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Brief condom interventions targeting males in clinical settings: a meta-analysis
Arik V Marcell1, Susannah Gibbs2, Harold P Lehmann3
1Johns Hopkins School of Medicine, 200 N. Wolfe Street, Baltimore, MD 21287, USA; Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA.
Brief clinic-based condom skills training for males improved condom use and reduced sexually transmitted infections (STIs). These interventions show promise for enhancing male sexual health outcomes in clinical settings.
Area of Science:
- Public Health
- Sexual Health
- Behavioral Science
Background:
- Condom use remains a critical component of sexual health strategies.
- Effective interventions are needed to improve condom use among men.
- Clinic-based programs offer a accessible platform for delivering sexual health education.
Purpose of the Study:
- To evaluate the effectiveness of brief, clinic-based condom skills interventions for men.
- To assess the impact of these interventions on condom knowledge, attitudes, behaviors, and health outcomes.
Main Methods:
- Systematic review and meta-analysis of studies published from 1980-2014.
- Included randomized or quasi-experimental studies of brief (≤60 min) male-targeted condom skills interventions in clinical settings.
- Analyzed data from 16 studies, pooling outcomes where possible.
Main Results:
- Interventions were associated with increased condom use during sexual acts.
- A significant reduction in sexually transmitted infections (STIs) was observed at 12-month follow-up.
- No significant effect was found for unintended pregnancy.
Conclusions:
- Brief condom skills interventions delivered in clinical settings are effective.
- These programs can lead to improved male condom behaviors and positive biological outcomes, such as reduced STI rates.
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