Paper Title
A Daily Diary Analysis of Condom Breakage and Slippage During Vaginal Sex or Anal Sex Among Adolescent Women
Keywords
- sexual abstinence
- adolescent
- sexually transmitted disease
- sexual behavior
- affect
- survival analysis
- sexual desire
- sexual partner
- condom failure
- sexual risk behavior
- adolescent sexual health
- contraceptive use
- sti prevention
- reproductive health
- safe sex practices
- sexual partners
- sexual decision-making
- high-risk sexual behavior
- barrier methods
- pregnancy prevention
- adolescent reproductive health
- public health
- condom efficacy
- sexual health education
- sexual risk-taking
- risk factors
- youth sexual behavior
- sexual experience
- sexual activity patterns
- partner dynamics
- coital behavior
- health interventions
- relationship factors
- risk perception
- condom misuse
- safe sex promotion
- health disparities
- prevention strategies
- young women’s health
- condom use consistency
- sti risk reduction
- sexual well-being
- protective sexual behaviors
- health education
- sexual safety
- sexual health counseling
- vaginal intercourse
- anal intercourse
- partner-specific factors
- behavioral predictors
- condom integrity
- diary study
- condom reliability
- reproductive safety
- sexually active adolescents
Article Type
Original Article
Journal
Research Impact Tools
Publication Info
Volume: 43 | Issue: 9 | Pages: 531–536
Published On
September, 2016
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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.
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