Revitalizing Condom-Centered HIV Prevention Strategies
HIV infection rates remain steady in the USA despite the numerous prevention programs and tools available. Condoms play a central role in HIV prevention because they are highly effective, readily available, and affordable. Unfortunately, condom promotion efforts often incite fear as a motive force, while also taking the common “one-size-fits-all” approach. Reframing condom promotion through a sexual health framework, focusing on pleasure and highlighting condom fit issues, improves intervention efficacy. Condom distribution policies may further perpetuate condom users’ difficulty, by withholding particular condom styles, brands, and information highlighting the nuances in shape, size, and material. Condom education and distribution practices focused on pleasure, proper fit, and condom access issues might increase condom utilization among high-risk populations.
KeywordsCondoms Condom usage Condom distribution Condom education Condom fit Condom access Sexual health HIV/AIDS Evidence-based interventions HIV prevention Sexual behavior Sexually transmitted infections
Compliance with Ethics Guidelines
Conflict of Interest
Joshua O’Neal and Lorree Berteau declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.CDC Estimated HIV incidence in the United States, 2007–2010. HIV Surveillance Supplemental Report 2012;17(No. 4). http://www.cdc.gov/hiv/topics/surveillance/resources/reports/#supplemental. Published December 2012
- 2.CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 U.S. dependent areas—2011. HIV Surveillance Supplemental Report 2013;18(No. 5). http://www.cdc.gov/hiv/library/reports/surveillance/. Published October 2013.
- 5.••Crosby RA. State of condom use in HIV prevention science and practice. Current HIV/AIDS Reports. 2013;10(1):59–64. Crosby’s article precedes the current article, providing the groundwork of current condom research that is expanded upon here. Crosby highlights essential aspects and findings throughout a current condom research including condom-use frequency, condom efficacy, innovative condom design, and condom promotion from a sex-positive perspective.CrossRefPubMedGoogle Scholar
- 6.••O’Neal, J. Condoms, pleasure & policy: gay men explore condom fit and access issues. (Unpublished master’s thesis), 2013. Available from San Francisco State University library catalog (AS36 2013 HMSX.O54). This Master’s thesis explores condom fit and access issues solicited from a needs assessment conducted with MSM and several condom distribution entities. This project also utilized a condom fit intervention that proved to be effective in helping participants find the proper condom fit with increase sensation and pleasure. The findings from this assessment provide the topics and material covered in the current article.Google Scholar
- 8.•O’Reilly, K. R., Fonner, V. A., Kennedy, C. E., & Sweat, M. D. Free condom distribution: what we don’t know may hurt us. AIDS and Behavior, 2014 1–3. This article highlights the lack of research regarding the effectiveness of free condom distribution programs and their subsequent impacts on condom utilization and HIV/STI prevention.Google Scholar
- 9.•Newby KV, Brown KE, French DP, Wallace LM. Which outcome expectancies are important in determining young adults’ intentions to use condoms with casual sexual partners?: a cross-sectional study. BMC Public Health. 2013;13(1):133. Newby provides important findings related to successful approaches for condom promotion and integration among young men in their article. CrossRefPubMedCentralPubMedGoogle Scholar
- 11.FDA. Guidance for industry: latex condoms for men—information for 510(k) premarket notifications: use of consensus standards for abbreviated submissions. 2014. http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm073947.htm
- 14.••Milhausen RR, Wood J, Sanders SA, Crosby RA, Yaber WL, Graham CA. A novel, self-guided, home-based intervention to promote condom use among young men: A pilot study. Journal of Men’s Health. 2011;8(4):274–81. Milhausen is the first researcher to provide a condom fit intervention that highlights the nuances in condom styles, encouraging users to find a better fitting condom for increased condom efficacy. This intervention also proved to be successful at reducing condom errors and increasing condom use post-intervention. CrossRefGoogle Scholar
- 15.••Hill BJ, Janssen E, Kvam P, Amick EE, Sanders SA. The effect of condoms on penile vibrotactile sensitivity thresholds in young, heterosexual men. The Journal of Sexual Medicine. 2014;11(1):102–6. Hill and their team were the first to study the physiological impacts of condoms on penis sensitivity thresholds. This innovative approach could be utilized in future studies focused on condoms’ impact on pleasure and sensation. CrossRefPubMedCentralPubMedGoogle Scholar
- 16.•Grov C, Wells BE, Parsons JT. Self-reported penis size and experiences with condoms among gay and bisexual men. Archives of Sexual Behavior. 2013;42(2):313–22. This article demonstrates the variation in condom users’ bodies and the subsequent impact of condom fit, proving condom fit directly influences condom utilization and consistent condom use. CrossRefPubMedGoogle Scholar
- 23.Khosropour, C., & Sullivan, P. S. Receipt and use of free condoms among us men who have sex with men. Public Health Reports 2013 (Washington, DC: 1974), 128(5), 385–392Google Scholar
- 24.HIV and AIDS estimates and data, 2001–2007. Retrieved September 1, 2014, from http://data.unaids.org/pub/Global 2008 Report/2008/JC1511_GR08_ExecutiveSummary_en.pdf
- 28.Holland, L., Ramazanoglu, C., Sharpe, S., Thompson, R. (2004) The male in the head: young people, heterosexuality and power. Tufnell Press.Google Scholar
- 29.Develop the next generation condom. (2013, March 1). Retrieved October 14, 2014, from http://gcgh.grandchallenges.org/Explorations/Topics/Pages/NextGenerationCondomRound11.asp
- 30.Cooperstein, P. (2013, November 22). These 11 innovative condoms just got grants from the Bill & Melinda Gates Foundation. Retrieved October 14, 2014Google Scholar
- 31.Mache, S. (2014, June 13). Air-infused female condoms. Retrieved September 13, 2014, from http://www.impatientoptimists.org/Posts/2014/06/AirInfused-Female-Condoms