Assessment of condom use in men and women.
ABSTRACT Self-reported condom use is a key variable in surveys of sexual behavior and in studies evaluating interventions to reduce the risk of sexually transmitted infections. This article provides a review of how male condom use has been assessed in research. We critically review a number of methodological issues, including the length of the recall period, terminology, specification of partner variables, validity and reliability of condom use, and use of newer data collection methods such as daily diaries and computer-assisted and online technologies. Assessment of condom use errors and problems, and the role of women in condom use are discussed. Finally, we offer recommendations for improving assessment of condom use in future research.
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ABSTRACT: IntroductionCondom-associated erection problems (CAEPs) are reported by a substantial number of young men and are associated with inconsistent and/or incomplete condom use. The underlying mechanisms of CAEP are not well understood, and research examining the possibility that men who report CAEP differ from other men in their sexual responsivity is lacking.AimThis study used psychophysiological methods to examine whether men who report CAEP have a higher threshold for sexual arousal, a stronger need for tactile stimulation, and/or more easily lose their sexual arousal due to neutral distractors or performance-related demands.MethodsA total of 142 young, heterosexual men (53% reporting CAEP) were presented with four 3-minute erotic film clips. Three film clips were combined with one of the following manipulations: (i) distraction; (ii) performance demand; or (iii) vibrotactile stimulation. One erotic film clip was presented with no further instructions or manipulations.Main Outcome MeasuresAverage penile circumference changes during the first, second, and third minute (time) of the erotic film stimuli (condition) were submitted to a mixed-model analysis of variance with condition and time as within-subjects factors and group (CAEP/no-CAEP) as between-subjects factor.ResultsSignificant main effects of condition and time and a significant interaction of group × time were found. No significant interactions involving condition were found. Men who reported CAEP had smaller erectile responses during the first minute, regardless of film condition, than men who reported no CAEP (F(1,141) = 8.64, P < 0.005).Conclusion The findings suggest that men with and without CAEP differ in the ease with which they become sexually aroused. Men reporting CAEP needed more time and/or more intense stimulation to become aroused. To our knowledge, this study is the first to use psychophysiological methods to assess sexual responsivity in men who report CAEP. Janssen E, Sanders SA, Hill BJ, Amick E, Oversen D, Kvam P, and Ingelhart K. Patterns of sexual arousal in young, heterosexual men who experience condom-associated erection problems (CAEP). J Sex Med **;**:**–**.Journal of Sexual Medicine 06/2014; · 3.15 Impact Factor
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ABSTRACT: Background. Data supporting the efficacy of condoms against HPV infection in males are limited. Therefore, we examined the effect of consistent condom use on genital HPV acquisition and duration of infection.Methods. A prospective analysis was conducted within the HPV Infection in Men Study, a multinational HPV cohort study. Recently sexually active men (N=3323) were stratified based on sexual risk behaviors and partnerships. Using Cox proportional hazards regression, type-specific HPV incidence and clearance were modeled for each risk group to assess independent associations with condom use.Results. Risk of HPV acquisition was 2-fold lower among men with no steady sex partner who always used condoms compared with those who never used condoms (HR=0.54), adjusting for country, age, race, education, smoking, alcohol, and recent number of sex partners. The probability of clearing an oncogenic HPV infection was 30% higher among non-monogamous men who always used condoms with non-steady partners compared with men who never used condoms (HR=1.29), adjusting for country, age, race, education, marital status, smoking, alcohol, and recent number of sex partners. No protective effects of condom use were observed among monogamous men.Conclusions. Condoms should be promoted in combination with HPV vaccination to prevent HPV infection in men.The Journal of Infectious Diseases 05/2013; · 5.85 Impact Factor
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ABSTRACT: The purpose of this study was to investigate the variability in young heterosexual men's perceptions of the advantages and disadvantages of condom use in their casual sexual relationships. Because men who perceive greater disadvantages of condom use may be more likely to resist using them, we also explored the tactics that men employ to avoid using condoms. Semi-structured focus groups were conducted with single men who have sex with women (n = 60), aged 21-35 years, all of whom reported using condoms inconsistently. Transcripts were analyzed using a framework analysis approach. As expected, participants reported advantages and disadvantages to condom use that pertained to the likelihood and quality of sex, physical sensations during intercourse, and the risk of sexually transmitted infections and unwanted pregnancies. Within each of these topics, however, participants' appraisals of the relative pros and cons of condom use varied considerably. Additionally, participants reported that men use a wide range of condom use resistance tactics, including seduction, deception, and condom sabotage, and that the use of these tactics was viewed as normative behavior for men their age. These findings suggest that the effectiveness of sexual health prevention efforts could be enhanced by increasing young men's motivations to use condoms and by targeting social norms regarding condom use resistance. Additionally, the issue of men's condom use resistance clearly merits increased empirical investigation and intervention attention.Archives of Sexual Behavior 08/2013; · 3.53 Impact Factor