The University of Southampton
University of Southampton Institutional Repository

Decision making over condom use during menses to avert sexually transmissible infections

Decision making over condom use during menses to avert sexually transmissible infections
Decision making over condom use during menses to avert sexually transmissible infections

Background: The aim of this study was to test the hypothesis that receptive partners in penile-vaginal intercourse (PVI) who exercise independent decision making over condom use during menses do so to avert sexually transmissible infection (STI) transmission or acquisition. Methods: Data were collected through a partnership with Clue, the industry-leading female health app. A brief web-based questionnaire was developed, translated into 10 languages, and made accessible via a URL link sent to Clue users and posted on social media. Inclusion criteria were: age ≥14 years, not being currently pregnant and engaging in PVI and condom use during menses in the past 3 months. The analytical subsample comprised 12 889 respondents residing in 146 countries. Results: Twenty per cent indicated independent decision making about condom use during menses. Independent decision making was associated with lower odds of reporting that condoms were used for contraception (adjusted odds ratio (aOR) 0.65 99% confidence interval (CI) 0.57-0.73) and higher odds that they were used for the prevention of STIs (aOR 1.44; 99% CI 1.28-1.61). A third significant finding pertained to always using condoms during menses; this was less likely among those indicating independent (female only) decision making (aOR 0.69; 99% CI 0.62-0.78). Non-significant associations with another two outcomes were found: protecting the partner against menstrual blood and protecting themselves against semen. Conclusions: Findings from people in 146 countries strongly support the hypothesis that those exercising independent decision making over condom use during menses do so to avert STI transmission or acquisition. That only one-fifth of this global sample reported this type of independent decision making suggests that empowerment-oriented (structural-level) interventions may be advantageous for individuals who are the receptive partner in PVI that occurs during menses.

condoms, global, menstruation, sexually transmitted infections, women
1448-5028
90-93
Crosby, Richard A.
a668d23d-8d2b-4553-b6b0-5e5f9e55e088
Graham, Cynthia A.
ac400331-f231-4449-a69b-ec9a477224c8
Sanders, Stephanie A.
affa266d-374c-4d25-8e15-1985256cfc72
Yarber, William L.
6d44e4bd-492e-4d9c-84a7-e499de8cfb6d
Wheeler, Marija V.
86bca514-4bb2-484c-b6cc-6cebfcd21279
Milhausen, Robin R.
d6e78d8f-c05a-4c64-a8f7-5b7204ccc12b
Vitzhum, Virginia J.
15f4e0a1-a40d-492f-821d-70478e1ec49f
Crosby, Richard A.
a668d23d-8d2b-4553-b6b0-5e5f9e55e088
Graham, Cynthia A.
ac400331-f231-4449-a69b-ec9a477224c8
Sanders, Stephanie A.
affa266d-374c-4d25-8e15-1985256cfc72
Yarber, William L.
6d44e4bd-492e-4d9c-84a7-e499de8cfb6d
Wheeler, Marija V.
86bca514-4bb2-484c-b6cc-6cebfcd21279
Milhausen, Robin R.
d6e78d8f-c05a-4c64-a8f7-5b7204ccc12b
Vitzhum, Virginia J.
15f4e0a1-a40d-492f-821d-70478e1ec49f

Crosby, Richard A., Graham, Cynthia A., Sanders, Stephanie A., Yarber, William L., Wheeler, Marija V., Milhausen, Robin R. and Vitzhum, Virginia J. (2019) Decision making over condom use during menses to avert sexually transmissible infections. Sexual Health, 16 (1), 90-93. (doi:10.1071/SH18136).

Record type: Article

Abstract

Background: The aim of this study was to test the hypothesis that receptive partners in penile-vaginal intercourse (PVI) who exercise independent decision making over condom use during menses do so to avert sexually transmissible infection (STI) transmission or acquisition. Methods: Data were collected through a partnership with Clue, the industry-leading female health app. A brief web-based questionnaire was developed, translated into 10 languages, and made accessible via a URL link sent to Clue users and posted on social media. Inclusion criteria were: age ≥14 years, not being currently pregnant and engaging in PVI and condom use during menses in the past 3 months. The analytical subsample comprised 12 889 respondents residing in 146 countries. Results: Twenty per cent indicated independent decision making about condom use during menses. Independent decision making was associated with lower odds of reporting that condoms were used for contraception (adjusted odds ratio (aOR) 0.65 99% confidence interval (CI) 0.57-0.73) and higher odds that they were used for the prevention of STIs (aOR 1.44; 99% CI 1.28-1.61). A third significant finding pertained to always using condoms during menses; this was less likely among those indicating independent (female only) decision making (aOR 0.69; 99% CI 0.62-0.78). Non-significant associations with another two outcomes were found: protecting the partner against menstrual blood and protecting themselves against semen. Conclusions: Findings from people in 146 countries strongly support the hypothesis that those exercising independent decision making over condom use during menses do so to avert STI transmission or acquisition. That only one-fifth of this global sample reported this type of independent decision making suggests that empowerment-oriented (structural-level) interventions may be advantageous for individuals who are the receptive partner in PVI that occurs during menses.

Full text not available from this repository.

More information

Accepted/In Press date: 21 September 2018
e-pub ahead of print date: 11 January 2019
Keywords: condoms, global, menstruation, sexually transmitted infections, women

Identifiers

Local EPrints ID: 430270
URI: https://eprints.soton.ac.uk/id/eprint/430270
ISSN: 1448-5028
PURE UUID: 4cee055a-0661-44db-97e6-fe06f0e5e5cb
ORCID for Cynthia A. Graham: ORCID iD orcid.org/0000-0002-7884-599X

Catalogue record

Date deposited: 23 Apr 2019 16:30
Last modified: 20 Jul 2019 00:43

Export record

Altmetrics

Contributors

Author: Richard A. Crosby
Author: Stephanie A. Sanders
Author: William L. Yarber
Author: Marija V. Wheeler
Author: Robin R. Milhausen
Author: Virginia J. Vitzhum

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×