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Journal of Obstetric, Gynecologic, and... Jan 1996To review factors associated with adolescent condom use for the prevention of sexually transmitted diseases (STDs). (Review)
Review
OBJECTIVE
To review factors associated with adolescent condom use for the prevention of sexually transmitted diseases (STDs).
DATA SOURCES
Thirty-six references on adolescent development, STDs, STD risk factors, and factors influencing condom use among heterosexual adolescents.
STUDY SELECTION
Twenty-two research articles addressing issues influencing condom use by heterosexual adolescents.
DATA SYNTHESIS
This review identifies unique risk factors related to adolescents and their risk for STDs, barriers to and facilitators of condom use, and suggestions for health care providers to increase condom use among adolescents.
CONCLUSIONS
Although research on condom use among adolescents has inherent difficulties, current findings, along with reported high rates of STDs in this population, indicate infrequent and inconsistent condom use. Many factors contribute to the motivation for condom use and should be assessed individually. Using the Health Belief Model as a theoretical framework, health care providers can guide the adolescent to make realistic risk assessments and identify positive ways of incorporating condoms into their sexual lives. Further research then must be conducted to test the effectiveness of this approach.
Topics: Adolescent; Adolescent Behavior; Condoms; Female; Health Behavior; Health Knowledge, Attitudes, Practice; Humans; Male; Models, Psychological; Psychology, Adolescent; Risk Factors; Sex Education; Sexual Behavior; Sexually Transmitted Diseases
PubMed: 8627404
DOI: 10.1111/j.1552-6909.1996.tb02514.x -
Seminars in Reproductive Medicine May 2016Nearly half of all pregnancies worldwide are unplanned, despite numerous contraceptive options available. No new contraceptive method has been developed for men since... (Review)
Review
Nearly half of all pregnancies worldwide are unplanned, despite numerous contraceptive options available. No new contraceptive method has been developed for men since the invention of condom. Nevertheless, more than 25% of contraception worldwide relies on male methods. Therefore, novel effective methods of male contraception are of interest. Herein we review the physiologic basis for both male hormonal and nonhormonal methods of contraception. We review the history of male hormonal contraception development, current hormonal agents in development, as well as the potential risks and benefits of male hormonal contraception options for men. Nonhormonal methods reviewed will include both pharmacological and mechanical approaches in development, with specific focus on methods which inhibit the testicular retinoic acid synthesis and action. Multiple hormonal and nonhormonal methods of male contraception are in the drug development pathway, with the hope that a reversible, reliable, safe method of male contraception will be available to couples in the not too distant future.
Topics: Condoms; Contraception; Family Planning Services; Humans; Male
PubMed: 26947703
DOI: 10.1055/s-0036-1571435 -
Revista de Saude Publica 2021To assess the use of male condoms and dual protection by Brazilian adolescent men, as well as their associated aspects.
OBJECTIVE
To assess the use of male condoms and dual protection by Brazilian adolescent men, as well as their associated aspects.
METHODS
A database from the Study of Cardiovascular Risks in Adolescents (ERICA) was used for this national cross-sectiotabelnal school-based research. The sample included adolescents of both sexes, aged between 12 and 17 years old, selected through cluster sampling in 2014 (n = 75,060). This study analyzed information from adolescent men who reported having had sexual intercourse (n = 12,215). The dependent variables were the use of male condoms and the use of dual protection (simultaneous use of male condoms and oral hormonal contraceptives) in the last sexual intercourse. Data were analyzed using univariate and multiple logistic regression.
RESULTS
Most adolescents used a male condom in the last sexual intercourse, while the use of double protection was quite low. The use of male condoms, reported by 71% (95%CI 68.7-73.1), was positively associated with age, living with both parents, and having used alcohol in the previous 30 days. The use of double protection, reported by 3.6% (95%CI 2.8-4.5) was positively associated with age and studying in a private school, as well as negatively associated with tobacco use in the previous 30 days.
CONCLUSIONS
The wide difference shown in the proportion of condom or dual protection use in the last sexual intercourse draws attention to the different logics that govern juvenile sexual relations. The low proportion of dual protection use may be a reflection of men's lack of knowledge about a function that has historically been attributed to women, which is contraception. Thus, one must deconstruct such dichotomy that the sphere of sexuality is of the domain/interest of men, while that of reproduction concerns only women.
Topics: Adolescent; Adolescent Behavior; Brazil; Child; Condoms; Contraception; Female; Humans; Male; Sexual Behavior
PubMed: 34910032
DOI: 10.11606/s1518-8787.2021055003298 -
JAMA Pediatrics Jan 2016
Topics: Communication; Condoms; Female; Humans; Male; Parent-Child Relations; Safe Sex
PubMed: 26523920
DOI: 10.1001/jamapediatrics.2015.3109 -
Sexually Transmitted Infections Jun 2007Carrying and using a condom should be the norm among 18–24 year olds
Carrying and using a condom should be the norm among 18–24 year olds
Topics: Adolescent; Adult; Advertising; Attitude to Health; Condoms; Female; History, Ancient; Humans; Male
PubMed: 17569722
DOI: 10.1136/sti.2007.025973 -
The Indian Journal of Medical Research Nov 2014The National Family Planning Programme of India had introduced condom as one of the family planning methods in the late 1960s. Condom was promoted as a family planning... (Review)
Review
The National Family Planning Programme of India had introduced condom as one of the family planning methods in the late 1960s. Condom was promoted as a family planning method through social marketing since its inception. With the increasing prevalence and incidence of sexually transmitted infections (STIs) including HIV/AIDS, condom was also promoted as a dual method for protection against both unintended pregnancies as well as sexually transmitted infections. Despite efforts at various levels, the overall use of condom among couples in India is low. Here we present literature review of studies to understand the condom acceptability among couples in India. Specifically, the paper assesses research and programmes that have been carried out to increase the use of condom among couples; determinants of condom use; reason for not using condom; and perception versus experience of condom failure. The reported problems related to condom use included non acceptance by partner, perceived ineffectiveness, less comfort, lack of sexual satisfaction, husband's alcohol use, depression, and anxiety, and not available at that instant. The role of media in the promotion of condom use was indicated as an important way to increase awareness and use. Multiple strategies would help in acceptance of male condom.
Topics: Condoms; Contraception; Humans; India; Male; Marketing of Health Services; Patient Acceptance of Health Care; Sexually Transmitted Diseases
PubMed: 25673537
DOI: No ID Found -
Reproductive Health Jan 2021Misconceptions about the usefulness of condoms and other contraceptives still expose many unmarried adolescents to the risk of unwanted teenage pregnancies and...
BACKGROUND
Misconceptions about the usefulness of condoms and other contraceptives still expose many unmarried adolescents to the risk of unwanted teenage pregnancies and sexually-transmitted infections (STIs). This study explored beliefs and misconceptions about condoms and other contraceptives among adolescents in Ebonyi state, south-east Nigeria.
METHOD
A qualitative study was undertaken in six local government areas in Ebonyi state, southeast Nigeria. Data were collected within a period of one month from in and out-of-school adolescents aged 13-18 years using twelve focus group discussions (FGD). The data were analyzed using the thematic framework approach.
RESULT
Majority of the adolescents were knowledgeable about methods of contraception, how they are used and their modes of action. They were also knowledgeable about the dual effects of condoms in prevention of pregnancy and STIs. However, some misconceptions that were expressed by some adolescents were that pregnancy could be prevented by the use of (i) hard drugs, (ii) laxatives, (iii) white chlorine, and (iv) boiled alcoholic beverages. Condoms were described by some adolescent boys as reusable. Condoms were also perceived by some adolescents to reduce sexual pleasure, and this opinion was mostly held by boys. Coitus interruptus (withdrawal method) was therefore considered more preferable than condoms for prevention of pregnancy.
CONCLUSION
Although majority adolescents have knowledge about contraception and condom use, some misconceptions still persist. These misconceptions put many adolescents at increased risk for pregnancy and STIs which are detrimental to their health and wellbeing. Concerted efforts should be made through educational and behaviour change interventions in schools and within communities to debunk persisting misconceptions about contraception including the use of condom, and properly educate adolescents on safe sex practices. Adolescents engage in unprotected sexual intercourse and other risky sexual behaviours because of some mistaken beliefs and wrong impressions about how to prevent unwanted pregnancy. These risky sexual behaviours predispose adolescents to sexually transmitted infections, unsafe abortion and other reproductive health problems. In this qualitative study, we explored some of these mistaken beliefs about condoms and other methods of preventing pregnancy. During focus group discussions, adolescents identified modern contraceptive methods, and described their modes of action and how they are used. They also discussed their contraceptive preferences and perceived effects of condoms on sexual pleasure. Although some of these adolescents were able to correctly mention various types of contraceptives and their modes of action, there were numerous wrong impressions. Hard drugs, laxatives, white chlorine and boiled alcoholic beverage were listed as emergency contraceptive methods. Emergency pills were perceived to work by flushing away spermatozoa from a girl's system after sexual intercourse. Male condoms were perceived to be potentially dangerous because they could break and enter into the body of the female sexual partner. Some adolescent boys had the notion that particular brands of male condoms could be washed and reused. Notions about condom use and sexual pleasure varied for girls and boys. Some adolescent girls perceived that condom use during sex increases sexual pleasure because of the assurance of being protected from STIs and pregnancy. Adolescent boys were of the opinion that condoms interfere with the pleasure of direct 'flesh to flesh' contact during sex. There was a general belief that contraceptive use in early age reduces fertility prospects for boys and girls. Mistaken beliefs about methods of preventing pregnancy persist among adolescents, and this raises concerns about the quality of information they receive. Concerted efforts should be made to debunk these wrong beliefs and properly educate adolescents on safe sex practices.
Topics: Adolescent; Condoms; Contraception; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Nigeria; Pregnancy; Pregnancy in Adolescence; Safe Sex; Sexual Behavior; Sexually Transmitted Diseases
PubMed: 33407642
DOI: 10.1186/s12978-020-01062-y -
Archives of Sexual Behavior Nov 2020Beyond the monopoly environment of the early 100% Condom Use Program in Cambodia, less is known about how current female entertainment workers negotiate condom use on...
Beyond the monopoly environment of the early 100% Condom Use Program in Cambodia, less is known about how current female entertainment workers negotiate condom use on their own, and what factors impact that negotiation. This study aims to understand the experiences of current female entertainment workers in negotiating condom use with clients in Cambodia. Data collection occurred over a period of 3 weeks (August-September 2017) with concurrent data transcription and translation. A total of 27 focus group discussions (FGDs) were conducted in the following groups: pilot FGD (5), karaoke bar (5), massage parlor (5), beer garden (5), on-call sex workers (3), cross-venue groups exploring parenting issues (2), and street-based sex workers (2). Female entertainment workers experience a range of control over negotiating condom use with clients. Participants reported times when they were able to take direct action and successfully insist on condom use, times when they agreed to participate in condomless sex for money in the face of economic insecurity, and times when male clients sabotaged their attempts to negotiate condom use with tricks, verbal threats or threats of violence. These experiences are influenced by alcohol use, economic shocks, trust between partners, and experiences with side effects. Our findings support the development of policies that re-invigorate the structural-level condom promotion programs while also acknowledging the many individual-level factors that shape condom use such as alcohol consumption, economic insecurity, trust, and side effects.
Topics: Cambodia; Condoms; Female; Humans; Negotiating; Safe Sex; Sex Workers
PubMed: 32211995
DOI: 10.1007/s10508-020-01649-3 -
AIDS Care Jun 2017In the Democratic Republic of Congo no previous studies have assessed the factors associated with different patterns of condom use and with multiple sexual partners, and...
In the Democratic Republic of Congo no previous studies have assessed the factors associated with different patterns of condom use and with multiple sexual partners, and the association between condom use simultaneously taking into account multiple sexual partnerships, and HIV infection. We carried out a prospective case-control study. From December 2010 until June 2012, 1630 participants aged 15-49 getting HIV Voluntary Counseling and Testing in a hospital in Kinshasa were selected. Cases were new HIV diagnosis and controls were HIV-negative participants detected along the study period. We recruited 274 cases and 1340 controls that were interviewed about HIV-related knowledge, attitudes and behaviours. Among cases there was a high prevalence of multiple lifetime and concurrent sexual partnerships (89.8% and 20.4%, respectively) and most cases never used condoms with only 1.5% using them consistently. Condom use and multiple partnerships were associated with male, single and high-educated participants. An association was found between multiple lifetime partners and 'any condom use' (OR = 2.99; 95%CI: 2.14-4.19) but not with consistent use. Both having two or more multiple concurrent sexual partners or not using condoms were variables similarly and highly associated to HIV risk. The association found between having two or more concurrent sexual partners and HIV was slightly higher (OR = 3.58, 95%CI:2.31-5.56) than the association found between never condom use and HIV (OR = 3.38, 95%CI:1.15-9.93). We found a high prevalence of multiple lifetime sexual partners and an extremely high prevalence of inconsistent condom use, both strongly associated with HIV seropositivity. Local programmes would benefit from comprehensive interventions targeting all behavioural and sociocultural determinants.
Topics: Adolescent; Adult; Case-Control Studies; Condoms; Democratic Republic of the Congo; Educational Status; Female; HIV Infections; HIV Seronegativity; Health Knowledge, Attitudes, Practice; Humans; Male; Marital Status; Middle Aged; Prevalence; Prospective Studies; Sexual Partners; Unsafe Sex; Young Adult
PubMed: 27852108
DOI: 10.1080/09540121.2016.1258450 -
Culture, Health & Sexuality 2015This study examined condom use and intimacy among Tajik male migrants and their regular female partners in Moscow, Russia. This study included a survey of 400 Tajik male...
This study examined condom use and intimacy among Tajik male migrants and their regular female partners in Moscow, Russia. This study included a survey of 400 Tajik male labour migrants and longitudinal ethnographic interviews with 30 of the surveyed male migrants and 30 of their regular female partners. of the surveyed male migrants, 351 (88%) reported having a regular female partner in Moscow. Findings demonstrated that the migrants' and regular partners' intentions to use condoms diminished with increased intimacy, yet each party perceived intimacy differently. Migrants' intimacy with regular partners was determined by their familiarity and the perceived sexual cleanliness of their partner. Migrants believed that Muslim women were cleaner than Orthodox Christian women and reported using condoms more frequently with Orthodox Christian regular partners. Regular partners reported determining intimacy based on the perceived commitment of the male migrant. When perceived commitment faced a crisis, intimacy declined and regular partners renegotiated condom use. The association between intimacy and condom use suggests that HIV-prevention programmes should aim to help male migrants and female regular partners to dissociate their approaches to condom use from their perceptions of intimacy.
Topics: Adult; Condoms; Eastern Orthodoxy; Female; Humans; Intention; Interpersonal Relations; Islam; Male; Moscow; Sexual Partners; Tajikistan; Transients and Migrants; Young Adult
PubMed: 25033817
DOI: 10.1080/13691058.2014.937748