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Evidence-Based Resource Summary

Strength of Evidence: 
4 out of 4
4 out of 4
Year Published: 

Structural and Community-Level Interventions for Increasing Condom Use to Prevent the Transmission of HIV and Other Sexually Transmitted Infections

Description of Resource: 
Despite widespread promotion of condom use globally, new cases of HIV and other sexually transmitted infections (STIs) either remain high or continue to rise in some regions and settings. It is believed that by modifying the environment in which people live, it is possible to improve access and use of condoms on a large scale so that the transmission of HIV and other STIs decreases. This systematic review aimed to assess if this theory is correct. Of the 9 studies identified, 7 were conducted in Sub-Saharan Africa, 1 in Peru, and 1 in multiple countries. Condom promotion was implemented in all the studies. This review did not find clear evidence that condom promotion in these specific contexts led to a decrease in the transmission of HIV and other STIs. Knowledge about HIV and other STIs increased, as did reported condom use. But without consistent condom use, the risk of transmission remains for HIV and other STIs.

Evidence-Based Resource Details

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Developed By: 
Cochrane Review
Developer Type: 
Non-Federal Government
Healthy People 2020 Topic Area(s): 
Sexually Transmitted Diseases
Healthy People 2020 Objectives: 
Resource Type: 
Systematic Review
Moreno R, Nababan HY, Ota E, Wariki WMV, Ezoe S, Gilmour S, Shibuya K. Structural and community-level interventions for increasing condom use to prevent the transmission of HIV and other sexually transmitted infections. Cochrane Database Syst Rev [Internet]. 2014 [cited 2018 Jan 23];(7). Art. No.: CD003363. doi: 10.1002/14651858.CD003363.pub3. Available from: