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Efficacy of Human Immunodeficiency Virus/Sexually Transmitted Infection Trial on Condom Use Among Heterosexual Men Patronizing Entertainment Establishments Who Engaged in Casual or Paid Sex in Singapore.
Sex Transm Dis. 2017 09; 44(9):539-546.ST

Abstract

BACKGROUND

We assessed the efficacy of a multi-component sexual health promotion program on condom use and human immunodeficiency virus (HIV)/sexually transmitted infection (STI) testing among heterosexual men (HSM) patronizing entertainment establishments who engaged in casual or paid sex in Singapore.

METHODS

This was a quasi-experimental trial with a comparison group using cross-sectional surveys at baseline and 6 months postintervention. A locality patronized by local HSM was assigned the intervention, a comparable and distant area served as the comparison site. Using time location sampling, cross-sectional samples of these men were assessed on sexual behaviors using an anonymous questionnaire at baseline (n = 604) and 6 months postintervention (n = 360) in both groups. The coprimary outcomes were condom use at last vaginal and oral sex with casual partner respectively. Mixed effects Poisson regression model accounting for clustering by establishment was used to compute the adjusted prevalence ratio (aPR) of the outcomes postintervention.

RESULTS

At postintervention, the intervention group was more likely than the comparison group to report condom use at last vaginal (aPR, 1.41; 95% confidence interval [CI], 1.05-1.89) and oral (aPR, 1.70; 95% CI. 1.11-2.61) sex, respectively, with casual partner. Similar findings were found for consistent condom use in the last 6 months for vaginal (aPR, 1.67; 95% CI, 1.13-2.48) and oral (aPR, 1.97; 95% CI, 1.16-3.32) sex, respectively, with casual partner. The HIV/STI testing was not significantly higher in the intervention than the comparison group (aPR, 1.43; 95% CI, 0.98-2.09).

CONCLUSIONS

This trial was effective in promoting condom use with casual partners but not HIV/STI testing among HSM in Singapore.

Authors+Show Affiliations

From the *Saw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation; and †Department of Obstetrics and Gynaecology, Yoo Loo Lin School of Medicine, National University of Singapore, Singapore City, Singapore.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28809771

Citation

Lim, Raymond Boon Tar, et al. "Efficacy of Human Immunodeficiency Virus/Sexually Transmitted Infection Trial On Condom Use Among Heterosexual Men Patronizing Entertainment Establishments Who Engaged in Casual or Paid Sex in Singapore." Sexually Transmitted Diseases, vol. 44, no. 9, 2017, pp. 539-546.
Lim RBT, Tham DKT, Tai BC, et al. Efficacy of Human Immunodeficiency Virus/Sexually Transmitted Infection Trial on Condom Use Among Heterosexual Men Patronizing Entertainment Establishments Who Engaged in Casual or Paid Sex in Singapore. Sex Transm Dis. 2017;44(9):539-546.
Lim, R. B. T., Tham, D. K. T., Tai, B. C., Adaikan, P. G., & Wong, M. L. (2017). Efficacy of Human Immunodeficiency Virus/Sexually Transmitted Infection Trial on Condom Use Among Heterosexual Men Patronizing Entertainment Establishments Who Engaged in Casual or Paid Sex in Singapore. Sexually Transmitted Diseases, 44(9), 539-546. https://doi.org/10.1097/OLQ.0000000000000642
Lim RBT, et al. Efficacy of Human Immunodeficiency Virus/Sexually Transmitted Infection Trial On Condom Use Among Heterosexual Men Patronizing Entertainment Establishments Who Engaged in Casual or Paid Sex in Singapore. Sex Transm Dis. 2017;44(9):539-546. PubMed PMID: 28809771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of Human Immunodeficiency Virus/Sexually Transmitted Infection Trial on Condom Use Among Heterosexual Men Patronizing Entertainment Establishments Who Engaged in Casual or Paid Sex in Singapore. AU - Lim,Raymond Boon Tar, AU - Tham,Dede Kam Tyng, AU - Tai,Bee Choo, AU - Adaikan,P Ganesan, AU - Wong,Mee Lian, PY - 2017/8/16/entrez PY - 2017/8/16/pubmed PY - 2018/4/21/medline SP - 539 EP - 546 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 44 IS - 9 N2 - BACKGROUND: We assessed the efficacy of a multi-component sexual health promotion program on condom use and human immunodeficiency virus (HIV)/sexually transmitted infection (STI) testing among heterosexual men (HSM) patronizing entertainment establishments who engaged in casual or paid sex in Singapore. METHODS: This was a quasi-experimental trial with a comparison group using cross-sectional surveys at baseline and 6 months postintervention. A locality patronized by local HSM was assigned the intervention, a comparable and distant area served as the comparison site. Using time location sampling, cross-sectional samples of these men were assessed on sexual behaviors using an anonymous questionnaire at baseline (n = 604) and 6 months postintervention (n = 360) in both groups. The coprimary outcomes were condom use at last vaginal and oral sex with casual partner respectively. Mixed effects Poisson regression model accounting for clustering by establishment was used to compute the adjusted prevalence ratio (aPR) of the outcomes postintervention. RESULTS: At postintervention, the intervention group was more likely than the comparison group to report condom use at last vaginal (aPR, 1.41; 95% confidence interval [CI], 1.05-1.89) and oral (aPR, 1.70; 95% CI. 1.11-2.61) sex, respectively, with casual partner. Similar findings were found for consistent condom use in the last 6 months for vaginal (aPR, 1.67; 95% CI, 1.13-2.48) and oral (aPR, 1.97; 95% CI, 1.16-3.32) sex, respectively, with casual partner. The HIV/STI testing was not significantly higher in the intervention than the comparison group (aPR, 1.43; 95% CI, 0.98-2.09). CONCLUSIONS: This trial was effective in promoting condom use with casual partners but not HIV/STI testing among HSM in Singapore. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/28809771/Efficacy_of_Human_Immunodeficiency_Virus/Sexually_Transmitted_Infection_Trial_on_Condom_Use_Among_Heterosexual_Men_Patronizing_Entertainment_Establishments_Who_Engaged_in_Casual_or_Paid_Sex_in_Singapore_ L2 - https://doi.org/10.1097/OLQ.0000000000000642 DB - PRIME DP - Unbound Medicine ER -