[Evidence of risk factors for condom breakage among French military personnel stationed overseas].
The French Army Medical Service has been distributing free condoms to overseas personnel since 1989. An epidemiologic study conducted in Cambodia showed that the rate of condom failure during protected sex was 16.3 p. 100. In view this high failure rate, a study to evaluate safety guidelines for condom use was deemed necessary. This report describes the results of an inquiry designed to identify risk factors for condom breakage. The study population included 124 servicemen stationed overseas who consulted an army physician following condom failure. An anonymous questionnaire was completed by the physician with the informed consent of the patient. Data was analyzed by multiple correspondence analysis. Anogenital intercourse and alcohol abuse were the main risk factors for condom failure. Oral sex before penetration, carrying the condom in the pocket, and improper application by the sex partner were also risk factors for failure. The major finding of this study was that 64 of the 124 (51.6 p. 100) denied any sexual activity or improper handling that might have led to condom breakage. Although condoms are still indispensable for prevention sexually transmitted diseases, the results of this study show that they do not provide absolute protection. Health care officials should inform the public as to the risk factors for breakage of latex condoms.
Deparis
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X
Service de Médecine des Collectivités, l'Institut de Médecine Tropicale du Service de Santé des Armées, Marseille, France. medco@gulliver.fr
Migliani
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R
Merlin
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M
D000349:Africa; D000428:Alcohol Drinking / Q000009:adverse effects; D000704:Analysis of Variance; D017280:Condoms / Q000009:adverse effects*; D004868:Equipment Failure; D005163:Factor Analysis, Statistical; D005602:France / Q000208:ethnology; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008887:Military Medicine / Q000379:methods / Q000706:statistics & numerical data; D008889:Military Personnel / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data*; D012307:Risk Factors; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014195:Travel