Sexually Transmitted Diseases

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Sexually Transmitted Diseases:
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Condom Use in Incarcerated Adolescent Males: Knowledge and Practice

Bortot, Andrea T. MD, MPH; Risser, William L. MD, PhD; Cromwell, Polly F. RN, MSN, CPNP

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Abstract

Background: Information is limited on how well adolescents use condoms and where they learn how.

Objective: The objective of this study was to determine how often incarcerated males used condoms incorrectly and where, how, and from whom they learned condom use.

Study: This study consisted of an interviewer-administered survey during intake physicals at a juvenile detention center. Results were based on self-report; condom use models were not used.

Results: During usual use among 141 males, errors included failure to secure the condom to the penis on withdrawal (37%), loss of erection before condom removal (18%), and failure to leave space at the tip (14%). Learning occurred at home (27%), school (23%), probation/detention facilities (14%), and community programs (3.4%). Subjects learned from educators/counselors (37%), family (27%), and friends (6.9%). Methods of learning included reading the package insert (45%), demonstrations (39%), explanations (33%), and media (19%).

Conclusions: These adolescents had relatively few condom errors. Common methods of learning correct condom use included observing a demonstration, reading the package insert, and hearing an explanation. The last 2 methods are easy to implement.

© Copyright 2006 American Sexually Transmitted Diseases Association

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