A daily diary analysis of condom breakage and slippage during vaginal sex or anal sex among adolescent women
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Amanda Elizabeth Tanner, Associate Professor (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
Abstract: Background: Adolescent women are disproportionately impacted by the adverse outcomes associated with sexual activity, including sexually transmitted infections (STI). Condoms as a means of prevention relies on use that is free of usage failure, including breakage and/or slippage. This study examined the daily prevalence of and predictors of condom breakage and/or slippage during vaginal sex and during anal sex among adolescent women.
Methods: Adolescent women (N = 387; 14 to 17 years) were recruited from primary care clinics for a longitudinal cohort study of STIs and sexual behavior. Data were daily partner-specific sexual diaries. Random intercept mixed-effects logistic regression was used to estimate the fixed effect of each predictor on condom breakage/slippage during vaginal or during anal sex (Stata, 13.0), adjusting model coefficients for the correlation between repeated within-participant diary entries.
Results: Condom slippage and/or breakage varied across sexual behaviors and was associated with individual-specific (eg, age and sexual interest) and partner-specific factors (eg, negativity). Recent behavioral factors (eg, experiencing slippage and/or breakage in the past week) were the strongest predictors of current condom slippage and/or breakage during vaginal or anal sex.
Conclusions: Factors associated with young women's condom breakage/slippage during vaginal or during anal sex should be integrated as part of STI prevention efforts and should be assessed as part of ongoing routine clinical care.
A daily diary analysis of condom breakage and slippage during vaginal sex or anal sex among adolescent women
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Created on 4/9/2019
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Additional Information
- Publication
- Sexually Transmitted Diseases, 43(9), 531–536. doi: 10.1097/OLQ.0000000000000487
- Language: English
- Date: 2016
- Keywords
- condom use, adolescent women, STI prevention, vaginal sex, anal sex