Background: HIV remains one of the world's greatest public health challenges. South Africa has one of the world's highest HIV prevalence rates. In Cape Town, HIV/AIDS is the second leading cause of premature death among the city's population. Correct and consistent condom has an important role to play in HIV prevention. Recently there has been effort to innovate and reinvent the male latex condom to sustain sexual pleasure, increase uptake, and/or make condom donning easier.
Objectives: This study explores and identifies the condom preferences as well as specific characteristics men desire in condoms, to help inform condom promotion and condom development efforts in Cape Town, South Africa.
Methods: Investigators utilized a mixed methods approach, which included seven focus group discussions with 40 sexually active men, over the age of 18. A self-administered survey of 101 men, attending health clinics in Cape Town, South Africa was also conducted.
Results: Men's condom preferences can be grouped into five themes: 1) high functionality, 2) pleasure, sensation, and intimacy, 3) accessibility and availability, 4) trust, and 5) sexual appeal and excitement. More specifically men identified characteristics such as thin, break-resistant, textured, and colored and/or flavored as important characteristics to have in a condom.
Conclusion: This study makes a strong case for the inclusion of new condom designs for public sector distribution throughout South Africa. Specifically, the majority of participants expressed distrust for government condoms and reported negative experiences with public sector condoms. Existing condoms, and new innovations merit further research that could include implementation science regarding provision of a more diverse array of condom options.
Table of Contents
Table of Contents
Chapter 1: Introduction 1
HIV: The Global Burden 1
HIV in South Africa 3
Condoms as HIV Prevention 4
Condoms in South Africa 5
Condom Technology and Innovations 9
Research Questions 10
Study Purpose 11
Chapter 2: Literature review 12
Male condom preferences 13
Condom failure and functionality 15
Intimacy, pleasure, sensation, excitement, and condom use 16
Condom brand trust and reputation 19
Condom accessibility and availability 20
Chapter 3: Manuscript 24
Chapter 4: Conclusion and Public Health Implications 61
Public Health Implications 66
Appendix A: Semi-Structured Focus Group Guide 74
Appendix B: Condom Innovation List 78
Appendix C: Focus Group Consent Form 79
Appendix D: Survey Questionnaire Consent Form 82
About this Master's Thesis
|Committee Chair / Thesis Advisor|
|Exploring Men's Condom Experiences, Preferences, and Desires in Cape Town, South Africa: Are New Condoms Needed? ()||2018-08-28||