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

ABSTRACT 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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    ABSTRACT: How common are problems with condom use during sex? We examined Filipino men's negative experiences with male condoms using data from a sample of 1,010 sexually active Filipino men ages 15 to 54 who participated in the 2003 National Demographic and Health Survey. Results indicated that majority (80%) of Filipino condom users reported no problems with condoms. Among those who did experience problems, the most frequently cited were: pleasure reduction, inconvenience of use, and spoiled mood. Having problems with condom use was associated with men' s increasing age and with subjective beliefs that condoms would diminish pleasure, but not with men's socioeconomic status, educational attainment, knowledge of condoms' disease-protective properties, or sexual-minority status. Subjective beliefs appear to be more important than sheer knowledge about the protection provided by condoms. These beliefs may serve to create negative expectations about condoms and later, to legitimize non-use.
    Philippine Population Review 01/2013; 12(1):1-16.
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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 · 2.93 Impact Factor
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    ABSTRACT: Objectives To compare the occurrence of risk-inducing condom events (condom failures and incomplete use) and the frequency of their antecedents (condom errors, fit/feel problems and erection problems) between black and white men who have sex with men (MSM), and determine the associations between risk-inducing condom events and their antecedents. Methods We studied cross-sectional data of 475 MSM who indicated using a condom as an insertive partner in the previous 6 months enrolled in a cohort study in Atlanta, Georgia, USA. Results Nearly 40% of black MSM reported breakage or incomplete use, and they were more likely to report breakage, early removal and delayed application of a condom than white MSM. Only 31% and 54% of MSM reported correct condom use and suboptimal fit/feel of a condom, respectively. The use of oil-based lubricants and suboptimal fit/feel were associated with higher odds of reporting breakage (p=0.009). Suboptimal fit/feel was also associated with higher odds of incomplete use of condoms (p<0.0001). Conclusions Incomplete use of condoms and condom failures were especially common among black MSM. Our findings indicate that condoms likely offered them less protection against HIV/sexually transmitted infection when compared with white MSM. More interventions are needed, particularly addressing the use of oil-based lubricants and suboptimal fit/feel of condoms.
    Sexually Transmitted Infections 07/2014; 90(8). DOI:10.1136/sextrans-2014-051581 · 3.08 Impact Factor


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