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RESEARCH ARTICLE (Open Access)

Problems with condoms may be reduced for men taking ample time to apply them

Richard A. Crosby A C D G , Cynthia A. Graham A C E F , William L. Yarber A B C E and Stephanie A. Sanders A B C

A The Kinsey Institute for Research in Sex, Gender, and Reproduction, Morrison Hall 313, Indiana University, Bloomington, IN 47405, USA.

B Department of Gender Studies, Memorial Hall E130, Indiana University, Bloomington, IN 47405, USA.

C Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, IN 47405, USA.

D College of Public Health at the University of Kentucky, 121 Washington Avenue, Suite 113, Lexington, KY 40506, USA.

E Department of Applied Health Science, Indiana University, Bloomington, IN 47405, USA.

F Oxford Doctoral Course in Clinical Psychology, University of Oxford, Oxford OX3 7JX, UK.

G Corresponding author. Email: crosby@uky.edu

Sexual Health 7(1) 66-70 http://dx.doi.org/10.1071/SH09020
Submitted: 26 February 2009  Accepted: 21 September 2009   Published: 15 February 2010

Abstract

Background: One potentially important antecedent of experiencing problems with condom use during penile-vaginal sex is the amount of time that men (and perhaps women) allow for condom application. To examine whether men reporting that ample time was available to apply a male condom (the last time a condom was used for penile-vaginal sex) were also less likely to report problems with condom use such as breakage, slippage and erection difficulties during that sexual event. Methods: A convenience sample of men (n = 440) was recruited via advertisements in newspapers (two urban and one small town) and a blog on the website of a condom sales company. Men completed a questionnaire posted on the website of The Kinsey Institute for Research in Sex, Gender, and Reproduction. Inclusion criteria were that participants were: at least 18 years old; used condoms for penile-vaginal intercourse in the past 3 months; and able to read English. Results: In controlled, event-specific analyses, men reporting that they did not have sufficient time for condom application were ~three times more likely to report breakage and ~2.4 times more likely to report slippage. In addition, men who reported that they lacked time for condom application were ~2.4 times more likely to experience any of nine sexual problems, 3.4 times more likely to report difficulty with erection, 2.1 times more likely to report reduced sexual pleasure, 2.2 times more likely to report reduced sexual pleasure of their female partner and 2.6 times more likely to report that the condom irritated their partner’s vagina. Conclusions: This is the first study using an event-specific analysis to examine the effect of not having enough time for condom application on condom breakage, slippage and several outcomes related to sexual pleasure. Sexually transmissible infections and pregnancy prevention messages should include recommendations to men to take their time applying condoms.

Additional keywords: erection, men, sexual pleasure, STI risk.


References

[1]  Crosby RA Graham CA Yarber WL Sanders SA 2004 If the condom fits, wear it: a qualitative study of young African American men. Sex Transm Infect 80 306 9 doi:10.1136/sti.2003.008227

[2]  Crosby RA Salazar LF DiClemente RJ Yarber WL Caliendo AM Staples-Horne M 2005 Accounting for failures may improve precision: evidence supporting improved validity of self-reported condom use. Sex Transm Dis 32 513 5 doi:10.1097/01.olq.0000170442.10150.28

[3]  Crosby RA Sanders S Yarber WL Graham CA Dodge B 2002 Condom use errors and problems among college men. Sex Transm Dis 29 552 7 doi:10.1097/00007435-200209000-00010

[4]  Crosby RA Sanders SA Yarber WL Graham CA 2003 Condom use errors and problems: a neglected aspect of studies assessing condom effectiveness. Am J Prev Med 24 367 70 doi:10.1016/S0749-3797(03)00015-1

[5]  Crosby RA DiClemente RJ Yarber WL Snow G Troutman A 2008 An event-specific analysis of condom breakage among African American men at risk of HIV acquisition. Sex Transm Dis 35 174 7 doi:10.1097/OLQ.0b013e3181585bf5

[6]  Crosby RA Yarber WL Sanders SA Graham CA Arno JN 2008 Slips, breaks, and falls: condom errors and problems reported by men attending an STI clinic. Int J STD AIDS 19 90 3 doi:10.1258/ijsa.2007.007103

[7]  Yarber WL Crosby RA Graham CA Sanders SA Arno JA Hartzell RM et al 2007 Correlates of putting condoms on after sex has begun and removing them before sex ends: a study of men attending an urban public STD clinic. Am. J Men’s Health 1 190 6 doi:10.1177/1557988307301276

[8]  Crosby RA Yarber WL Sanders SA Graham CA McBride K Milhausen RR et al 2007 Men with broken condoms: who and why? Sex Transm Infect 83 71 5 doi:10.1136/sti.2006.021154

[9]  Shlay JC McClung MW Patnaik JL Douglas JM 2004 Comparison of sexually transmitted disease prevalence by reported condom use: errors among consistent condom users seen at an urban sexually transmitted disease clinic. Sex Transm Dis 31 526 32 doi:10.1097/01.olq.0000137897.17919.d1

[10]  Civic D Scholes D Ichikawa L Grothaus L McBride CM Yarnall KSH et al 2002 Ineffective use of condoms among young women in managed care. AIDS Care 14 779 88 doi:10.1080/0954012021000031859

[11]  Mertz KJ Finelli L Levine WC Mognoni RC Berman SM Fishbein M et al 2000 Gonorrhea in male adolescents and young adults in Newark, New Jersey: implications of risk factors and patient preferences for prevention strategies. Sex Transm Dis 27 201 7 doi:10.1097/00007435-200004000-00004

[12]  Macaluso M Kelaghan J Artz L Austin H Fleenor M Hook EW et al 1999 Mechanical failure of the latex condom in a cohort of women at high STD risk. Sex Transm Dis 26 450 8 doi:10.1097/00007435-199909000-00006

[13]  Warner L Clay-Warner J Boles J Williamson J 1998 Assessing condom use practices: implications for evaluating method and user effectiveness. Sex Transm Dis 25 273 7 doi:10.1097/00007435-199807000-00001

[14]  Crosby RA DiClemente RJ Yarber WL Snow G Troutman A 2008 Young African American men having sex with multiple partners are more likely to use condoms incorrectly: a clinic based study. J Men’s Health 2 340 3 doi:10.1177/1557988308321320

[15]  Richters J Gerofi J Donovan B 1995 Why do condoms break or slip off in use? An exploratory study. Int J STI AIDS 6 11 8

[16]  Grimley DM Annang L Houser S Chen H 2005 Prevalence of condom use errors among STD clinic patients. Am J Health Behav 29 324 30


[17]  Mukenge-Tshibaka L Alary M Geraldo N Lowndes CM 2005 Incorrect condom use and frequent breakage among female sex workers and their clients. Int J STD AIDS 16 345 9


[18]  Yarber WL Graham CA Sanders SA Crosby RA 2004 Correlates of condom breakage and slippage among university undergraduates. Int J STD AIDS 15 467 72
doi:10.1258/0956462041211207

[19]  Graham CA Crosby RA Yarber WL Sanders SA McBride K Milhausen RR et al 2006 Erection loss in association with condom use among young men attending a public STI clinic: potential correlates and implications for risk behaviour. Sex Health 3 255 60 doi:10.1071/SH06026

[20]  Sanders SA Milhausen RM Crosby RA Graham CG Yarber WL 2009 Do phosphodiesterase type 5 inhibitors protect against condom-associated erection loss and condom slippage? J Sex Med 6 1451 6 doi: 10.1111/j.1743-6109.2009.01267.x

[21]  Trussell J Warner L Hatcher RA 1992 Condom slippage and breakage rates. Fam Plann Perspect 24 20 4 doi:10.2307/2135721

[22]  Spruyt A Steiner MJ Joanis C Glover LH Piedrahita C Alvarado G et al 1998 Identifying condom users at risk for breakage and slippage: findings from three international sites. Am J Public Health 88 239 44 doi:10.2105/AJPH.88.2.239

[23]  Laumann EO , Gagnon JH , Michaels RT , Michael S . The social organization of sexuality. Sexual practices in the United States. Chicago: University of Chicago Press; 1994.

[24]  Glasgow R Vogt T Boles S 1999 Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 89 1322 7 doi:10.2105/AJPH.89.9.1322

[25]  Green L Glasgow R 2006 Evaluating the relevance, generalization, and applicability of research: issues in external validation and translation methodology. Eval Health Prof 29 126 53 doi:10.1177/0163278705284445

[26]  Yarber WL Graham CA Sanders SA Crosby RA Butler S Hartzell R 2007 “Do you know what you are doing?” College students’ experiences with male condoms. Am J Health Educ 38 322 31


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