Male condoms that break in use do so mostly by a “blunt puncture” mechanism

White, Nicholas D.; Hill, David M.; Bodemeier, Steffen

doi:10.1016/j.contraception.2008.01.014

Cited by 9 publications

(3 citation statements)

References 11 publications

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“…Many areas, especially rural and remote villages, are not accessible; for example, the healthcare system covers less than 50% of the population in many sub-Saharan African countries. In addition, the effectiveness of condoms in HIV prevention is much less than 100%, perhaps mostly due to condom failure [24,72]. In addition, there are civil-war zones, such as eastern Congo, where services cannot be provided.…”

Section: Discussionmentioning

confidence: 99%

Can we spend our way out of the AIDS epidemic? A world halting AIDS model

Smith

Gordon

et al. 2009

BMC Public Health

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BackgroundThere has been a sudden increase in the amount of money donors are willing to spend on the worldwide HIV/AIDS epidemic. Present plans are to hold most of the money in reserve and spend it slowly. However, rapid spending may be the best strategy for halting this disease.MethodsWe develop a mathematical model that predicts eradication or persistence of HIV/AIDS on a world scale. Dividing the world into regions (continents, countries etc), we develop a linear differential equation model of infectives which has the same eradication properties as more complex models.ResultsWe show that, even if HIV/AIDS can be eradicated in each region independently, travel/immigration of infectives could still sustain the epidemic. We use a continent-level example to demonstrate that eradication is possible if preventive intervention methods (such as condoms or education) reduced the infection rate to two fifths of what it is currently. We show that, for HIV/AIDS to be eradicated within five years, the total cost would be ≈ $63 billion, which is within the existing $60 billion (plus interest) amount raised by the donor community. However, if this action is spread over a twenty year period, as currently planned, then eradication is no longer possible, due to population growth, and the costs would exceed $90 billion.ConclusionEradication of AIDS is feasible, using the tools that we have currently to hand, but action needs to occur immediately. If not, then HIV/AIDS will race beyond our ability to afford it.

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Section: Discussionmentioning

confidence: 99%

Can we spend our way out of the AIDS epidemic? A world halting AIDS model

Smith

Gordon

et al. 2009

BMC Public Health

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“…Poor technique, incorrect handling, lack of experience and other personal characteristics appear to be important determinants of condom breakage 5–11. Also important are the fit of the condom,6 12–14 the duration of the sex act,15 the roughness of the sexual episode,5 16 the use of drugs and alcohol17 and erectile dysfunction 18. Lack of lubrication or use of oil-based lubrication have been also found to be associated with condom breakage 19 20.…”

Section: Introductionmentioning

confidence: 99%

Why do condoms break? A study of female sex workers in Bangalore, south India

et al. 2012

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Condom use among Bangalore FSWs is now very high. However, condom breakage is still a not uncommon event and puts women and their clients at unnecessary risk of infection. It may be difficult to eliminate the problem completely, but every effort should be made to discuss with sex workers the findings of this survey that point to possible personal markers of risk seen in the univariate analysis and to highlight the importance of avoiding rough sex and of ensuring the condom fits the client.

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“…Consistent and correct use of latex condoms reduces risk for HIV as well as other sexually transmitted infections 1–3 Although most STI/HIV transmission takes place when condoms are not used, 4,5 and mechanical condom failures are relatively rare, 6 the effectiveness of condoms is jeopardized by commonly experienced problems with use resulting in breakage, slippage and partial use (i.e. delayed application or early removal).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Condom Use Problems During Vaginal Sex With Main and Non-Main Partners

DʼAnna

Korosteleva²,

Warner³

et al. 2012

Sexually Transmitted Diseases

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Background Incorrect condom use is a common problem that can undermine their prevention impact. We assessed the prevalence of two condom use problems, breakage/slippage and partial use, compared problems by partnership type, and examined associations with respondent, partner, and partnership characteristics. Methods Data were collected at 3-month intervals over a 12-month period (1999–2000) among urban STD clinic users. Condom use problems were compared between partnership types using z-tests for equality of proportions. Logistic generalized estimating equations modeling accounted for within-participant correlation of repeated measures. Results Overall, 3,297 respondents reported 9,304 main and 6,793 non-main partnerships; condoms were used at least once in 4,942 (53.0%) and 4,523 (66.6%) of these partnerships respectively. Condom breakage/slippage was reported during 6.0% of uses (5.1% main, 9.4% non-main) and partial use during 12.5% of uses (12.8% main, 11.5% non-main). The proportion of respondents experiencing any condom use problem in the prior 3 months was higher among main compared to non-main partnerships: 39.1% v. 29.9% had either problem; 22.5% v. 19.0% had breakage/slippage only; 21.8% v. 18.7%, partial use; and 8.7% v. 7.1% had both use problems. In multivariable analysis, factors associated with condom use problems varied by partnership type and respondent sex. The most common predictors of problems across models were sex while high and inconsistent condom use. Conclusions This study highlights the diverse set of risk factors for condom use problems at the individual, partner and partnerships levels.

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Male condoms that break in use do so mostly by a “blunt puncture” mechanism

Cited by 9 publications

References 11 publications

Can we spend our way out of the AIDS epidemic? A world halting AIDS model

Can we spend our way out of the AIDS epidemic? A world halting AIDS model

Why do condoms break? A study of female sex workers in Bangalore, south India

Factors Associated With Condom Use Problems During Vaginal Sex With Main and Non-Main Partners

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