ijhsrp International Journal of Health Services Research and Policy 2602-3482 Rojan GÜMÜŞ 10.23884/ijhsrp.2019.4.1.06 Health Care Administration Sağlık Kurumları Yönetimi PREVALENCE AND CORRELATES OF CONDOM ERRORS AMONG SEXUALLY ACTIVE RESIDENTS OF GEM SUB-COUNTY, SIAYA, COUNTY WESTERN KENYA, 2012-2014 https://orcid.org/0000-0002-4382-2747 Burmen Barbara Kenya Medical Research Institute Omollo Mevis Kenya Medical Research Institute Otieno George Kenya Medical Research Institute 04 01 2019 4 1 55 66 01 15 2019 03 19 2019 Copyright © 2016, International Journal of Health Services Research and Policy 2016 International Journal of Health Services Research and Policy

Condomeffectiveness is compromised by user errors. We set out to examine the rates ofcondom use and condom errors among sexually active persons living within aHealth Demographic Surveillance this high HIV prevalence area in Western Kenya.We analyzed data from the second round of a longitudinal bio-behavioral surveythat was conducted in Gem, Siaya County between November 2012 and February2014.Logistic regression analysis was done to identify predictors of condom useamong all sexually active persons and condom errors among participantsreporting condom use in the past 3 months. Of 7815 persons interviewed minority(39%) reported having used male condoms with at least one sexual partner in thepast 3 months of whom 459 (15%) reported condom errors. Majority of thosereporting condom errors had experienced ‘incomplete use’ (i.e. (a combinationof early removal, late application or both early removal and late application).Participants who had experienced condom errors were significantly more likelyto be aged <25 years and 25-34 yearscompared to those who were aged 35 years and older (OR 1.5; 95% CI 1.1-1.9 andOR 1.3; 95% CI 1.0-1.8 respectively to have had 3 or more and 2 sexual partnersin the past 12 months compared to those who had one (OR 2.4; 95CI 1.7-3.5 andOR 1.6;95%CI 1.2-2.1 respectively),to have reported their sex partners to haveever been drunk during sex (OR 1.7; 95% CI 1.1-2.7), to have used mind alteringsubstances in the past 12 months compared to those who had never used mindaltering substances in the past 12 months (OR 1.9; 95% CI 1.2-3.1), and toreport that their sex partner had ever used mind altering substances in thepast 12 months (OR 1.7; 95% CI 1.0-2.8). Limited experience with condom use andthe use mind-altering substances may partly be responsible for condom errors.Sexual and reproductive health programs should provide health education topromote condom use and HIV risk awareness. Additional strategies to mitigateeffects of drug abuse as a harm reduction strategy should be considered for HIVprevention.

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