Effect of Condom Use on Per-act HSV-2 Transmission Risk in HIV-1, HSV-2-discordant Couples Article Swipe
YOU?
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· 2015
· Open Access
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· DOI: https://doi.org/10.1093/cid/civ908
Background. The efficacy of condoms for protection against transmission of herpes simplex virus type 2 (HSV-2) has been examined in a variety of populations with different effect measures. Often the efficacy has been assessed as change in hazard of transmission with consistent vs inconsistent use, independent of the number of acts. Condom efficacy has not previously measured on a per-act basis. Methods. We examined the per-act HSV-2 transmission rates with and without condom use among 911 African HSV-2 and human immunodeficiency virus type 1 (HIV-1) serodiscordant couples followed for an average of 18 months in an HIV prevention study. Infectivity models were used to associate the log10 probability of HSV-2 transmission over monthly risk periods with reported numbers of protected and unprotected sex acts. Condom efficacy was computed as the proportionate reduction in transmission risk for protected relative to unprotected sex acts. Results. Transmission of HSV-2 occurred in 68 couples, including 17 with susceptible women and 51 with susceptible men. The highest rate of transmission was from men to women: 28.5 transmissions per 1000 unprotected sex acts. We found that condoms were differentially protective against HSV-2 transmission by sex; condom use reduced per-act risk of transmission from men to women by 96% (P < .001) and marginally from women to men by 65% (P = .060). Conclusions. Condoms are recommended as an effective preventive method for heterosexual transmission of HSV-2.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/cid/civ908
- https://academic.oup.com/cid/article-pdf/62/4/456/7451942/civ908.pdf
- OA Status
- bronze
- Cited By
- 49
- References
- 28
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2205645239
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2205645239Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/cid/civ908Digital Object Identifier
- Title
-
Effect of Condom Use on Per-act HSV-2 Transmission Risk in HIV-1, HSV-2-discordant CouplesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2015Year of publication
- Publication date
-
2015-11-17Full publication date if available
- Authors
-
Amalia Magaret, Andrew Mujugira, James P. Hughes, Jairam R. Lingappa, Elizabeth A. Bukusi, Guy de Bruyn, Sinead Delany‐Moretlwe, Kenneth H. Fife, Glenda Gray, Saidi Kapiga, Etienne Karita, Nelly Mugo, Helen Rees, Allan Ronald, Bellington Vwalika, Edwin Were, Connie Celum, Anna Wald, Connie Celum, Anna Wald, Jairam R. Lingappa, Jared M. Baeten, Mary S. Campbell, Lawrence Corey, Robert W. Coombs, James P. Hughes, Amalia Magaret, M. Juliana McElrath, Rhoda Morrow, James I. Mullins, David Coetzee, Kenneth H. Fife, Edwin Were, Max Essex, Joseph Makhema, Elly Katabira, Allan Ronald, Susan Allen, Kayitesi Kayitenkore, Etienne Karita, Elizabeth Bukusi, Craig Cohen, Susan Allen, William Kanweka, Susan Allen, Bellington Vwalika, Saidi Kapiga, Rachel Manongi, Carey Farquhar, Grace John‐Stewart, James Kiarie, Susan Allen, Mubiana Inambao, Sinéad Delany‐Moretlwe, Helen Rees, Guy de Bruyn, Glenda Gray, James McIntyre, Nelly MugoList of authors in order
- Landing page
-
https://doi.org/10.1093/cid/civ908Publisher landing page
- PDF URL
-
https://academic.oup.com/cid/article-pdf/62/4/456/7451942/civ908.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/cid/article-pdf/62/4/456/7451942/civ908.pdfDirect OA link when available
- Concepts
-
Medicine, Transmission (telecommunications), Condom, Serodiscordant, Demography, Gynecology, Virology, Immunology, Obstetrics, Virus, Human immunodeficiency virus (HIV), Viral load, Syphilis, Sociology, Electrical engineering, Antiretroviral therapy, EngineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
49Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 6, 2024: 9, 2023: 8, 2022: 3, 2021: 6Per-year citation counts (last 5 years)
- References (count)
-
28Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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