Steiner, M. J. ; Hylton-Kong, T. ; Figueroa, J. P. ; Hobbs, M. M. ; Behets, F. ; Smikle, M. ; Tweedy, K. ; Powell, S. ; McNeil, L. ; Brathwaite, A.
Author Affiliation, Ana.
Does a choice of condoms impact sexually transmitted infection incidence? A randomized, controlled trial
Sex Transm Dis
Date of Publication
OBJECTIVE: The objective of this study was to assess whether providing a choice of condoms would increase condom acceptability, increase self-reported use, and decrease incident sexually transmitted infection. STUDY: We randomized 414 men presenting with urethral discharge in Jamaica to receive either the 'standard' clinic condom or a choice of 4 different types of condoms. Men were treated presumptively at enrollment and followed up at 1, 2, 4, and 6 months. RESULTS: Participants in the choice group had a strong preference (P <0.01) for the most popular condom available in Jamaica. This preference did not translate into higher condom use (P = 0.16). The 6-month cumulative probability of first incidence of gonorrhea, chlamydia, or trichomoniasis was slightly higher in the choice group (21%; 95% confidence interval [CI], 15-28%) versus the control group (17%; 95% CI, 11-23%); the difference in the survival curves was not significant (P = 0.35). CONCLUSION: A choice of condoms may increase perceived acceptability but not lead to increased condom use and subsequently lower sexually transmitted infection rates.....