Sexually Transmitted Diseases

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Sexually Transmitted Diseases:
July 1998 - Volume 25 - Issue 6 - pp 273-277
Original Articles

Assessing Condom Use Practices: Implications for Evaluating Method and User Effectiveness

WARNER, LEE MPH; CLAY-WARNER, JODY PhD; BOLES, JACQUELINE PhD; WILLIAMSON, JOHN ScD

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Abstract

Background: Consistent and correct condom use remains important to human immunodeficiency virus (HIV) prevention. Although many studies evaluate consistent condom use, few examine how condoms are used during intercourse.

Goals: Assess how user practices affect exposure to risks of pregnancy and infection during condom use.

Study Design: A cross-sectional survey on condom behaviors in the past month was conducted among 98 male students attending two Georgia universities.

Results: Altogether, 35 of 270 total condom uses (13.0%, 95% confidence interval, 7.4-18.5) resulted in potential exposure to sexually transmitted disease and/or HIV infection or pregnancy. Both consistent and inconsistent users were similarly likely to report potential exposures during condom use.

Conclusion: These findings suggest condom problems occur among both consistent and inconsistent users. Future studies of condom effectiveness must distinguish whether condoms were used both consistently and correctly.

© Copyright 1998 American Sexually Transmitted Diseases Association