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2016 ; 43
(9
): 531-6
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A Daily Diary Analysis of Condom Breakage and Slippage During Vaginal Sex or Anal
Sex Among Adolescent Women
#MMPMID27513377
Hensel DJ
; Selby S
; Tanner AE
; Fortenberry JD
Sex Transm Dis
2016[Sep]; 43
(9
): 531-6
PMID27513377
show ga
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.
|Adolescent
[MESH]
|Condoms/*adverse effects/statistics & numerical data
[MESH]
|Equipment Failure/*statistics & numerical data
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Logistic Models
[MESH]
|Longitudinal Studies
[MESH]
|Medical Records
[MESH]
|Sexual Behavior
[MESH]
|Sexual Partners
[MESH]
|Sexually Transmitted Diseases/prevention & control
[MESH]