Effects of Structural Intervention on Increasing Condom Availability and Reducing Risky Sexual Behaviors in Gay Bathhouse Attendees
November 30, 2009
In the current study, researchers sought to evaluate "the effectiveness of a structural intervention in reducing unprotected sexual behaviors, increasing condom accessibility and their relationship to the prevalence of HIV infection and sexually transmitted infections (STIs) in gay bathhouse attendees."
In multivariate analysis after adjusting for age, access to condoms inside bathhouses (adjusted odds ratio [AOR]: 4.35; 95 percent confidence interval [CI]: 1.48-12.78) and attendance at intervention bathhouses (AOR: 2.07; 95 percent CI: 1.07-3.97) were independently associated with consistent condom use for anal sex. At six-month follow-up, there were no significant differences in HIV and STI prevalence.
"Bathhouses with structural intervention were associated with consistent condom use during anal intercourse among bathhouse patrons," the authors concluded. "Our findings highlight the importance of extension of condom distribution inside the bathhouses to increase condom use among bathhouse patrons."
12.01.2009; Vol. 21; No. 12: P. 1499-1507; Nai-Ying Ko and others
School-Based Condom Education and Its Relations With Diagnoses of and Testing for Sexually Transmitted Infections Among Men in the United States