Condom Acquisition, Errors, and Breakage among U.S. Cisgender College Students.

College health College students Condom acquisition Condom breakage Condom errors Condoms

Journal

Archives of sexual behavior
ISSN: 1573-2800
Titre abrégé: Arch Sex Behav
Pays: United States
ID NLM: 1273516

Informations de publication

Date de publication:
20 Sep 2024
Historique:
received: 15 12 2023
accepted: 28 08 2024
revised: 02 07 2024
medline: 21 9 2024
pubmed: 21 9 2024
entrez: 20 9 2024
Statut: aheadofprint

Résumé

High rates of sexually transmitted infections and unplanned pregnancy continue to plague young adults in the USA with low condom use a contributing factor. To better understand condom acquisition, errors, and breakage among US cisgender college students, a survey was conducted across six structurally diverse institutions of higher education in 2019-2020 prior to the COVID-19 pandemic. Students who had used external condoms in the last year (N = 1584) were asked about specific on- and off-campus locations of condom acquisition and practices related to condom use. Findings indicate that students most frequently acquired condoms off-campus with location differences between genders and relationship status. Condom errors were common, with no consistent patterns related to gender, but unpartnered students were more likely than those in relationships to experience condom errors. Multivariate logistic regression indicated that relationship status, applying condom on wrong side, adding condom after sex started, removing condom during sex, condom slipping off, and problems with fit were predictors for condom breakage. The study results provide guidance for healthcare and sexuality education professionals working with college students to better address the differing needs of college students regarding condom acquisition and correct condom use.

Identifiants

pubmed: 39304605
doi: 10.1007/s10508-024-02998-z
pii: 10.1007/s10508-024-02998-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

Akoglu, H. (2018). User’s guide to correlation coefficients. Turkish Journal of Emergency Medicine, 18(3), 91–93.
pubmed: 30191186 pmcid: 6107969 doi: 10.1016/j.tjem.2018.08.001
American College Health Association. (2020). Best practices for sexual health promotion and clinical care in college health settings. Retrieved October 22, 2023 from https://www.acha.org/documents/resources/guidelines/ACHA_Best_Practices_for_Sexual_Health_Promotion_and_Clinical_Care_in_College_Health_Settings_Jan2020.pdf .
American College Health Association. (2022). 2021 Sexual health services survey report. Retrieved October 31, 2023 from https://www.acha.org/documents/resources/survey_data/Pap_sti/CY2021_SHSS_FINAL_REPORT.pdf .
American College Health Association. (2023). American College Health Association-National College Health Assessment III: Reference group executive summary spring 2023. Silver Spring, MD: American College Health Association
Baldwin, A., Fu, T. C., Reece, M., Herbenick, D., Dodge, B., Sanders, S. A., Schick, V., & Fortenberry, J. D. (2019). Condom use completeness, perceptions, and sexual quality at most recent sexual event: Results from a US nationally representative probability sample. International Journal of Sexual Health, 31(4), 414–425.
doi: 10.1080/19317611.2019.1670316
Barrett, M., Laris, B. A., Anderson, P., Baumler, E., Gerber, A., Kesler, K., & Coyle, K. (2021). Condom use and error experience among young adolescents: Implications for classroom instruction. Health Promotion Practice, 22(3), 313–317.
pubmed: 32536213 doi: 10.1177/1524839920935431
Beckmeyer, J. J., Patterson, C. L., Fu, T. C., Hensel, D. J., Dodge, B., & Herbenick, D. (2022). Do adolescents and young adults learn about condoms from healthcare providers? Findings from a US probability sample. Sexuality Research and Social Policy, 19(2), 722–736.
doi: 10.1007/s13178-021-00589-4
Ben-Shachar, M. S., Patil, I., Thériault, R., Wiernik, B. M., & Lüdecke, D. (2023). Phi, fei, fo, fum: Effect sizes for categorical data that use the chi-squared statistic. Mathematics, 11(9), 1982.
doi: 10.3390/math11091982
Bleeker, M. C., Hogewoning, C. J., Voorhorst, F. J., van den Brule, A. J., Snijders, P. J., Starink, T. M., Berkof, J., & Meijer, C. J. (2003). Condom use promotes regression of human papillomavirus–associated penile lesions in male sexual partners of women with cervical intraepithelial neoplasia. International Journal of Cancer, 107(5), 804–810.
pubmed: 14566831 doi: 10.1002/ijc.11473
Bozdogan, H. (1987). Model selection and Akaike’s information criterion (AIC): The general theory and its analytical extensions. Psychometrika, 52(3), 345–370.
doi: 10.1007/BF02294361
Buhi, E. R., Marhefka, S. L., & Hoban, M. T. (2010). The state of the union: Sexual health disparities in a national sample of US college students. Journal of American College Health, 58(4), 337–346.
pubmed: 20159757 doi: 10.1080/07448480903501780
Butler, S. M., Black, D. R., & Coster, D. (2011). Condom and safer sex product availability among US college health centers. Electronic Journal of Human Sexuality, 14. http://www.ejhs.org/volume14/safersex.htm
Butler, S. M., Procopio, M., Ragan, K., Funke, B., & Black, D. R. (2014a). Assessment of university condom distribution programs: Results of a national study. Electronic Journal of Human Sexuality, 17. http://www.ejhs.org/volume17/distribution.html
Butler, S. M., Ragan, K., Black, D. R., & Funke, B. (2014b). Theoretical assessment of university condom distribution programs: An institutional perspective. Electronic Journal of Human Sexuality, 17. http://www.ejhs.org/volume17/assessment.html
Butler, S. M., Mooney, K., & Janousek, K. (2019). The Condom fairy program: A novel mail-order service for condoms and sexual health supplies. Journal of American College Health, 67(8), 772–780.
pubmed: 30365911 doi: 10.1080/07448481.2018.1512500
Centers for Disease Control and Prevention. (2022). Condom effectiveness fact sheet for public health personnel. Retrieved October 8, 2023 from https://www.cdc.gov/condomeffectiveness/latex.html .
Centers for Disease Control and Prevention. (2023, April 25). Condom distribution structural intervention (CDSI). Retrieved June 7, 2024 from https://www.cdc.gov/hiv/effective-interventions/prevent/condom-distribution-programs/index.html
Crosby, R. A., & Yarber, W. L. (2001). Perceived versus actual knowledge about correct condom use among US adolescents: Results from a national study. Journal of Adolescent Health, 28(5), 415–20.
doi: 10.1016/S1054-139X(00)00213-5
Crosby, R., Sanders, S. A., Yarber, W. L., Graham, C. A., & Dodge, B. (2002). Condom use errors and problems among college men. Sexually Transmitted Diseases, 29(9), 552–557.
doi: 10.1097/00007435-200209000-00010 pubmed: 12218848
Crosby, R., Yarber, W. L., Sanders, S. A., & Graham, C. A. (2005). Condom discomfort and associated problems with their use among university students. Journal of American College Health, 54(3), 143–147.
pubmed: 16335313 doi: 10.3200/JACH.54.3.143-148
Crosby, R. A., Graham, C. A., Milhausen, R. R., Sanders, S. A., & Yarber, W. L. (2011). Condom use errors/problems survey. In T. D. Fisher, C. M. Davis, W. L. Yarber, & S. L. Davis (Eds.), Handbook of sexuality-related measures (3rd ed., pp. 153–159). Routledge.
Crosby, R. A., Milhausen, R. R., Graham, C. A., Yarber, W. L., Sanders, S. A., Charnigo, R., & Shrier, L. A. (2014a). Condom use motivations and selected behaviours with new versus established sex partners. Sexual Health, 11(3), 252–257.
pubmed: 24990090 doi: 10.1071/SH13159
Crosby, R. A., Milhausen, R. R., Sanders, S. A., Graham, C. A., & Yarber, W. L. (2014b). Condoms are more effective when applied by males: A study of young black males in the United States. Annals of Epidemiology, 24(11), 868–870.
pubmed: 25193014 pmcid: 4578151 doi: 10.1016/j.annepidem.2014.07.017
Crosby, R. A., Milhausen, R. R., Sanders, S. A., Graham, C. A., & Yarber, W. L. (2014c). Condom use errors and problems: A study of high-risk young Black men residing in three southern US cities. International Journal of STD & AIDS, 25(13), 943–948.
doi: 10.1177/0956462414526707
Eastman-Mueller, H. P., Gomez-Scott, J. R., Jung, A. K., Oswalt, S. B., & Hagglund, K. (2016). Implementation and evaluation of a condom availability program on a college campus: Lessons from the field. American Journal of Sexuality Education, 11(3), 189–204.
doi: 10.1080/15546128.2016.1198735
Fairfortune, T. S., Stern, J. E., Richardson, B. A., Koutsky, L. A., & Winer, R. L. (2020). Sexual behavior patterns and condom use in newly sexually active female university students. Archives of Sexual Behavior, 49, 1053–1065.
pubmed: 31407192 doi: 10.1007/s10508-019-1411-z
Fehr, S. K., Vidourek, R. A., King, K. A., & Nabors, L. A. (2018). Relationship factors’ impact on condom use among college students. Sexuality & Culture, 22, 724–739.
doi: 10.1007/s12119-018-9503-9
Francis, D. B., Noar, S. M., Widman, L., Willoughby, J. F., Sanchez, D. M., & Garrett, K. P. (2016). Perceptions of a campus-wide condom distribution programme: An exploratory study. Health Education Journal, 75(8), 998–1011.
pubmed: 27917002 pmcid: 5130150 doi: 10.1177/0017896916648994
Griner, S. B., Thompson, E. L., Vamos, C. A., Logan, R., Vázquez-Otero, C., & Daley, E. M. (2017). College institutional characteristics and the use of barrier methods among undergraduate students. Sex Education, 17(6), 647–666.
doi: 10.1080/14681811.2017.1347093
Hall, W. J., Erausquin, J. T., Nichols, T. R., Tanner, A. E., & Brown-Jeffy, S. (2019). Relationship intentions, race, and gender: Student differences in condom use during hookups involving vaginal sex. Journal of American College Health, 67(8), 733–742.
pubmed: 30265847 doi: 10.1080/07448481.2018.1506788
Hensel, D. J., Selby, S., Tanner, A. E., & Fortenberry, J. D. (2016). A daily diary analysis of condom breakage and slippage during vaginal sex or anal sex among adolescent women. Sexually Transmitted Diseases, 43(9), 531–536.
pubmed: 27513377 pmcid: 4985014 doi: 10.1097/OLQ.0000000000000487
Hosmer, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression (3rd ed.). John Wiley and Sons.
doi: 10.1002/9781118548387
Kantor, L. M., & Lindberg, L. (2020). Pleasure and sex education: The need for broadening both content and measurement. American Journal of Public Health, 110(2), 145–148.
pubmed: 31855482 pmcid: 6951361 doi: 10.2105/AJPH.2019.305320
Lindberg, L. D., & Kantor, L. M. (2022). Adolescents’ receipt of sex education in a nationally representative sample, 2011–2019. Journal of Adolescent Health, 70(2), 290–297.
doi: 10.1016/j.jadohealth.2021.08.027
McCool-Myers, M. (2019). Implementing condom distribution programs in the United States: Qualitative insights from program planners. Evaluation and Program Planning, 74, 20–26.
pubmed: 30802814 doi: 10.1016/j.evalprogplan.2019.02.006
McCool-Myers, M., Myo, A., & Carter, J. A. (2019). Barriers to purchasing condoms in a high HIV/STI-risk urban area. Journal of Community Health, 44(4), 836–843.
pubmed: 31055703 doi: 10.1007/s10900-019-00670-5
Mitzel, L. D., Johnson, M. W., & Vanable, P. A. (2023). Delay discounting and sexual decision-making: Understanding condom use behavior among U.S. college students. Archives of Sexual Behavior, 52, 2605–2617.
pubmed: 37085661 doi: 10.1007/s10508-023-02597-4
Moore, E. W., & Smith, W. E. (2012). What college students do not know: Where are the gaps in sexual health knowledge? Journal of American College Health, 60(6), 436–442.
pubmed: 22857135 doi: 10.1080/07448481.2012.673521
O’Neal, J. D., & Berteau, L. C. (2015). Revitalizing condom-centered HIV prevention strategies. Current HIV/AIDS Reports, 12, 139–144.
pubmed: 25586147 doi: 10.1007/s11904-014-0250-8
Oswalt, S. B., Butler, S., Sundstrom, B., Hughes, C. M. L., & Robbins, C. P. (2023). Condoms on campus: Understanding college students’ embarrassment, self-efficacy, and beliefs about distribution programs. Sexually Transmitted Diseases, 50(11), 720–725.
pubmed: 37643396 doi: 10.1097/OLQ.0000000000001856
Oswalt, S. B., & Wyatt, T. J. (2011). Of course we’re exclusive: Hispanic college students’ ideas about monogamy. Journal of Hispanic Higher Education, 10(4), 345–357.
doi: 10.1177/1538192711410700
Oswalt, S. B., & Wyatt, T. J. (2013). Sexual health behaviors and sexual orientation in a US national sample of college students. Archives of Sexual Behavior, 42, 1561–1572.
pubmed: 23455622 doi: 10.1007/s10508-012-0066-9
Reeves, B., Ickes, M. J., & Mark, K. P. (2016). Gender differences and condom-associated embarrassment in the acquisition of purchased versus free condoms among college students. American Journal of Sexuality Education, 11(1), 61–75.
doi: 10.1080/15546128.2016.1146188
Sanders, S. A., Crosby, R. A., Milhausen, R. R., Graham, C. A., Tirmizi, A., Yarber, W. L., Beauchamps, L., & Mena, L. (2018). Women’s willingness to experiment with condoms and lubricants: A study of women residing in a high HIV seroprevalence area. International Journal of STD & AIDS, 29(4), 367–374.
doi: 10.1177/0956462417727690
Sanders, S. A., Yarber, W. L., Kaufman, E. L., Crosby, R. A., Graham, C. A., & Milhausen, R. R. (2012). Condom use errors and problems: A global view. Sexual Health, 9(1), 81–95.
pubmed: 22348636 doi: 10.1071/SH11095
Schwarz, G. (1978). Estimating the dimension of a model. Annals of Statistics, 6, 461–464.
doi: 10.1214/aos/1176344136
Shacham, E., Nelson, E. J., Schulte, L., Bloomfield, M., & Murphy, R. (2016). Geographic variation in condom availability and accessibility. AIDS and Behavior, 20, 2863–2872.
pubmed: 27844405 doi: 10.1007/s10461-016-1383-0
Thorpe, S., Tanner, A. E., Kugler, K. C., Chambers, B. D., Ma, A., Jenkins Hall, W., Ware, S., Milroy, J. J., & Wyrick, D. L. (2021). First-year college students’ alcohol and hookup behaviours: Sexual scripting and implications for sexual health promotion. Culture, Health & Sexuality, 23(1), 68–84.
doi: 10.1080/13691058.2019.1688868
Vuong, Q. H., & Wang, W. (1993). Minimum chi-square estimation and tests for model selection. Journal of Econometrics, 56(1–2), 141–168.
doi: 10.1016/0304-4076(93)90104-D
Warner, L., & Steiner, M. J. (2018). Male condoms. In R. A. Hatcher, A. L. Nelson, & J. Trussell (Eds.), Contraceptive technology (21st ed., pp. 431–443). Ayer Company Publishers Inc.
Xu, Y., Chen, X., Yu, B., Joseph, V., & Stanton, B. (2017). The effects of self-efficacy in bifurcating the relationship of perceived benefit and cost with condom use among adolescents: A cusp catastrophe modeling analysis. Journal of Adolescence, 61, 31–39.
pubmed: 28946075 doi: 10.1016/j.adolescence.2017.09.004
Yarber, W. L., Graham, C. A., Sanders, S. A., & Crosby, R. A. (2004). Correlates of condom breakage and slippage among university undergraduates. International Journal of STD & AIDS, 15(7), 467–472.
doi: 10.1258/0956462041211207

Auteurs

Scott M Butler (SM)

School of Health & Human Performance, Georgia College & State University, Milledgeville, GA, USA.

Sara B Oswalt (SB)

Department of Public Health, One UTSA Circle, University of Texas at San Antonio, San Antonio, TX, 78249, USA. sara.oswalt@utsa.edu.

Charmayne M L Hughes (CML)

Technische Universität Berlin, Age-Appropriate Human-Machine Systems, Institute of Psychology and Ergonomics, Berlin, Germany.

Charlotte Petonic Robbins (CP)

Health Promotion and Wellness, University of Alabama, Tuscaloosa, AL, USA.

Beth Sundstrom (B)

Department of Communication, College of Charleston, Charleston, SC, USA.

Classifications MeSH