The Open AIDS Journal

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Errors in Condom Use in the Setting of HIV Transmission: A Systematic Review

Alwazzeh Marwan Jabr1, Mariantonietta Di Stefano2, Pantaleo Greco3, Teresa Santantonio2, Jose Ramon Fiore1, 2, *
1 Department of Internal Medicine, Unit of Infectious Diseases, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
2 Department of Clinical and Experimental Medicine, Clinic of Infectious Diseases, University of Foggia, Foggia, Italy
3 Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynaecology, University of Ferrara, Ferrara, Italy



The efficacy of condom use in declining HIV transmission may be compromised by their incorrect usage. Much focus has been paid on the regularity of condom usage but consumer mistakes and challenges must be considered. Breakage, slipping, leakage, incomplete use and other problems during the sexual event may compromise the protective role of the condom.


To evaluate through a systematic review of published data, the type, and incidence of error and problems in condom use, and their possible role in reducing the preventive action of condoms.


A systematic literature search for peer-reviewed articles published between January 2000 and January 2019, issued in English in peer-reviewed journals, and reporting the occurrence of condom errors/problems among HIV high-risk populations.


Twenty studies representing nine countries met the inclusion criteria. The most predominant mistakes associated with condom use included condom breakage, slippage, delayed condom application, early removal, issues related to erection loss and difficulties with fit and feel were reported, failure to squeeze out air, use of expired condoms, reuse of condom, and wearing the condom outside out were other issues noticed.


Condom use problems and mistakes are prevalent across the globe. Educational efforts are needed to empower HIV the at-risk population with confidence and knowledge to improve correct condom use and increase preventive activity

Keywords: Breakage, Condom, Errors, HIV, Mistakes, Slippage.

Article Information

Identifiers and Pagination:

Year: 2020
Volume: 14
First Page: 16
Last Page: 26
Publisher Id: TOAIDJ-14-16
DOI: 10.2174/1874613602014010016

Article History:

Received Date: 21/10/2019
Revision Received Date: 14/01/2020
Acceptance Date: 21/01/2020
Electronic publication date: 20/03/2020
Collection year: 2020

© 2020 Jabr et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Clinical and Experimental Medicine, Clinic of Infectious Diseases, OO.RR Viale Pinto n.1 71121 Foggia Italy; Tel: +39 3284732048; Email:

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