Evidence map›Paper›PMID 25080511›Full record

ArticleSexually transmitted infections2014

How often do condoms fail? A cross-sectional study exploring incomplete use of condoms, condom failures and other condom problems among black and white MSM in southern U.S.A.

Alfonso C Hernández-Romieu, Aaron J Siegler, Patrick S Sullivan, Richard Crosby, Eli S Rosenberg

Abstract read
In one paragraph

Article in Sexually transmitted infections, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021
    Guideline
  2. Sexually transmitted diseases treatment guidelines, 2015.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2015
    Guideline
  3. Observational
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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

5 authors.

Alfonso C Hernández-RomieuDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Aaron J SieglerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Patrick S SullivanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Richard CrosbyDepartment of Health Behavior, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Eli S RosenbergDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Explaining Differences in HIV Prevalence and Incidence in Black and White MSMR01MH085600 · NIMH · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2009 to 2013
$2.9M
Sexual Networks and Concurrency of Black and White MSMR01HD067111 · NICHD · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2010 to 2012
$2.0M
Improving Racial/Ethnic Minority Participation in Online HIV Prevention ResearchRC1MD004370 · NIMHD · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2009 to 2010
$999k
NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1TR000454NIAID NIH HHS P30 AI050409NIAID NIH HHS P30AI050409NICHD NIH HHS R01 HD067111NICHD NIH HHS R01HD067111NIMHD NIH HHS RC1 MD004370NIMHD NIH HHS RC1MD004370NIMH NIH HHS R01 MH085600NIMH NIH HHS R01MH085600
6 · The paper itself

Abstract

objectivesTo compare the occurrence of risk-inducing condom events (condom failures and incomplete use) and the frequency of their antecedents (condom errors, fit/feel problems and erection problems) between black and white men who have sex with men (MSM), and determine the associations between risk-inducing condom events and their antecedents.

methodsWe studied cross-sectional data of 475 MSM who indicated using a condom as an insertive partner in the previous 6 months enrolled in a cohort study in Atlanta, Georgia, USA.

resultsNearly 40% of black MSM reported breakage or incomplete use, and they were more likely to report breakage, early removal and delayed application of a condom than white MSM. Only 31% and 54% of MSM reported correct condom use and suboptimal fit/feel of a condom, respectively. The use of oil-based lubricants and suboptimal fit/feel were associated with higher odds of reporting breakage (p=0.009). Suboptimal fit/feel was also associated with higher odds of incomplete use of condoms (p<0.0001).

conclusionsIncomplete use of condoms and condom failures were especially common among black MSM. Our findings indicate that condoms likely offered them less protection against HIV/sexually transmitted infection when compared with white MSM. More interventions are needed, particularly addressing the use of oil-based lubricants and suboptimal fit/feel of condoms.

Indexed as

CondomsAdolescentAdultBlack or African AmericanBlack PeopleCohort StudiesCross-Sectional StudiesGeorgiaHumansMaleProspective StudiesRisk AssessmentWhite PeopleYoung AdultBehavioural InterventionsCondomsHIVMenPrevention

Identifiers

PMID25080511
PMCPMC4408017

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.