TY - JOUR
T1 - An exploratory test of a couples-based condom-use intervention designed to promote pleasurable and safer penile–vaginal sex among university students
AU - Gesselman, Amanda N.
AU - Ryan, Rebecca
AU - Yarber, William L.
AU - Vanterpool, Karen B.
AU - Beavers, Karly A.
AU - Francis, Heather
AU - Gran, Brandon T.
AU - Wood, Katherine
AU - Graham, Cynthia A.
AU - Milhausen, Robin
AU - Sanders, Stephanie A.
AU - Crosby, Richard A.
N1 - Publisher Copyright:
© 2020 Taylor & Francis Group, LLC.
PY - 2022
Y1 - 2022
N2 - Objective: Dual use of male condoms and female contraceptives is widely advocated for unplanned pregnancy prevention, yet college students often neglect condoms. This feasibility and acceptability study assessed the efficacy of a self-guided home-based condom-promotion intervention among college students in heterosexual relationships. Participants: Fifty-nine couples who had been together at least 30 days and had penile–vaginal sex at least twice weekly. Methods: Assessments were done at baseline and 6 months later. Outcomes were frequency of condom-unprotected penile–vaginal sex and four psychosocial mediators of condom use. Results: Frequency of unprotected penile–vaginal sex decreased over time. Several corresponding psychosocial mediators showed change, particularly among women. Using actor–partner interdependence modeling, men’s increase in condom use was associated with an increase in women’s sexual pleasure. Conclusion: Findings support implementation of a brief, self-guided, home-based condom-use intervention that could lower incidence of unplanned pregnancy and STIs among heterosexually active college students.
AB - Objective: Dual use of male condoms and female contraceptives is widely advocated for unplanned pregnancy prevention, yet college students often neglect condoms. This feasibility and acceptability study assessed the efficacy of a self-guided home-based condom-promotion intervention among college students in heterosexual relationships. Participants: Fifty-nine couples who had been together at least 30 days and had penile–vaginal sex at least twice weekly. Methods: Assessments were done at baseline and 6 months later. Outcomes were frequency of condom-unprotected penile–vaginal sex and four psychosocial mediators of condom use. Results: Frequency of unprotected penile–vaginal sex decreased over time. Several corresponding psychosocial mediators showed change, particularly among women. Using actor–partner interdependence modeling, men’s increase in condom use was associated with an increase in women’s sexual pleasure. Conclusion: Findings support implementation of a brief, self-guided, home-based condom-use intervention that could lower incidence of unplanned pregnancy and STIs among heterosexually active college students.
KW - Barriers to condom use
KW - condom intervention
KW - condom promotion
KW - condom use self-efficacy
KW - couples intervention
KW - sexual pleasure
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U2 - 10.1080/07448481.2020.1818753
DO - 10.1080/07448481.2020.1818753
M3 - Article
C2 - 33151840
AN - SCOPUS:85095750557
SN - 0744-8481
VL - 70
SP - 1665
EP - 1672
JO - Journal of American College Health
JF - Journal of American College Health
IS - 6
ER -