1 / 4

Udi Davidovich, Merel Lammers, Maria Prins, Ineke Stolte

Condom Induced Erectile Dysfunction - COINED A unique predictor of deliberate sexual risk (barebacking). Udi Davidovich, Merel Lammers, Maria Prins, Ineke Stolte. Amsterdam Health Services - Department of Research. Background & Methods.

elpida
Télécharger la présentation

Udi Davidovich, Merel Lammers, Maria Prins, Ineke Stolte

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Condom Induced Erectile Dysfunction - COINEDA unique predictor of deliberate sexual risk (barebacking) Udi Davidovich, Merel Lammers, Maria Prins, Ineke Stolte Amsterdam Health Services - Department of Research

  2. Background & Methods • Find discriminative predictors for intentional versus incidental UAI • COINED - assumed predictor for intentional UAI • 435 ACSHM men, mean age 34 (SD=7.7, range: 18-67), HIV+ 6% (26) • Longitudinal analysis: predictors at time 1, outcome 6 months later • COINED: self reported, corrected for non-COINED • Sexual risk behavior: 2 multinomial outcome variables for casual and steady partners • Deliberate risk: self reported • Intentions to use condoms or engage in Negotiated Safety in the following 6 months • Multinomial regressions and mediation analysis (Baron & Kenny)

  3. Results • 10% (32/306) frequently experienced COINED with casual partners and 7% (19/272) with steady partners. • COINED was significantly associated with risky UAI with casual partners six months later(OR=2.71, 95%CI 1.06-6.95). • When Stratified to deliberate (e.g. barebacking) versus non-delibarate or incidental UAI, COINED was only predictive of deliberate UAI among causal partners(OR=6.57, 95%CI 2.14-20.18). • COINED was not associated with UAI with steady partners. • HIV status & age did not correlate with COINED or risk behavior. • Mediation analysis indicated that intentions to use condoms at time 1 completely mediated the effect of COINED on risky UAI six months later(see table 2, THPDC-205).

  4. Conclusions & Recommendations • COINED is a unique predictor of deliberate risk (e.g. bare-backing) as opposed to incidental risk between casual partners. • COINED most likely influences the intentions to use condoms in advance and, therefore, traditional motivation-based prevention strategies that increase risk perceptions or increase intention to use condoms will probably not be able to do the job. • Alternative prevention strategies, such as the prescription of erectile medication like Viagra, could be considered.

More Related