among cases there was a high prevalence of multiple lifetime and concurrent sexual partnerships (89.8% and 20.4%, respectively) and most cases never used condoms with only 1.5% using them consistently. Condom use and multiple partnerships were associated with male, single and high-educated participants. An association was found between multiple lifetime partners and `any condom use´ (OR=2.99; 95%CI: 2.14-4.19) but not with consistent use. Both having two or more multiple concurrent sexual partners or not using condoms were variables similarly and highly associated to HIV risk. The association found between having two or more concurrent sexual partners and HIV was slightly higher (OR=3.58, 95%CI:2.31-5-56) than the association found between never condom use and HIV (OR=3.38, 95%CI:1.15-9.93). We found a high prevalence of multiple lifetime sexual partners and an extremely high prevalence of inconsistent condom use, both strongly associated with HIV seropositivity.Local programs would benefit from comprehensive interventions targeting all behavioural and sociocultural determinants.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Male condom use, multiple sexual partners and HIV: a prospective case-control study in Kinshasa (DRC)

Carlos

Burgueño

et al. 2016

AIDS Care

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“…Elsewhere, Holmes et al reported lower levels of knowledge about condom use among Nigerian soldiers (13). Despite the effectiveness of condoms in significantly reducing HIV transmission (1,14), its use remains distressingly sub-optimal in a high risk group such as the military personnel (3,5,12,15,16). The current study mainly aimed at investigating the patterns and determinants of the use of male condoms among a representative sample of Cameroonian soldiers.…”

Section: Discussionmentioning

confidence: 99%

Patterns and Determinants of Consistent Condom Use Among Cameroonian Soldiers

et al. 2017

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Background: Despite numerous health promotion interventions lately conducted, the human immunodeficiency virus (HIV) remains a major cause of morbidity and mortality in sub-Saharan Africa. It is reported that military personnel have a higher prevalence of HIV, compared with the general population. Condom use remains a cheap, easy-to-use, and effective device to prevent the spread of HIV. Growing evidence, however, suggests its underuse among the military personnel. Methods: The current cross sectional study included 325 consenting male and female soldiers from 8 different battalions. Characteristics of the study participants were summarized using frequencies and proportions. Associations between the studied variables were investigated using the Chi-square test of independency; P values < 0.05 were considered statistically significant. Results were presented in the form of tables and graphs. Data analysis was conducted using SPSS version 20.0. Results: Only 28% of the participants used condom during the last unsafe sexual contact. Over 85% of them reported that condoms were always available. Half (50%) of the participants were ashamed to buy condoms. The most commonly reasons for not using condoms were drunkenness (37.5%), trust in the sexual partner (26.5%), tobacco smoking (11.1%), not interested to use a condom (8.9%), and dislike/refusal of condom use by the partner. Main reasons of inconsistent use of condoms included drunkenness, shyness to buy condoms and unavailability in the respective battalions. Trust in sex partners, condom use/sex related stigma, and alcohol abuse were the major determinants of inconsistent condom use during unsafe sexual relations among Cameroonian soldiers. Conclusions: Unprotected sexual practice amongst Cameroonian soldiers was high. Despite the reported high availability of condoms (85%), only 28% of the study respondents used condoms during their last sexual intercourse with different partners. Consistent condom use was sub-optimal among Cameroonian military staff.

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“…It is hoped that new advances in medical treatments, such as pre-exposure prophylaxis (PrEP), will help facilitate the prevention of onwards transmission of HIV. However, the practicing of HIV disclosure and safe sex remain fundamental to HIV prevention efforts (Giannou et al, 2015; O'Connell, Reed & Serovich, 2015).…”

Section: Introductionmentioning

confidence: 99%

‘When it comes to HIV, that’s when you find out the genuinity of that love’: The experience of disclosing a HIV+ status to an intimate partner

2017

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Despite a medical discourse of the 'normalisation' of HIV, it remains a highly stigmatising condition, and makes the issue of disclosing one's HIV status particularly complex. This paper reports on the experience of 18 people living with HIV in the UK of disclosing their HIV+ status in arguably their most important relationship, their intimate partnership. Five main themes arose: disclosure as the battlefield, preparing psychologically to disclose, disclosure as a test of the partner's love, disclosure as an opportunity for the partner to know them more deeply, and the renegotiation of the relationship narrative.

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Condom effectiveness in reducing heterosexual HIV transmission: a systematic review and meta-analysis of studies on HIV serodiscordant couples

Abstract: Though imperfect, condoms reduce HIV transmission by more than 70% when used consistently by HIV serodiscordant heterosexual couples. Social, cultural and biological differences need to be studied further to inform projection modelers and policy makers.

Cited by 65 publications

References 61 publications

Male condom use, multiple sexual partners and HIV: a prospective case-control study in Kinshasa (DRC)

Male condom use, multiple sexual partners and HIV: a prospective case-control study in Kinshasa (DRC)

Patterns and Determinants of Consistent Condom Use Among Cameroonian Soldiers

‘When it comes to HIV, that’s when you find out the genuinity of that love’: The experience of disclosing a HIV+ status to an intimate partner

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