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Condom use determinants among sexually transmitted disease (STD) clinic attendees, Trinidad and Tobago (1993-95).
Jack N; Edwards J; Mahabir B; Murphy J; Palace C; O'Brien T; Blattner W;
November 30, 1997
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