XVIII International AIDS Conference


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The dice game: a creative approach to stimulate the use of condoms

C.P.B. Passaes

Oswaldo Cruz Foundation - FIOCRUZ, Post-Graduation in Education of Biosciences and Health, Rio de Janeiro, Brazil

Issues: Consistent condom use is widely recommended by public health organs as an effective strategy to reduce the risk of sexually transmitted infections (STI), including HIV. However, the use of condoms has been associated with lack of sexual pleasure, and this is recognized as the main factor of unprotected sex. Since most of HIV prevention programs use only the risk of the disease as motivation, they cannot be fully effective. Therefore, more innovative and creative approaches need to be developed to promote a large use of condoms.
Description: The aim of this work is the development of a creative approach to aware and stimulate the use of condoms. Several dice games have been used as stimulation for the sex practice. To be used as an HIV prevention strategy, the game here proposed consists of two dice that must be played at the same time: one indicates sexual positions, and the other represents condoms of different colors and flavors. This game gets an important concept: the regular association of the sex practice with the use of condoms.
Lessons learned: The number of prevention strategies using innovative approaches to stimulate a pleasure and safe sex are very limited. Most prevention programs are based only on the distribution of condoms to protect against STI. The approach here proposed can be entirely effective on HIV prevention because it proposes the association of a pleasure sex with an enjoyable use of condoms.
Next steps: We propose that government, health agencies and NGOs will produce the dice game to be used on HIV prevention programs. The results must be evaluated for the usability of the game, and for future decrease on HIV incidence levels in the studied population. Since this kind of approach can be focused on heterosexual and homosexual population, such intervention can encourage healthy behaviors in both groups.

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