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10.1097/OLQ.0000000000000487

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C4985014!4985014 !27513377
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suck abstract from ncbi


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pmid27513377
      Sex+Transm+Dis 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]


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