Condom Use and Sexual Behaviors Among Individuals Procuring Free Male Condoms in South Africa

In Brief Background Although the South African government has increased the number of male condoms distributed free to the public, there is no understanding of whether these are being used effectively to prevent the spread of sexually transmitted diseases, including HIV infection. Goal The study goal was to determine sexual behaviors and barriers to condom use among individuals procuring condoms distributed free to the public sector. Study Design In a prospective study, individuals who procured condoms from 12 public health facilities across South Africa were recruited and observed for the next 5 weeks. Results The 384 successfully observed subjects reported 3262 sexual contacts, of which 2637 (81%) involved protection with a condom. In multivariate analysis, alcohol consumption and use of other contraceptives were associated with unprotected sexual intercourse. Conclusion The levels of condom use are relatively high in this population, but these data highlight several important barriers to condom use that may be targeted by future interventions. A prospective study of individuals procuring free condoms across South Africa showed that levels of condom use were high, although the use of other contraceptives and alcohol consumption before sex were both associated with decreased condom use.