Influences on condom use: A secondary analysis of women's perceptions from the Australian Contraceptive ChOice pRoject (ACCORd) trial.

Australia Condoms Contraception Contraceptive Agents Female Humans Perception Pregnancy

Journal

Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099

Informations de publication

Date de publication:
08 2021
Historique:
entrez: 1 8 2021
pubmed: 2 8 2021
medline: 25 11 2021
Statut: ppublish

Résumé

Women's ability to negotiate condom use helps prevent sexually transmissible infections (STIs) and unintended pregnancies. The aim of this study was to assess the relationship between substance use, risk perception and the certainty of using condoms in several hypothetical situations. This is a secondary analysis from the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial. Descriptive statistics and logistic regression were used for the analysis. At baseline, contraceptive questions were answered by 698 women attending 57 general practices in Melbourne, Australia. Condom use was reported by 47%. Of those using condoms as the sole form of contraception (n = 137), 20% used them inconsistently. Dual protection was used by 58% of women (188/325). Condoms and the pill were more frequently used than condoms and longer-acting contraceptives. Women were less likely to be confident negotiating condom use when using substances. Substance use and the concurrent use of other forms of contraception impact use of condoms. Even when condoms are the sole form of contraception with willing partners, use is inconsistent, leaving women at risk of pregnancy and STI.

Sections du résumé

BACKGROUND AND OBJECTIVES
Women's ability to negotiate condom use helps prevent sexually transmissible infections (STIs) and unintended pregnancies. The aim of this study was to assess the relationship between substance use, risk perception and the certainty of using condoms in several hypothetical situations.
METHOD
This is a secondary analysis from the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial. Descriptive statistics and logistic regression were used for the analysis.
RESULTS
At baseline, contraceptive questions were answered by 698 women attending 57 general practices in Melbourne, Australia. Condom use was reported by 47%. Of those using condoms as the sole form of contraception (n = 137), 20% used them inconsistently. Dual protection was used by 58% of women (188/325). Condoms and the pill were more frequently used than condoms and longer-acting contraceptives. Women were less likely to be confident negotiating condom use when using substances.
DISCUSSION
Substance use and the concurrent use of other forms of contraception impact use of condoms. Even when condoms are the sole form of contraception with willing partners, use is inconsistent, leaving women at risk of pregnancy and STI.

Identifiants

DOI: 10.31128/AJGP-06-20-5489 PMID: 34333575
pubmed: 34333575
doi: 10.31128/AJGP-06-20-5489
doi:

Substances chimiques

Contraceptive Agents 0

Banques de données

ANZCTR
['ACTRN12615001346561']

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

581-587

Auteurs

Cathy J Watson (CJ)

PhD, Research Fellow, Department of@General Practice, Monash University, Vic.

Kevin McGeechan (K)

PhD, Associate Professor, Sydney School of Public Health, University of Sydney, NSW.

Kathleen McNamee (K)

MBBS, M Epi, MBBS, FRACGP, DipVen, Medical Director, Family Planning Victoria, Vic.

Kirsten I Black (KI)

MD, MBBS, FRACGP, DRANZCOG, Grad Dip Women@s Health, Joint Head of Discipline of Obstetrics, Gynaecology and Neonatology, Central Clinical School, University of Sydney, NSW.

Jayne Lucke (J)

BA (Hons), PhD, Adjunct Professor, School of Psychology and Public Health, La Trobe University, Vic.

Angela Taft (A)

PhD, MPH, Dip Ed, BA, Professor and Principal Research Fellow, Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Vic.

Marion Haas (M)

PhD, MPH, Bphty, Professor of Health Economics, Centre for Health Economics Research and Evaluation, University of Technology Sydney, NSW.

Jeffrey F Peipert (JF)

PhD, MD, MPH, MHA, Clarence E. Ehrlich Professor and Chair of Obstetrics and Gynecology, Indiana University School of Medicine, Department of Obstetrics @ Gynecology, Indianapolis, IN, USA.

Danielle Mazza (D)

MD, MBBS, FRACGP, Grad Dip Women@s Health, Head, Department of General Practice, Monash University, Vic; Director, SPHERE (NHMRC Centre of Excellence in Sexual and Reproductive Health for Women in Primary Care), Department of General Practice, Monash University, Vic.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Influences on condom use: A secondary analysis...
questionsmedicales.fr › Équipement et fournitures › Dispositifs contraceptifs › Dispositifs contraceptifs masculins › Préservatifs masculins › Influences on condom use: A secondary analysis...
questionsmedicales.fr › Thérapeutique › Contraception › Influences on condom use: A secondary analysis...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents régulateurs de la reproduction › Contraceptifs › Influences on condom use: A secondary analysis...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Influences on condom use: A secondary analysis...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Perception › Influences on condom use: A secondary analysis...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Influences on condom use: A secondary analysis...