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A prospective event-level analysis of condom use experiences following STI testing among patients in three US cities

A prospective event-level analysis of condom use experiences following STI testing among patients in three US cities
A prospective event-level analysis of condom use experiences following STI testing among patients in three US cities
BACKGROUND: This study prospectively assessed and compared the incidence of condom use errors/problems among clinic patients testing positive for one or more of 3 sexually transmitted diseases (STDs) and those testing negative. The study also identified event-level condom use errors associated with condom breakage and slippage during sex.

METHODS: Enrolled clinic patients (N = 928) were tested for 3 STDs, then patients electronically recorded sexual intercourse and condom use behaviors daily for up to 6 months. Data were available on condom use errors and problems for the >10,000 sex events involving condoms. Assessed errors/problems were as follows: (1) not using a new condom, (2) allowing condoms to contact sharp objects, (3) not using condoms from start to finish of sex, (4) condoms drying out, (5) erection loss during condom use, (6) breakage, (7) slippage during sex, and (8) slippage after sex. Because the event-level measures were correlated within individual, generalized estimation equation models were used for analyses.

RESULTS: All 8 forms of errors/problems with condom use occurred, with varying levels of frequency, without significant differences by baseline STD status for either men or women. Condom breakage was associated with contact with sharp objects (P < 0.0001) and drying out (P < 0.0001). Slippage during sex was associated with erection loss (P < 0.0001) and drying out (P < 0.0001).

CONCLUSION: Subsequent to STD evaluation, much of the sex occurring with the use of a condom may not confer adequate protection. Problems found to be associated with condom breakage and slippage are potentially amenable to counseling interventions.
0148-5717
756-760
Crosby, Richard
2801f68b-3b83-422a-9687-9bade8502cf9
Shrier, Lydia A
27d74441-4e18-4590-bfef-0a82d748ae0e
Charnigo, Richard J
424c0b12-41e2-4316-8223-390091a3a2fa
Weathers, Chandra
0cc1d0af-1ad2-4346-987c-cf36ec2c7943
Sanders, Stephanie A
affa266d-374c-4d25-8e15-1985256cfc72
Graham, Cynthia A.
ac400331-f231-4449-a69b-ec9a477224c8
Milhausen, Robin
d6e78d8f-c05a-4c64-a8f7-5b7204ccc12b
Yarber, William L
6d44e4bd-492e-4d9c-84a7-e499de8cfb6d
Crosby, Richard
2801f68b-3b83-422a-9687-9bade8502cf9
Shrier, Lydia A
27d74441-4e18-4590-bfef-0a82d748ae0e
Charnigo, Richard J
424c0b12-41e2-4316-8223-390091a3a2fa
Weathers, Chandra
0cc1d0af-1ad2-4346-987c-cf36ec2c7943
Sanders, Stephanie A
affa266d-374c-4d25-8e15-1985256cfc72
Graham, Cynthia A.
ac400331-f231-4449-a69b-ec9a477224c8
Milhausen, Robin
d6e78d8f-c05a-4c64-a8f7-5b7204ccc12b
Yarber, William L
6d44e4bd-492e-4d9c-84a7-e499de8cfb6d

Crosby, Richard, Shrier, Lydia A, Charnigo, Richard J, Weathers, Chandra, Sanders, Stephanie A, Graham, Cynthia A., Milhausen, Robin and Yarber, William L (2012) A prospective event-level analysis of condom use experiences following STI testing among patients in three US cities. Sexually Transmitted Diseases, 39 (10), 756-760. (doi:10.1097/OLQ.0b013e318265a951). (PMID:23007706)

Record type: Article

Abstract

BACKGROUND: This study prospectively assessed and compared the incidence of condom use errors/problems among clinic patients testing positive for one or more of 3 sexually transmitted diseases (STDs) and those testing negative. The study also identified event-level condom use errors associated with condom breakage and slippage during sex.

METHODS: Enrolled clinic patients (N = 928) were tested for 3 STDs, then patients electronically recorded sexual intercourse and condom use behaviors daily for up to 6 months. Data were available on condom use errors and problems for the >10,000 sex events involving condoms. Assessed errors/problems were as follows: (1) not using a new condom, (2) allowing condoms to contact sharp objects, (3) not using condoms from start to finish of sex, (4) condoms drying out, (5) erection loss during condom use, (6) breakage, (7) slippage during sex, and (8) slippage after sex. Because the event-level measures were correlated within individual, generalized estimation equation models were used for analyses.

RESULTS: All 8 forms of errors/problems with condom use occurred, with varying levels of frequency, without significant differences by baseline STD status for either men or women. Condom breakage was associated with contact with sharp objects (P < 0.0001) and drying out (P < 0.0001). Slippage during sex was associated with erection loss (P < 0.0001) and drying out (P < 0.0001).

CONCLUSION: Subsequent to STD evaluation, much of the sex occurring with the use of a condom may not confer adequate protection. Problems found to be associated with condom breakage and slippage are potentially amenable to counseling interventions.

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More information

Published date: October 2012
Organisations: Psychology

Identifiers

Local EPrints ID: 343599
URI: http://eprints.soton.ac.uk/id/eprint/343599
ISSN: 0148-5717
PURE UUID: 2880767b-a91d-4e6f-b7aa-0e82b953b03e
ORCID for Cynthia A. Graham: ORCID iD orcid.org/0000-0002-7884-599X

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Date deposited: 09 Oct 2012 09:27
Last modified: 21 Mar 2024 02:47

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Contributors

Author: Richard Crosby
Author: Lydia A Shrier
Author: Richard J Charnigo
Author: Chandra Weathers
Author: Stephanie A Sanders
Author: Robin Milhausen
Author: William L Yarber

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