Condom Discomfort and Associated Problems With Their Use Among University Students

Indiana University Bloomington, Bloomington, Indiana, United States
Journal of American College Health (Impact Factor: 1.45). 11/2005; 54(3):143-7. DOI: 10.3200/JACH.54.3.143-148
Source: PubMed


In addition to consistent use, condoms must be used correctly. The purpose of this study was to identify prevalence and types of condom-associated discomfort among university students, the outcomes of this discomfort, and the role of discomfort in condom breakage. We conducted a cross-sectional study of 206 students attending a private university in the southern United States. We assessed 3 potential outcomes: breakage, not using condoms throughout sex, and low condom-use motivation. Nearly one third reported discomfort, including tightly fitting condoms, vaginal irritation, and loss of sensation. Discomfort was associated with breakage (p = .0001), incomplete use (p = .0001), and less motivation to use condoms (p = .018). Gender moderated the latter 2 findings. Adjusted findings indicate that students reporting discomfort were 3.6 times more likely to also report breakage (p = .0009). Continued investigation of this topic is warranted. Prevention education may benefit university students by promoting several key practices, such as adding lubricant to condoms before they dry out and acquiring condoms that fit properly.

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    • "may wish to educate patients about the correct way to use condoms, they may also be well served in discussing how to better integrate condoms into the sexual context. Prior research also suggests that many men also may struggle with condoms' fit and feel [42] [43], which can lead to incorrect condom use [44] [45]. Thus, practitioners may also encourage those who consistently mis-use condoms to try a variety of condoms and lubricants to find products and methods of using them that minimize interference with sexual arousal or pleasure for both partners. "
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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.
    Contraception 10/2014; 90(4). DOI:10.1016/j.contraception.2014.06.003 · 2.34 Impact Factor
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    • "Another study in Norway showed that the majority of adolescents who use contraception (pills or condoms) do so for protection against unintended pregnancy and not for protection against STIs [6]. Some of the reasons for not using condoms or inconsistently using condoms among students with good knowledge are condom discomfort, possibility of breakage, cost, interruption of sexual activity, need for proper technique, loss of penile sensation, preference for other forms of birth control, or stigma of using a method associated with promiscuity and STIs [42-44]. College women in particular may not use condoms because they are less likely to perceive themselves at risk and believe that condoms do not play a role in a relationship based on love, trust, and commitment [14,45,46]. "
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    ABSTRACT: Background Young people between the ages of 15 and 24 years are both the most at risk of HIV and the greatest hope for turning the tide against HIV/AIDS. Although various surveys have been done on sexual behaviour of youth in Ethiopia, studies assessing the effect of emergency oral contraceptives on condom utilization of university students are lacking. Methods A cross-sectional study was conducted in two major universities of Ethiopia from January to May 2011 using structured self administered questionnaire with the aim to assess the effect of introducing oral emergency contraceptive pills on condom utilization and sexual risk taking behaviours among female university students. Study participants were selected by simple random sampling using the list from the associate registrars of each University. Data were entered, cleaned and analyzed using SPSS version 17.0. Bivariate and multiple logistic regression analyses were used to determine factors associated with condom utilization. Results a total of 623 students out of 660 were included giving response rate of 94.4%. A total of 103(16.5%) had history of sexual intercourse and nearly half (45.6%) of them had sex before the age of 20 years. Forty (6.4%) students had history of sexually transmitted infections (STI). Sixty seven percent of students had heard about emergency oral contraceptives. One hundred and ninety one (45.7%) of students believe that EOC is effective in preventing pregnancy. Believing that EOC is effective in preventing pregnancy (adjusted Odds ratio, AOR = 0.22 95% CI 0.06, 0.87), condom prevents STI (AOR = 10.37, 95% CI 1.73, 62.24) and younger age below 20 years (AOR = 11.68 95% CI 1.25, 109.19) were statistically significantly associated with condom use. Conclusion a significant number of students had history of sexual intercourse and used emergency contraception. The belief in the effectiveness of EOC negatively affects condom use. The preference for the pill may make teenagers less prepared to practice STI protective behaviours in specific situations. Therefore, there is an urgent need to educate young people in universities about reproductive health and family planning and skills on how to prevent HIV/STIs including unwanted pregnancy.
    BMC Research Notes 09/2012; 5(1):501. DOI:10.1186/1756-0500-5-501
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    • "This is particularly noteworthy as nonverbal communication in this context may distinctly shape perceptions of normative sexual behavior, HIV susceptibility, and intention to use condoms (Noar, Carlyle, & Cole, 2006). Furthermore , consistent with previous findings (Adams & Neville, 2009; Crosby, Yarber, Sanders, & Graham, 2005), YGM explained that the potential loss of pleasure was an additional component in their intentions to use condoms. Interestingly , we found YGM's intentions to maximize pleasure to be an interpersonal issue. "
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    ABSTRACT: Conceptualizations of safer sex practices among young gay men (YGM) are frequently structured around communication between partners and the subsequent utilization or absence of condoms in a sexual encounter. Drawing on a sample of 34 in-depth interviews with YGM, ages 18 to 24, we explore the ways in which conceptualizations and definitions of safer sex are discussed and enacted. Placing attention on their safer sex practices, we analyze the conversations that do and do not occur among YGM and their partners, including the strategies (e.g., negotiated safety, condom communication and negotiation) that are commonly perceived as most useful by YGM. We provide recommendations regarding how to craft safer sex messages for YGM by considering their competing demands.
    Journal of Adolescent Research 09/2011; 26(5):645-669. DOI:10.1177/0743558411402342 · 0.87 Impact Factor
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