Pregnancy prevention efforts in the USA have largely focused on the use of hormonal contraceptive methods, relegating male condoms to discussions of ‘dual-method’ contraception or sexually transmitted infection prevention. With national attention and funding directed toward adolescent pregnancy prevention, a renewed focus on adolescent condom use, specifically addressing contraceptive benefits, is both timely and relevant.
Two recent developments in condom use research are essential to increasing consistent condom use. First, there is a necessary shift toward understanding the relationship dynamics of condom use. As a coital event level contraceptive, condom use requires negotiation and participation from both participants. Second, there is increased attention to the condom itself as a determinant of use. Improvements in condom design, feel, and lubrication have reduced differences in sexual pleasure with condom use and nonuse.
Promoting the initiation and maintenance of condom use across multiple partnered sexual encounters requires understanding of individual, dyadic, and condom attributes.
Indiana University School of Medicine, Indianapolis, Indiana, USA
Correspondence to J. Dennis Fortenberry, MD MS, Indiana University School of Medicine, 410 West 10th St, HS 1001, Indianapolis, IN 46202, USA Tel: +1 317 274 8812; fax: +1 317 274 0133; e-mail: firstname.lastname@example.org