Amanda N Gesselman1,2, Rebecca Ryan1,2,3, William L Yarber1,2,3,4, Karen B Vanterpool1,2,3, Karly A Beavers2,3, Heather Francis1,2,3, Brandon T Grant2,3, Katherine Wood2,3, Cynthia A Graham1,2,5, Robin Milhausen1,2,6, Stephanie A Sanders1,2,4, Richard A Crosby1,2,7. 1. 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. 3. School of Public Health, Indiana University, Bloomington, Indiana, USA. 4. Department of Gender Studies, Indiana University, Bloomington, Indiana, USA. 5. Department of Psychology, University of Southampton, Southampton, UK. 6. Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Canada. 7. College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Abstract
Objective: Dual use of male condoms and female contraceptives is widely advocated for unplanned pregnancy prevention, yet college students often neglect condoms. This feasibility and acceptability study assessed the efficacy of a self-guided home-based condom-promotion intervention among college students in heterosexual relationships. Participants: Fifty-nine couples who had been together at least 30 days and had penile-vaginal sex at least twice weekly. Methods: Assessments were done at baseline and 6 months later. Outcomes were frequency of condom-unprotected penile-vaginal sex and four psychosocial mediators of condom use. Results: Frequency of unprotected penile-vaginal sex decreased over time. Several corresponding psychosocial mediators showed change, particularly among women. Using actor-partner interdependence modeling, men's increase in condom use was associated with an increase in women's sexual pleasure. Conclusion: Findings support implementation of a brief, self-guided, home-based condom-use intervention that could lower incidence of unplanned pregnancy and STIs among heterosexually active college students.
Objective: Dual use of male condoms and female contraceptives is widely advocated for unplanned pregnancy prevention, yet college students often neglect condoms. This feasibility and acceptability study assessed the efficacy of a self-guided home-based condom-promotion intervention among college students in heterosexual relationships. Participants: Fifty-nine couples who had been together at least 30 days and had penile-vaginal sex at least twice weekly. Methods: Assessments were done at baseline and 6 months later. Outcomes were frequency of condom-unprotected penile-vaginal sex and four psychosocial mediators of condom use. Results: Frequency of unprotected penile-vaginal sex decreased over time. Several corresponding psychosocial mediators showed change, particularly among women. Using actor-partner interdependence modeling, men's increase in condom use was associated with an increase in women's sexual pleasure. Conclusion: Findings support implementation of a brief, self-guided, home-based condom-use intervention that could lower incidence of unplanned pregnancy and STIs among heterosexually active college students.
Entities:
Keywords:
Barriers to condom use; condom intervention; condom promotion; condom use self-efficacy; couples intervention; sexual pleasure