Condom Use Errors on Knowledge and Attitude among Sexually Active Men

Hemant kumar, Karobi Das, Avinash Kaur Rana, Dipankar De, PK Saha

Abstract


Background: Unwanted pregnancies and sexually transmitted infections (STIs) including Human Immunodeficiency Virus (HIV) infections are amongst the top public health priorities in India. Around 1/4th of births are unwanted. Condom, a dual-protective device, is being promoted for meeting these challenges. The objective of the study was to assess the impact of condom demonstration on knowledge, attitude and incidences of factual errors among sexually active men of attended family planning & STI clinics, of PGIMER, Chandigarh.

Methods: A quasi-experimental study was conducted on 102 men; mean age of the group 29.23±3.5 ranged from 20–41 years. The samples were randomly divided into two groups. Data was collected between July and September, 2016.

Results: Although the men had heard of and/or knew about the purpose of condoms, 58.8% were adequately informed. 86.3% subjects had positive attitude towards condom use (p 0.005). 56.9% subjects reported errors (breakage, slippage, or both) while use. Immediate correct practice was significantly representative as 70.6% subjects of experimental and four (7.8%) subjects of the control group performed seven or more correct steps on specific condom application and removal. However, 29.4% subjects of the control group and 94.1% experimental group had successfully pinched the reservoir tip during condom application (p 0.003). 90.2% participants had easy access to condom while 78.4% were used. The study confirmed that knowledge is not enough to bring desired change in practices. Regarding access to condoms, it was observed that >90.2% subjects had easy access while 78.4% had used condoms. The results depict that after three months of usage there has been a reduction in incidence of factual errors in case 11.7% compared to control 17.6%.

Conclusion: The current study shows that the majority of subjects (90%) who knew about condom had never attended condom demonstration before. Hence, the educative session regarding practices must be considered in the promotional strategies to get best out of this dual-protection method.


Keywords


Condom demonstration, Factual errors, Breakage, Slippage

Full Text:

PDF

References


Technical Issue Brief. Condom Use: How it relates to HIV and STI prevention. The U.S. Agency for International Development Sep 2013 [cited 2015 Oct 22]. Available from: https://www.usaid.gov/sites/default/files/ documents Condom STI Issue brief. Pdf.

Rao GR, Moulasha K, Sureender S. Knowledge attitude and practice of family planning among fishermen in Tamilnadu. The J Family Welfare 1993; 39(3): 50-54.

Saluja N, Sharma S, Choudhary S et al. Contraceptive knowledge, attitude and practice among eligible couples of rural Haryana. The Internet Journal of Health 2011; 12(1).

Donta B, Begum S, Naik D. Acceptability of male condom: An Indian scenario. Indian J Med Res 2014; 140(6): 152-56.

Silva CM, Vargens OMC. Women’s perception about female vulnerability to STD and HIV. Rev Esc Enferm USP [Internet]. 2009; 43(2): 401-06. [Cited 2016 Mar 14]; Available from: http://www.scielo.br/pdf/.

Bankole A, Ahmed F, Neema S et al. Knowledge of correct condom use and consistency of use among adolescents in four countries in sub-Saharan Africa. African Journal of Reproductive Health 2007; 11(3): 197.

Warner L, Newman DR, Kamb ML et al. Problems with condom use among patients attending sexually transmitted disease clinics: prevalence predictors and relation to incident gonorrhea and chlamydia. Am J Epidemiol 2008; 167(3): 341-49.

Crosby R, Milhausen R, Sanders S et al. Two heads are better than one: The association between condom decision-making and condom use errors and problems. Sexually Transmitted Infections 2008; 84(3): 198-201.

Steiner M, Piedrahita C, Glover L et al. Can condom users likely to experience condom failure be identified? Family Planning Perspectives 1993; 25(5): 220.

Balaiah D, Naik D, Parida R et al. Contraceptive knowledge, attitude and practices of men in rural Maharashtra. Advances in Contraception 2012; 15: 217


Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 International Journal of Nursing & Midwifery Research

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.