Sexually Transmitted Diseases

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Sexually Transmitted Diseases:

Does a Choice of Condoms Impact Sexually Transmitted Infection Incidence? A Randomized, Controlled Trial

Steiner, Markus J. PhD*; Hylton-Kong, Tina MD†; Figueroa, J Peter MD†; Hobbs, Marcia M. PhD‡; Behets, Frieda PhD‡; Smikle, Monica PhD§; Tweedy, Katie MPH*; Powell, Sharon†; McNeil, Linda MPH*; Brathwaite, Alfred MD†

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Objective: The objective of this study was to assess whether providing a choice of condoms would increase condom acceptability, increase self-reported use, and decrease incident sexually transmitted infection.

Study: We randomized 414 men presenting with urethral discharge in Jamaica to receive either the “standard” clinic condom or a choice of 4 different types of condoms. Men were treated presumptively at enrollment and followed up at 1, 2, 4, and 6 months.

Results: Participants in the choice group had a strong preference (P <0.01) for the most popular condom available in Jamaica. This preference did not translate into higher condom use (P = 0.16). The 6-month cumulative probability of first incidence of gonorrhea, chlamydia, or trichomoniasis was slightly higher in the choice group (21%; 95% confidence interval [CI], 15–28%) versus the control group (17%; 95% CI, 11–23%); the difference in the survival curves was not significant (P = 0.35).

Conclusion: A choice of condoms may increase perceived acceptability but not lead to increased condom use and subsequently lower sexually transmitted infection rates.

© Copyright 2006 American Sexually Transmitted Diseases Association


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