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The evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review

The evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review
The evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review
Abstract. Background. Continuing high rates of sexually transmitted infections (STIs) in many countries highlight the need to identify effective behavioural interventions. Consistent and correct use of male condoms is a key strategy for the prevention of STIs. Some men, however, report problems with condom fit (e.g., size and shape of the condom) and feel (e.g., tightness, irritation, sensitivity) which inhibits their use. Methods. We conducted a systematic review to identify existing interventions addressing condom use fit and feel problems. We searched electronic databases for peer-reviewed articles and searched reference lists of retrieved studies. Results. Five studies met the inclusion criteria. These were generally small-scale pilot studies evaluating behavioural interventions to promote safer sex with men aged under 30 years, addressing, amongst other things, barriers to condom use relating to fit and feel. There were significant increases in the reported use of condoms, including condom use with no errors and problems. Improvements in some condom use mediators were reported, such as condom use self-efficacy, knowledge, intentions and condom use experience. There were mixed findings in terms of the ability of interventions to reduce STI acquisition. Conclusions. Behavioural interventions addressing condom fit and feel are promising in terms of effectiveness but require further evaluation.
1448-5028
539-547
Anstee, Sydney
16f6038e-7583-4c80-9306-255713acfaee
Shepherd, Jonathan
dfbca97a-9307-4eee-bdf7-e27bcb02bc67
Graham, Cynthia
ac400331-f231-4449-a69b-ec9a477224c8
Stone, Nicole
39001f79-4193-4106-9490-152c2f018958
Brown, Katherine E
a1fa128f-cd95-4cbc-b389-420bbfe24bf4
Newby, Katie
b2153504-25bf-4083-aec6-4b8d665894d0
Ingham, Roger
e3f11583-dc06-474f-9b36-4536dc3f7b99
Anstee, Sydney
16f6038e-7583-4c80-9306-255713acfaee
Shepherd, Jonathan
dfbca97a-9307-4eee-bdf7-e27bcb02bc67
Graham, Cynthia
ac400331-f231-4449-a69b-ec9a477224c8
Stone, Nicole
39001f79-4193-4106-9490-152c2f018958
Brown, Katherine E
a1fa128f-cd95-4cbc-b389-420bbfe24bf4
Newby, Katie
b2153504-25bf-4083-aec6-4b8d665894d0
Ingham, Roger
e3f11583-dc06-474f-9b36-4536dc3f7b99

Anstee, Sydney, Shepherd, Jonathan, Graham, Cynthia, Stone, Nicole, Brown, Katherine E, Newby, Katie and Ingham, Roger (2019) The evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review. Sexual Health, 16 (6), 539-547. (doi:10.1071/SH19001).

Record type: Article

Abstract

Abstract. Background. Continuing high rates of sexually transmitted infections (STIs) in many countries highlight the need to identify effective behavioural interventions. Consistent and correct use of male condoms is a key strategy for the prevention of STIs. Some men, however, report problems with condom fit (e.g., size and shape of the condom) and feel (e.g., tightness, irritation, sensitivity) which inhibits their use. Methods. We conducted a systematic review to identify existing interventions addressing condom use fit and feel problems. We searched electronic databases for peer-reviewed articles and searched reference lists of retrieved studies. Results. Five studies met the inclusion criteria. These were generally small-scale pilot studies evaluating behavioural interventions to promote safer sex with men aged under 30 years, addressing, amongst other things, barriers to condom use relating to fit and feel. There were significant increases in the reported use of condoms, including condom use with no errors and problems. Improvements in some condom use mediators were reported, such as condom use self-efficacy, knowledge, intentions and condom use experience. There were mixed findings in terms of the ability of interventions to reduce STI acquisition. Conclusions. Behavioural interventions addressing condom fit and feel are promising in terms of effectiveness but require further evaluation.

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Accepted/In Press date: 21 June 2019
e-pub ahead of print date: 31 October 2019

Identifiers

Local EPrints ID: 431957
URI: http://eprints.soton.ac.uk/id/eprint/431957
ISSN: 1448-5028
PURE UUID: dc37c977-a1ba-4be7-84c7-f0b213236e0a
ORCID for Sydney Anstee: ORCID iD orcid.org/0000-0002-1462-9446
ORCID for Jonathan Shepherd: ORCID iD orcid.org/0000-0003-1682-4330
ORCID for Cynthia Graham: ORCID iD orcid.org/0000-0002-7884-599X
ORCID for Nicole Stone: ORCID iD orcid.org/0000-0003-0995-8699

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Date deposited: 24 Jun 2019 16:30
Last modified: 07 Oct 2020 06:59

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