International Journal of STD & AIDS > Volume 20, Number 1 > Pp. 9-13

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Original research articles

Condom use in the year following a sexually transmitted disease clinic visit

T A Peterman MD MSc ^* , L H Tian MD MS ^*, L Warner PhD , C L Satterwhite MSPH MPH ^*, C A Metcalf MBChB MPH , K C Malotte DrPH , S M Paul MD MPH ^**, J M Douglas, Jr MD ^* and the RESPECT-2 Study Group

^* Division of STD Prevention; Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA; Human Sciences Research Council, Pretoria, South Africa; California State University, Long Beach, CA; ^** New Jersey Department of Health and Senior Services, Trenton, NJ, USA

Correspondence to: Thomas Peterman, MD, MSc, Centers for Disease Control and Prevention, Mailstop E-02, 1600 Clifton Road, NE, Atlanta, GA 30333, USA Email: tap1{at}cdc.gov

Consistent condom use can prevent sexually transmitted infections (STIs), but few studies have measured how the prevalence of consistent use changes over time. We measured the prevalence and correlates of consistent condom use over the course of a year. We did a secondary analysis of data from an HIV prevention trial in three sexually transmitted disease clinics. We assessed condom use during four three-month intervals for subjects and across their partnerships using unconditional logistic regression. Condom use was also assessed for subjects during all three-month intervals combined. The 2125 subjects reported on 5364 three-month intervals including 7249 partnership intervals. Condoms were always used by 24.1% of subjects and 33.2% of partnerships during a three-month interval. Over the year, 82% used condoms at least once but only 5.1% always used condoms. Always use of condom was more likely for subjects who had sex only once (66.5%) compared with >30 times (6.4%); one-time partnerships (64.1%) compared with main partnerships (22.2%); and in new partnerships (44.0%) compared with partnerships that were not new (24.5%). Although consistent condom use may prevent STIs, condoms were rarely used consistently during the year of follow-up.

Key Words: condoms • cohort • prevention • HIV • STD

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