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Condom use determinants among sexually transmitted disease (STD) clinic attendees, Trinidad and Tobago (1993-95).


Conf Adv AIDS Vaccine Dev. 1997 May 4-7;:213 (Poster 108). Unique

Objectives: An HIV-1 prevalence of 11.0% (1993-95) has been observed among STD clients in Trinidad (estimated overall HIV-1 sero-incidence, 3-5% per annum). Condom usage and skills training has been extensively promoted in this population to reduce HIV transmission. In this study, condom usage and reasons for non/or inconsistent usage were determined among 3 groups of STD clients at high risk of transmitting or acquiring HIV-1 infection. Methods: Through screening for HIV-1 antibodies (n=12,154) at the main STD clinic (June 1993 to July 1995), three sub-groups of clients were identified. Twenty-four cases of acute HIV-1 infection (HIV), 196 HIV-1 negative clients with genital ulcer disease (HIV-), and 44 chronically HIV infected cases selected from the clinic (HIV+). A questionnaire which included questions on condom usage determinants was administered to all 3 groups by trained interviewers. Results: Overall, 41 (93.2%) of HIV+, 23 95.8 %) of HIV, 179 (91%) of HIV- subjects reported that they did not always use condoms during sex. (Table: see text) Conclusion: Despite intensive population and clinic targeted educational efforts, and widespread distribution of condoms, substantial barriers exist for barrier preventative measures among core HIV transmitters.

*Condoms/UTILIZATION *Sexually Transmitted Diseases/PREVENTION & CONTROL


Information in this article was accurate in November 30, 1997. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.