Richard Crosby1, Cynthia Graham2, Robin Milhausen3, Stephanie Sanders4, William Yarber5, Lydia A Shrier6. 1. College of Public Health, University of Kentucky, Lexington, Kentucky, USA Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA. 2. Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA Department of Psychology, Southampton University, Southampton, UK. 3. Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA Department of Family Relations and Applied Nutrition, University of Guelph, Ontario, Canada. 4. Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA Department of Gender Studies, Indiana University, Bloomington, Indiana, USA. 5. Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA Department of Applied Health Science, Indiana University, Bloomington, Indiana, USA. 6. Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
Abstract
OBJECTIVE: To determine whether any of four condom use errors/problems occurred more frequently when condom application was 'rushed' among a clinic-based sample from three US states. METHODS: A convenience sample (n=512) completed daily electronic assessments including questions about condom use being rushed and also assessed condom breakage, slippage, leakage and incomplete use. RESULTS: Of 8856 events, 6.5% (n=574) occurred when application was rushed. When events involved rushed condom application, the estimated odds of breakage and slippage were almost doubled (estimated OR (EOR)=1.90 and EOR=1.86). Rushed application increased the odds of not using condoms throughout sex (EOR=1.33) and nearly tripled the odds of leakage (EOR=2.96). With one exception, all tests for interactions between gender and rushed application and between age and rushed application were not significant (p values>0.10). CONCLUSIONS: This event-level analysis suggests that women and men who perceive that condom application was rushed are more likely to experience errors/problems during the sexual event that substantially compromise the protective value of condoms against disease and pregnancy. Educational efforts emphasising the need to allow ample time for condom application may benefit this population. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
OBJECTIVE: To determine whether any of four condom use errors/problems occurred more frequently when condom application was 'rushed' among a clinic-based sample from three US states. METHODS: A convenience sample (n=512) completed daily electronic assessments including questions about condom use being rushed and also assessed condom breakage, slippage, leakage and incomplete use. RESULTS: Of 8856 events, 6.5% (n=574) occurred when application was rushed. When events involved rushed condom application, the estimated odds of breakage and slippage were almost doubled (estimated OR (EOR)=1.90 and EOR=1.86). Rushed application increased the odds of not using condoms throughout sex (EOR=1.33) and nearly tripled the odds of leakage (EOR=2.96). With one exception, all tests for interactions between gender and rushed application and between age and rushed application were not significant (p values>0.10). CONCLUSIONS: This event-level analysis suggests that women and men who perceive that condom application was rushed are more likely to experience errors/problems during the sexual event that substantially compromise the protective value of condoms against disease and pregnancy. Educational efforts emphasising the need to allow ample time for condom application may benefit this population. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Entities:
Keywords:
CONDOMS; PREGNANCY; SEXUAL BEHAVIOUR; SEXUAL HEALTH
Authors: Richard Crosby; Leandro Mena; William L Yarber; Cynthia A Graham; Stephanie A Sanders; Robin R Milhausen Journal: Sex Transm Dis Date: 2015-11 Impact factor: 2.830
Authors: Matthew M Hamill; Fengming Hu; Afoke Kokogho; Elizabeth Shoyemi; Charles Ekeh; Manhattan E Charurat; Merlin L Robb; Sylvia Adebajo; Stefan D Baral; Rebecca G Nowak; Trevor A Crowell Journal: J Acquir Immune Defic Syndr Date: 2021-03-01 Impact factor: 3.771