Incomplete use of condoms: the importance of sexual arousal.

Oxford Doctoral Course in Clinical Psychology, University of Oxford, UK.
AIDS and Behavior (Impact Factor: 3.49). 11/2009; 15(7):1328-31. DOI: 10.1007/s10461-009-9638-7
Source: PubMed

ABSTRACT The purpose of this study was to identify associations between incomplete condom use (not using condoms from start to finish of sex) and sexual arousal variables. A convenience sample of heterosexual men (n = 761) completed a web-based questionnaire. Men who scored higher on sexual arousability were more likely to put a condom on after sex had begun (AOR = 1.58). Men who reported difficulty reaching orgasm were more likely to report removing condoms before sex was over (AOR = 2.08). These findings suggest that sexual arousal may be an important, and under-studied, factor associated with incomplete use of condoms.

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    ABSTRACT: Objectives Male condom use in conjunction with other contraceptives increases protection against pregnancy and STIs. However, few analyses contextualize dual method use within the sexual episode, include reports from men, or explore gendered patterns in reporting. Study Design We analyzed dual method use patterns using a nationally representative dataset of 18-44 year-olds in the US (N = 404 men, 416 women). Respondents indicated contraceptive method(s) used at last penile-vaginal intercourse, condom practices, and relationship and sexual information about that particular partner. Results More than one-in-three penile-vaginal intercourse episodes (40%) involved male condom use: 28% condom only and 12% condom plus a highly effective method. Dual method reporting did not differ significantly by gender. Among dual method users, only 59% reported condom use during the entire intercourse episode, while 35% began intercourse without one and 6% removed the condom during intercourse. A greater proportion of men than women reported incorrect use of condoms (49% versus 35%), though this difference was not statistically significant. Only 50% of dual method users reported condom use in all of their last 10 intercourse episodes. Conclusions Many people classified as “dual users” in previous studies may not be using dual methods consistently or correctly. Researchers and practitioners should inquire how and how often condoms are used when assessing and addressing dual method use. Furthermore, though men have rarely been surveyed about dual method use, they can provide consistent contraceptive estimates, and may be more likely to report condom practices such as late application or early removal.
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