TY - JOUR
T1 - Does it fit okay? Problems with condom use as a function of self-reported poor fit
AU - Crosby, R. A.
AU - Yarber, W. L.
AU - Graham, C. A.
AU - Sanders, S. A.
PY - 2010/2
Y1 - 2010/2
N2 - Objective: To identify associations between men's selfreports of ill-fitting condoms and selected condom use problems, using an event-specific analysis. Methods A convenience sample of men 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: at least 18 years old, used condoms for penile - vaginal intercourse in the past 3 months and the ability to read English. Results: In controlled, event-specific, analyses of 436 men, those reporting ill-fitting condoms (44.7%) were significantly more likely to report breakage (adjusted odds ratio (AOR) 2.6), slippage (AOR 2.7), difficulty reaching orgasm, both for their female partners (AOR 1.9) and for themselves (AOR 2.3). In addition, they were more likely to report irritation of the penis (AOR 5.0) and reduced sexual pleasure, both for their female partner (AOR 1.6) and for themselves (AOR 2.4). Furthermore, they were more likely to report that condoms interfered with erection (AOR 2.0), caused erection loss (AOR 2.3), or became dry during sex (AOR 1.9). Finally, they were more likely to report removing condoms before penile - vaginal sex ended (AOR 2.0). Conclusions: Men and their female sex partners may benefit from public health efforts designed to promote the improved fit of condoms.
AB - Objective: To identify associations between men's selfreports of ill-fitting condoms and selected condom use problems, using an event-specific analysis. Methods A convenience sample of men 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: at least 18 years old, used condoms for penile - vaginal intercourse in the past 3 months and the ability to read English. Results: In controlled, event-specific, analyses of 436 men, those reporting ill-fitting condoms (44.7%) were significantly more likely to report breakage (adjusted odds ratio (AOR) 2.6), slippage (AOR 2.7), difficulty reaching orgasm, both for their female partners (AOR 1.9) and for themselves (AOR 2.3). In addition, they were more likely to report irritation of the penis (AOR 5.0) and reduced sexual pleasure, both for their female partner (AOR 1.6) and for themselves (AOR 2.4). Furthermore, they were more likely to report that condoms interfered with erection (AOR 2.0), caused erection loss (AOR 2.3), or became dry during sex (AOR 1.9). Finally, they were more likely to report removing condoms before penile - vaginal sex ended (AOR 2.0). Conclusions: Men and their female sex partners may benefit from public health efforts designed to promote the improved fit of condoms.
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U2 - 10.1136/sti.2009.036665
DO - 10.1136/sti.2009.036665
M3 - Article
C2 - 20157178
AN - SCOPUS:77449149266
SN - 1368-4973
VL - 86
SP - 36
EP - 38
JO - Sexually Transmitted Infections
JF - Sexually Transmitted Infections
IS - 1
ER -