Evidence map›Paper›PMID 24935692›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Elements of Condom-Use Decision Making among South African Men Who Have Sex with Men.

Aaron J Siegler, Alex de Voux, Nancy Phaswana-Mafuya, Linda-Gail Bekker, Patrick S Sullivan, Stefan D Baral, Kate Winskell, Zamakayise Kose, Andrea L Wirtz, Rob Stephenson

Open access · goldAbstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review.Journal of acquired immune deficiency syndromes (1999) · 2017
    Pooled it
  3. Article
  4. A Network Science Approach to Sex-Polydrug Use Among Black Sexually Minoritized Men and Transgender Women: The N2 Cohort Study.Prevention science : the official journal of the Society for Prevention Research · 2024
    Article
  5. Article
  6. Risk factors for sexually transmitted infections among men who have sex with men.African journal of primary health care & family medicine · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Aaron J SieglerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA asiegle@emory.edu.
Alex de VouxDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Nancy Phaswana-MafuyaHIV/AIDS/STI/and TB (HAST), Human Sciences Research Council, Pretoria, Port Elizabeth, South Africa.
Linda-Gail BekkerDesmond Tutu HIV Foundation, Institute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Patrick S SullivanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Stefan D BaralDepartment of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Kate WinskellHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Zamakayise KoseHIV/AIDS/STI/and TB (HAST), Human Sciences Research Council, Pretoria, Port Elizabeth, South Africa.
Andrea L WirtzDepartment of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Rob StephensonHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Emory University · USHuman Sciences Research Council · ZAJohns Hopkins University · USUniversity of Cape Town · ZA

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
University of Cape Town Clinical Trials Unit (UCTCTU)UM1AI069519 · NIAID · UNIVERSITY OF CAPE TOWN · PI Linda-Gail Bekker · 2012 to 2026
$36.3M
Comprehensive HIV Prevention Package for MSM in Southern AfricaR01AI094575 · NIAID · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2011 to 2014
$3.3M
NIAID NIH HHS P30 AI050409NIAID NIH HHS R01 AI094575NIAID NIH HHS UM1 AI069519
6 · The paper itself

Abstract

South African men who have sex with men (MSM) are at increased risk for HIV infection, and male condoms are fundamental to HIV prevention programs. We explored condom use experiences through in-depth interviews with 34 South African MSM from Cape Town and Port Elizabeth. For data analysis, we generated a codebook and used the constant comparison method. Condom use reinforcing elements included use of alternative sexual strategies, having a high level of self-worth that was linked to protective behaviors, and use of ready-made condom negotiation scripts. Elements inhibiting condom use included perceiving substantial declines in sexual pleasure/performance, experiences of condom failure (possibly related to petroleum-based lubricant), and being in trusted relationships. Our findings suggest nuanced HIV prevention approaches such as bolstering condom negotiation skills based on successful tactics already in use. Further research is needed to address how to mitigate perceptions and experiences that condoms negatively impact sexual pleasure and performance.

Indexed as

CondomsAdolescentAdultCross-Sectional StudiesHIV InfectionsHomosexuality, MaleHumansMaleSafe SexSouth AfricaYoung AdultcondomHIV preventionSouth Africa

Identifiers

PMID24935692
PMCPMC4169340
OpenAlexW2143381213

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.