When Condom Use is Not Condom Use: An Event-Level Analysis of Condom Use Behaviors during Vaginal Intercourse

Devon Hensel, Nathan Stupiansky, Debby Herbenick, Brian Dodge, Michael Reece

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Introduction: Little is known about event-level condom use errors during vaginal sex.Aims. The aim of this article is to examine factors associated with complete condom use compared to forms of incomplete condom use, including delayed condom application and early condom removal, over a 30-day period. Methods: Data were collected in 2008 from 1,875 men during a prospective daily diary study of sexual behavior and condom use. Incomplete condom use was assessed during vaginal intercourse considering situational, relational, intrapersonal, and behavioral predictors. Analyses were generalized estimating equation multinomial logistic regression. Main Outcome Measures: Condom use during vaginal sex: complete use, delayed application, early removal, and both delayed application/early removal. Results: Of 29,714 diary reports, 30% (8,876) included vaginal intercourse. Analyses were conducted (in 2009) on 83.2% of these intercourse events (6,325), during which condoms were used and for which participants provided complete data. Incomplete condom use included penetration before applying condoms during 12% of events (749), removing condoms before intercourse ended during 3.1% (198), and both types of incomplete use during 2% (129) of events. Erection quality (less than typical erect penile length and circumference, less rigidity, and difficulty maintaining erection) was associated with greater odds of incomplete use, as was a participant's history of other recent incomplete use. Perceptions of condom comfort and recent previous complete use were protective factors against incomplete use. Conclusions: Men's incomplete condom use is associated with recent condom use patterns, as well as with their physiological characteristics and perceptions of condoms during sexual intercourse. Event-level analyses such as these help describe how incomplete condom use occurs among individuals incorporating condoms into their sexual activities.

Original languageEnglish
Pages (from-to)28-34
Number of pages7
JournalJournal of Sexual Medicine
Volume8
Issue number1
DOIs
StatePublished - Jan 2011

Fingerprint

Condoms
Sexual Behavior
Coitus

Keywords

  • Condoms
  • Diary Data
  • Event-Level Condom Use
  • Incomplete Condom Use

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

When Condom Use is Not Condom Use : An Event-Level Analysis of Condom Use Behaviors during Vaginal Intercourse. / Hensel, Devon; Stupiansky, Nathan; Herbenick, Debby; Dodge, Brian; Reece, Michael.

In: Journal of Sexual Medicine, Vol. 8, No. 1, 01.2011, p. 28-34.

Research output: Contribution to journalArticle

@article{4a78ff2740134409b6dea41d805e37f0,
title = "When Condom Use is Not Condom Use: An Event-Level Analysis of Condom Use Behaviors during Vaginal Intercourse",
abstract = "Introduction: Little is known about event-level condom use errors during vaginal sex.Aims. The aim of this article is to examine factors associated with complete condom use compared to forms of incomplete condom use, including delayed condom application and early condom removal, over a 30-day period. Methods: Data were collected in 2008 from 1,875 men during a prospective daily diary study of sexual behavior and condom use. Incomplete condom use was assessed during vaginal intercourse considering situational, relational, intrapersonal, and behavioral predictors. Analyses were generalized estimating equation multinomial logistic regression. Main Outcome Measures: Condom use during vaginal sex: complete use, delayed application, early removal, and both delayed application/early removal. Results: Of 29,714 diary reports, 30{\%} (8,876) included vaginal intercourse. Analyses were conducted (in 2009) on 83.2{\%} of these intercourse events (6,325), during which condoms were used and for which participants provided complete data. Incomplete condom use included penetration before applying condoms during 12{\%} of events (749), removing condoms before intercourse ended during 3.1{\%} (198), and both types of incomplete use during 2{\%} (129) of events. Erection quality (less than typical erect penile length and circumference, less rigidity, and difficulty maintaining erection) was associated with greater odds of incomplete use, as was a participant's history of other recent incomplete use. Perceptions of condom comfort and recent previous complete use were protective factors against incomplete use. Conclusions: Men's incomplete condom use is associated with recent condom use patterns, as well as with their physiological characteristics and perceptions of condoms during sexual intercourse. Event-level analyses such as these help describe how incomplete condom use occurs among individuals incorporating condoms into their sexual activities.",
keywords = "Condoms, Diary Data, Event-Level Condom Use, Incomplete Condom Use",
author = "Devon Hensel and Nathan Stupiansky and Debby Herbenick and Brian Dodge and Michael Reece",
year = "2011",
month = "1",
doi = "10.1111/j.1743-6109.2010.02031.x",
language = "English",
volume = "8",
pages = "28--34",
journal = "Journal of Sexual Medicine",
issn = "1743-6095",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - When Condom Use is Not Condom Use

T2 - An Event-Level Analysis of Condom Use Behaviors during Vaginal Intercourse

AU - Hensel, Devon

AU - Stupiansky, Nathan

AU - Herbenick, Debby

AU - Dodge, Brian

AU - Reece, Michael

PY - 2011/1

Y1 - 2011/1

N2 - Introduction: Little is known about event-level condom use errors during vaginal sex.Aims. The aim of this article is to examine factors associated with complete condom use compared to forms of incomplete condom use, including delayed condom application and early condom removal, over a 30-day period. Methods: Data were collected in 2008 from 1,875 men during a prospective daily diary study of sexual behavior and condom use. Incomplete condom use was assessed during vaginal intercourse considering situational, relational, intrapersonal, and behavioral predictors. Analyses were generalized estimating equation multinomial logistic regression. Main Outcome Measures: Condom use during vaginal sex: complete use, delayed application, early removal, and both delayed application/early removal. Results: Of 29,714 diary reports, 30% (8,876) included vaginal intercourse. Analyses were conducted (in 2009) on 83.2% of these intercourse events (6,325), during which condoms were used and for which participants provided complete data. Incomplete condom use included penetration before applying condoms during 12% of events (749), removing condoms before intercourse ended during 3.1% (198), and both types of incomplete use during 2% (129) of events. Erection quality (less than typical erect penile length and circumference, less rigidity, and difficulty maintaining erection) was associated with greater odds of incomplete use, as was a participant's history of other recent incomplete use. Perceptions of condom comfort and recent previous complete use were protective factors against incomplete use. Conclusions: Men's incomplete condom use is associated with recent condom use patterns, as well as with their physiological characteristics and perceptions of condoms during sexual intercourse. Event-level analyses such as these help describe how incomplete condom use occurs among individuals incorporating condoms into their sexual activities.

AB - Introduction: Little is known about event-level condom use errors during vaginal sex.Aims. The aim of this article is to examine factors associated with complete condom use compared to forms of incomplete condom use, including delayed condom application and early condom removal, over a 30-day period. Methods: Data were collected in 2008 from 1,875 men during a prospective daily diary study of sexual behavior and condom use. Incomplete condom use was assessed during vaginal intercourse considering situational, relational, intrapersonal, and behavioral predictors. Analyses were generalized estimating equation multinomial logistic regression. Main Outcome Measures: Condom use during vaginal sex: complete use, delayed application, early removal, and both delayed application/early removal. Results: Of 29,714 diary reports, 30% (8,876) included vaginal intercourse. Analyses were conducted (in 2009) on 83.2% of these intercourse events (6,325), during which condoms were used and for which participants provided complete data. Incomplete condom use included penetration before applying condoms during 12% of events (749), removing condoms before intercourse ended during 3.1% (198), and both types of incomplete use during 2% (129) of events. Erection quality (less than typical erect penile length and circumference, less rigidity, and difficulty maintaining erection) was associated with greater odds of incomplete use, as was a participant's history of other recent incomplete use. Perceptions of condom comfort and recent previous complete use were protective factors against incomplete use. Conclusions: Men's incomplete condom use is associated with recent condom use patterns, as well as with their physiological characteristics and perceptions of condoms during sexual intercourse. Event-level analyses such as these help describe how incomplete condom use occurs among individuals incorporating condoms into their sexual activities.

KW - Condoms

KW - Diary Data

KW - Event-Level Condom Use

KW - Incomplete Condom Use

UR - http://www.scopus.com/inward/record.url?scp=78650784960&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78650784960&partnerID=8YFLogxK

U2 - 10.1111/j.1743-6109.2010.02031.x

DO - 10.1111/j.1743-6109.2010.02031.x

M3 - Article

C2 - 20840531

AN - SCOPUS:78650784960

VL - 8

SP - 28

EP - 34

JO - Journal of Sexual Medicine

JF - Journal of Sexual Medicine

SN - 1743-6095

IS - 1

ER -