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A negative association between condom availability and incidence of urethral discharge in a closed Malawian community
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Metcalfe, David. (2007) A negative association between condom availability and incidence of urethral discharge in a closed Malawian community. international Journal of STD & AIDS, Vol.18 (No.8). pp. 559-562. ISSN 0956-4624
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Official URL: http://dx.doi.org/10.1258/095646207781439801
Abstract
Condom promotion in sub-Saharan Africa has been accused by some conservative groups of encouraging promiscuity. This study explored the relationship between condom availability and sexually transmitted infection (STI) incidence in a closed Malawian community. An audit of clinic records charted the changing availability of condoms and the concurrent incidence of patients presenting with STI-associated urethral discharge (UD). When condoms first became available, their distribution steadily increased and the UD incidence declined. During a three-month period of unavailability, this previously uninterrupted decline was reversed and UD incidence increased. Once condoms again became available, UD incidence resumed its decline. This association was found to be statistically significant (Spearman's correlation coefficient, -0.499; P = 0.035). In a small community largely isolated from neighbouring towns, condom distribution appeared to negatively correlate with the number of patients presenting with UD. This may challenge the local belief that condoms have a damaging effect on sexual health in Malawi.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Other > Institute of Advanced Teaching & Learning |
| Library of Congress Subject Headings (LCSH): | Condom use -- Malawi -- Statistics, Urethra -- Diseases -- Malawi -- Statistics, Sexually transmitted diseases -- Prevention |
| Journal or Publication Title: | international Journal of STD & AIDS |
| Publisher: | Royal Society of Medicine Press Ltd |
| ISSN: | 0956-4624 |
| Date: | 1 August 2007 |
| Volume: | Vol.18 |
| Number: | No.8 |
| Number of Pages: | 4 |
| Page Range: | pp. 559-562 |
| Identification Number: | 10.1258/095646207781439801 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| URI: | http://wrap.warwick.ac.uk/id/eprint/31611 |
Data sourced from Thomson Reuters' Web of Knowledge
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