Safety and acceptability of condoms for use by homosexual men as a prophylactic against transmission of HIV during anogenital sexual intercourse.

Wigersma, L; Oud, R

doi:10.1136/bmj.295.6590.94

Cited by 24 publications

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“…An anal condom was described as being qualified if it was produced according to the results of a pilot study of 17 couples ofhomosexual men. 8 In that study, five brands of condom specifically designed for anogenital intercourse were tested regarding their safety and acceptability during anogenital intercourse between men. Qualified anal condoms were introduced on the Dutch market in June 1986, accompanied by an information campaign for homosexual men regarding the use of condoms.…”

Section: Patients Materials and Methodsmentioning

confidence: 99%

Failure rate of condoms during anogenital intercourse in homosexual men.

Griensven

Vroome

Tielman

et al. 1988

Sexually Transmitted Infections

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SUMMARY Two hundred and seventy seven homosexual men participating in an AIDS study in Amsterdam, The Netherlands, were interviewed in July to December 1986 regarding their experiences with the use of condoms during anogenital intercourse. It appeared that in many cases the condoms used could not be described as reliable, or were not used safely. In 8% (117/1468) ofcases the condom tore or slipped off. When different condoms were compared, it was seen that "qualified" anal condoms functioned best. Other anal condoms functioned worse, and in many cases even worse than classic vaginal condoms. Whether these differences exclusively depended on differences in quality cannot be assessed. Men who buy a qualified anal condom are possibly more motivated and thus also less likely to have failures.Regarding the apparent unreliability of the condoms used, homosexual men are advised to refrain from anogenital intercourse. When this is not feasible, a qualified anal condom should be used. between men.7 The greater friction during this sexual practice obviously plays an important part.8 To gain knowledge of condom use among homosexual men, we investigated how often condoms tear or slip off during anogenital intercourse between men. We also noted whether there were differences in these respects between the different types of condoms used. It was not possible in this research to assess to what degree the condom gives protection against HIV transmission. Patients, materials, and methodsThe study population consisted of 277 homosexual men enrolled in the course of a larger study on risk factors for HIV infection and AIDS.2 In July to December 1986 participants were interviewed regarding their experiences with the use of condoms during anogenital intercourse. Men volunteered to participate, and were predominantly living in and around Amsterdam. Respondents were questioned regarding the number of their sexual partners and the number with whom they had practised anogenital intercourse (insertive and receptive) during the previous six months. We also asked how many times a condom was used, what kind of condom was used, and how many times condoms tore or slipped off. In this study tearing and slipping off was defined as failure. We dis-344 on 1 May 2019 by guest. Protected by copyright.

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“…It is clear that most condom failures, whether in preventing conception or avoiding sexually transmitted disease, are more properly considered user failures; it is far more likely for the skills, motivation, and commitment of a human user to fail than for the condom to be defective. Nonetheless, condoms can break or slip during intercourse (Van Griensven, De Vroome, Tielmann, et al, 1988;Wigersma & Ode, 1987). The addition of the spermicide nonoxynyl-9 to condoms is intended to provide further protection against HIV-1, especially in the event of rupture of the condom (Judson, Ehret, Bodin, et al, 1989); although some in vitro studies support this approach, there are currently no epidemiologic data to demonstrate its effectiveness.…”

Section: Sexual Transmissionmentioning

confidence: 99%

HIV Disease: Current Concepts

Keeling

1993

Journal of Counseling &Amp; Development

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The human immunodeficiency virus (HIV) causes a chronic, progressive, immune deficiency disease, the most severe phase of which is Acquired Immune Deficiency Syndrome (AIDS). HIV is a newly characterized human retrovirus transmitted only by direct exposure to blood or blood derivatives, certain acts of sexual intercourse, or transfer from infected mother to fetus or infant. In this article the author reviews the most important current epidemiologic, clinical, and virologic information about HIV and HIV disease and provides a factual framework for understanding the issues created by the epidemic.

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Safety and acceptability of condoms for use by homosexual men as a prophylactic against transmission of HIV during anogenital sexual intercourse.

Abstract: Pathy for their permission to report details of their patients and particularly to Sister A Jackson and the staffof the day theatre for their help with the endoscopic procedures.

Cited by 24 publications

References 1 publication

Failure rate of condoms during anogenital intercourse in homosexual men.

HIV Disease: Current Concepts

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