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Trichomonas vaginalis is a flagellated protozoan parasite and the causative agent of trichomoniasis, one of the most prevalent non-viral sexually transmitted infections in the United States. This extracellular parasite primarily colonizes the lower genitourinary tract in women—particularly the vagina—and in men, the urethra and prostate. Its structural and functional adaptations enable its survival, motility, and pathogenicity within the host environment.Structural Features and Host EntryT.
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Slips, breaks and 'falls': condom errors and problems reported by men attending an STD clinic.

Richard Crosby1, William L Yarber, Stephanie A Sanders

  • 1College of Public Health, University of Kentucky, Lexington, KY 40506-0003, USA. crosby@uky.edu

International Journal of STD & AIDS
|March 13, 2008
PubMed
Summary

Condom use errors and problems are common among men at public sexually transmitted disease (STD) clinics. These issues, including breakage and slippage, occurred frequently, regardless of age or prior condom use education.

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Area of Science:

  • Public Health
  • Sexual Health
  • Epidemiology

Background:

  • Condom use is a primary method for preventing sexually transmitted diseases (STDs).
  • Understanding condom-use errors and problems is crucial for effective STD prevention strategies.
  • High-risk populations, such as those attending STD clinics, may experience unique challenges with condom use.

Purpose of the Study:

  • To comprehensively assess the prevalence of condom-use errors and problems among male clients at a public STD clinic.
  • To identify specific types of condom errors and problems encountered by this demographic.
  • To examine associations between condom-use errors/problems and demographic factors.

Main Methods:

  • An anonymous questionnaire was administered to 278 men attending a public STD clinic.
  • Seven types of condom-use errors and six types of condom-use problems were assessed.
  • Summative scores for errors and problems were analyzed for associations with age, minority status, and prior condom use education.

Main Results:

  • Of 834 condom-protected events, common issues included 'fit and feel' problems (19%), breakage (15%), and lost erection (14%).
  • Slippage during withdrawal (8%) and sex (7%) were also reported.
  • A mean of 6.4 errors/problems per participant was observed.
  • No significant associations were found between total errors/problems and age, minority status, or prior condom use education.

Conclusions:

  • Condom-use errors and problems are highly prevalent among high-risk men attending public STD clinics.
  • The findings highlight a need for improved condom education and support for this population.
  • Further research may be warranted to explore underlying causes and develop targeted interventions.