A longitudinal daily diary analysis of condom use during bleeding-Associated vaginal sex among adolescent females

Devon Hensel, Amanda E. Tanner, Ashley Sherrow, J. Fortenberry

Research output: Contribution to journalArticle

Abstract

Objective Sex during bleeding is a risk factor for sexually transmitted infection (STI) and other bloodborne viruses, including HIV. We examined daily predictors of adolescent women's male condom use during bleeding-Associated vaginal sex. Methods Adolescent females (N=387; 14-17 €..years) were recruited from primary care clinics for a longitudinal cohort study of STIs and sexual behaviour. Data were daily partner-specific sexual diaries; generalised estimating equation logistic regression assessed the likelihood of condom use during bleeding-Associated vaginal sex. Results Less than 30% of bleeding-Associated vaginal sex events were condom protected. Condom use during these events was less likely with younger age, higher partner support, higher partner negativity or past week bleeding-Associated sex with a given partner; condom use was more likely with high individual mood and past week condom use during bleeding-Associated vaginal sex with a given partner. Conclusions Low condom rates during bleeding-Associated vaginal sex can increase STI and bloodborne virus risk. Providers should consider integrating partner-specific and behavioural factors when they deliver sexual health messages to young women.

Original languageEnglish (US)
Pages (from-to)337-339
Number of pages3
JournalSexually Transmitted Infections
Volume92
Issue number5
DOIs
StatePublished - Aug 1 2016

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Uterine Hemorrhage
Condoms
Sexually Transmitted Diseases
Hemorrhage
Viruses
Sexual Partners
Reproductive Health
Sexual Behavior
Longitudinal Studies
Primary Health Care
Cohort Studies
Logistic Models
HIV

ASJC Scopus subject areas

  • Medicine(all)
  • Dermatology
  • Infectious Diseases

Cite this

A longitudinal daily diary analysis of condom use during bleeding-Associated vaginal sex among adolescent females. / Hensel, Devon; Tanner, Amanda E.; Sherrow, Ashley; Fortenberry, J.

In: Sexually Transmitted Infections, Vol. 92, No. 5, 01.08.2016, p. 337-339.

Research output: Contribution to journalArticle

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abstract = "Objective Sex during bleeding is a risk factor for sexually transmitted infection (STI) and other bloodborne viruses, including HIV. We examined daily predictors of adolescent women's male condom use during bleeding-Associated vaginal sex. Methods Adolescent females (N=387; 14-17 €..years) were recruited from primary care clinics for a longitudinal cohort study of STIs and sexual behaviour. Data were daily partner-specific sexual diaries; generalised estimating equation logistic regression assessed the likelihood of condom use during bleeding-Associated vaginal sex. Results Less than 30{\%} of bleeding-Associated vaginal sex events were condom protected. Condom use during these events was less likely with younger age, higher partner support, higher partner negativity or past week bleeding-Associated sex with a given partner; condom use was more likely with high individual mood and past week condom use during bleeding-Associated vaginal sex with a given partner. Conclusions Low condom rates during bleeding-Associated vaginal sex can increase STI and bloodborne virus risk. Providers should consider integrating partner-specific and behavioural factors when they deliver sexual health messages to young women.",
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N2 - Objective Sex during bleeding is a risk factor for sexually transmitted infection (STI) and other bloodborne viruses, including HIV. We examined daily predictors of adolescent women's male condom use during bleeding-Associated vaginal sex. Methods Adolescent females (N=387; 14-17 €..years) were recruited from primary care clinics for a longitudinal cohort study of STIs and sexual behaviour. Data were daily partner-specific sexual diaries; generalised estimating equation logistic regression assessed the likelihood of condom use during bleeding-Associated vaginal sex. Results Less than 30% of bleeding-Associated vaginal sex events were condom protected. Condom use during these events was less likely with younger age, higher partner support, higher partner negativity or past week bleeding-Associated sex with a given partner; condom use was more likely with high individual mood and past week condom use during bleeding-Associated vaginal sex with a given partner. Conclusions Low condom rates during bleeding-Associated vaginal sex can increase STI and bloodborne virus risk. Providers should consider integrating partner-specific and behavioural factors when they deliver sexual health messages to young women.

AB - Objective Sex during bleeding is a risk factor for sexually transmitted infection (STI) and other bloodborne viruses, including HIV. We examined daily predictors of adolescent women's male condom use during bleeding-Associated vaginal sex. Methods Adolescent females (N=387; 14-17 €..years) were recruited from primary care clinics for a longitudinal cohort study of STIs and sexual behaviour. Data were daily partner-specific sexual diaries; generalised estimating equation logistic regression assessed the likelihood of condom use during bleeding-Associated vaginal sex. Results Less than 30% of bleeding-Associated vaginal sex events were condom protected. Condom use during these events was less likely with younger age, higher partner support, higher partner negativity or past week bleeding-Associated sex with a given partner; condom use was more likely with high individual mood and past week condom use during bleeding-Associated vaginal sex with a given partner. Conclusions Low condom rates during bleeding-Associated vaginal sex can increase STI and bloodborne virus risk. Providers should consider integrating partner-specific and behavioural factors when they deliver sexual health messages to young women.

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