Barcelona 2013
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| Abstract #243 - Prevention | ||||
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Session: 24.2: Prevention (Parallel) on Tuesday @ 11.00-13.00 in Teatre Chaired by Cate Hankins, Juanse Hernandez Authors: Presenting Author: Mrs Nathalie Beltzer - ORS Île-de-france, France |
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| Additional Authors: Mr Henry Luyombya, Dr Eleanor Maticka-Tyndale, Dr Alan Li, Dr Josephine Wong, Dr Kenneth Fung, | ||||
| Aim: With a social and epidemiological context that has changed during the last two decades, this study examined eighteen years of trends in condom perception and condom use among general French population. | ||||
| Method / Issue: We presented data from six ANRS-KABP surveys, a population-based questionnaire, carried out in France by telephone in 1992, 1994, 1998, 2001, 2004 and 2010 among 8348 men and 10056 women aged 18 to 54. Participants were selected based on a two-stage probability sampling design. Percentages and confidence intervals were calculated on condom perception and condom use indicators. Adjusted odds ratio (AOR) were estimated by logistic regressions to control age, level of education and living in couple for comparison of estimates of the six surveys. | ||||
| Results / Comments: In 2010, condom efficacy seemed to be less recognized than in the 1990?s. A lower proportion of men and women considered condom as ?fully effective to protect against HIV? (61% of men in 2010 compared with 77% in 1992 AOR: 0.5 95%CI [0.4-0.6] and 57% of women in 2010 compared with 69% in 1992 AOR: 0.6 95%CI [0.5-0.7]). A higher proportion of men and women considered that ?HIV can be transmitted during intercourse with a condom? (26% of men in 2010 compared with 11% in 1994 AOR: 2.1 95%CI [1.4-3.1], 25% of women in 2010 compared with 13% in 1994 AOR: 2.1 95%CI [1.4-3.0]). In 2010, although condom use was still largely reported at first intercourse, we observed the lowest proportions of condom use at last intercourse since 1994 (18% in 2010 for men compared with 21% in 1994 AOR: 0.7 95%CI [0.5-0.9] and 13% in 2010 for women compared with 17% in 1994 AOR: 0.61 95%CI [0.5-0.8]). This lesser use was mainly declared with non-cohabiting partners for men and with cohabiting partners for women. It was not compensated by another mean of contraception but rather by an increase of unprotected intercourse. | ||||
| Discussion: Condom use seems to be less and less linked with HIV prevention issues. In the TasP context, condom promotion should not be neglected. Preventive interventions should be more based on both preventive and contraceptive issues. | ||||
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