The Experts below are selected from a list of 315 Experts worldwide ranked by ideXlab platform
Jenny A Higgins - One of the best experts on this subject based on the ideXlab platform.
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the role of young adults pleasure attitudes in shaping Condom use
American Journal of Public Health, 2015Co-Authors: Jenny A Higgins, Yu WangAbstract:Condoms can help young adults protect themselves from sexually transmitted infections and unintended pregnancy. We examined young people’s attitudes about whether Condoms reduced pleasure and how these attitudes shape Condom practices. We used a nationally representative sample of 2328 heterosexually active, unmarried 15- to 24-year-old young adults to document multivariate associations with Condom nonuse at the last sexual episode. For both young men and women, pleasure-related attitudes were more strongly associated with lack of Condom use than all sociodemographic or sexual history factors. Research and interventions should consistently assess and address young people’s attitudes about how Condoms affect pleasure.
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dual method use at last sexual encounter a nationally representative episode level analysis of us men and women prepared for resubmission to contraception
Contraception, 2014Co-Authors: Jenny A Higgins, Vanessa Schick, Nicole K Smith, Debby Herbenick, Brian Dodge, Michael Reece, Stephanie A. Sanders, Dennis J FortenberryAbstract:OBJECTIVES: Male Condom use in conjunction with other contraceptives increases protection against pregnancy and sexually transmitted infections. However few analyses contextualize dual method use within the sexual episode include reports from men or explore gendered patterns in reporting. STUDY DESIGN: We analyzed dual method use patterns using a nationally representative dataset of 18-44 years old in the US (N=404 men 416 women). Respondents indicated contraceptive methods used at last penile-vaginal intercourse Condom practices and relationship and sexual information about that particular partner. RESULTS: More than one-in-three penile-vaginal intercourse episodes (40%) involved male Condom use: 28% Condom only and 12% Condom plus a highly effective method. Dual method reporting did not differ significantly by gender. Among dual method users only 59% reported Condom use during the entire intercourse episode while 35% began intercourse without one and 6% removed the Condom during intercourse. A greater proportion of men than women reported incorrect use of Condoms (49% versus 35%) though this difference was not statistically significant. Only 50% of dual method users reported Condom use in all of their last 10 intercourse episodes. CONCLUSIONS: Many people classified as "dual users" in previous studies may not be using dual methods consistently or correctly. Researchers and practitioners should inquire how and how often Condoms are used when assessing and addressing dual method use. Furthermore though men have rarely been surveyed about dual method use they can provide consistent contraceptive estimates and may be more likely to report Condom practices such as late application or early removal. IMPLICATIONS STATEMENT: Many US women and men reporting dual method use also reported late application and early removal of Condoms as well as multiple Condom-less prior sexual acts with that partner. Clinicians may wish to inquire how and how often clients use Condoms; they may also wish to provide Condom instruction and/or tips on better integrating Condoms into the sexual experience with ones partner. Copyright (c) 2014 Elsevier Inc. All rights reserved.
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original research article dual method use at last sexual encounter a nationally representative episode level analysis of us men and women prepared for resubmission to contraception
2014Co-Authors: Jenny A Higgins, Vanessa Schick, Nicole K Smith, Debby Herbenick, Brian Dodge, Michael Reece, Stephanie A. Sanders, Dennis J FortenberryAbstract:Objectives: Male Condom use in conjunction with other contraceptives increases protection against pregnancy and sexually transmitted infections. However, few analyses contextualize dual method use within the sexual episode, include reports from men or explore gendered patterns in reporting. Study design: We analyzed dual method use patterns using a nationally representative dataset of 18–44 years old in the US (N=404 men, 416 women). Respondents indicated contraceptive methods used at last penile–vaginal intercourse, Condom practices and relationship and sexual information about that particular partner. Results: More than one-in-three penile–vaginal intercourse episodes (40%) involved male Condom use: 28% Condom only and 12% Condom plus a highly effective method. Dual method reporting did not differ significantly by gender. Among dual method users, only 59% reported Condom use during the entire intercourse episode, while 35% began intercourse without one and 6% removed the Condom during intercourse. A greater proportion of men than women reported incorrect use of Condoms (49% versus 35%), though this difference was not statistically significant. Only 50% of dual method users reported Condom use in all of their last 10 intercourse episodes. Conclusions: Many people classified as “dual users” in previous studies may not be using dual methods consistently or correctly. Researchers and practitioners should inquire how and how often Condoms are used when assessing and addressing dual method use. Furthermore, though men have rarely been surveyed about dual method use, they can provide consistent contraceptive estimates and may be more likely to report Condom practices such as late application or early removal. Implications statement: Many US women and men reporting dual method use also reported late application and early removal of Condoms, as well as multiple Condom-less prior sexual acts with that partner. Clinicians may wish to inquire how and how often clients use Condoms; they may also wish to provide Condom instruction and/or tips on better integrating Condoms into the sexual experience with one's partner.
Lee Warner - One of the best experts on this subject based on the ideXlab platform.
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problems with Condom use among patients attending sexually transmitted disease clinics prevalence predictors and relation to incident gonorrhea and chlamydia
American Journal of Epidemiology, 2007Co-Authors: Lee Warner, Laura Hoyt Danna, Daniel R Newman, Mary L Kamb, Martin Fishbein, John M Douglas, Jonathan Mark Zenilman, Gail Bolan, Judy Rogers, Thomas A PetermanAbstract:Condom use remains important for sexually transmitted disease (STD) prevention. This analysis examined the prevalence of problems with Condoms among 1,152 participants who completed a supplemental questionnaire as part of Project RESPECT, a counseling intervention trial conducted at five publicly funded STD clinics between 1993 and 1997. Altogether, 336 participants (41%, 95% confidence interval: 38, 45) reporting Condom use indicated that Condoms broke, slipped off, leaked, or were not used throughout intercourse in the previous 3 months. Correspondingly, 8.9% (95% confidence interval: 7.0, 9.5) of uses resulted in STD exposure if partners were infected because of delayed application of Condoms (4.3% of uses), breakage (2.0%), early removal (1.4%), slippage (1.3%), or leakage (0.4%). Use problems were significantly associated with reporting inconsistent Condom use, multiple partners, and other Condom problems. One-hundred thirty participants completing the questionnaire were tested for gonorrhea and chlamydia at this time and also 3 months earlier. Twenty-one (16.2%) were infected with incident gonorrhea and chlamydia, with no infections among consistent users reporting no use problems. Exact logistic regression revealed a significant dose-response relation between increased protection from Condom use and reduced gonorrhea and chlamydia risk (p trend = 0.032). Both consistency of use and use problems must be considered in studies of highly infectious STD to avoid underestimating Condom effectiveness.
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assessing Condom use practices implications for evaluating method and user effectiveness
Sexually Transmitted Diseases, 1998Co-Authors: Lee Warner, Jody Claywarner, Jacqueline Boles, John WilliamsonAbstract:A cross-sectional study conducted among US male college students investigated how Condom use practices affect exposure to risks of pregnancy and sexually transmitted infections including HIV. Although previous studies have suggested men have problems using Condoms effectively none has systematically quantified the problems that occur. Through advertisements posted at two universities in Georgia 98 male students (mean age 22.3 years) who reported ever-use of 5 or more Condoms during vaginal intercourse were enrolled. To minimize subject recall bias the analysis was restricted to the students who had used Condoms in the month preceding the study. These 47 students used a total of 270 Condoms in that month. The most common use problems that carried no risk of direct penile-vaginal contact were using a Condom that had been put on inside out and then flipped over (13.0%) loss of erection (12.2%) allergic reaction or irritation (2.2%) and complete unrolling of a Condom before use (0.7%). The frequencies of the four problems that posed a direct risk of contact were as follows: starting intercourse without a Condom and then stopping to put one on (7.8%) breakage during intercourse or withdrawal (4.1%) starting intercourse with a Condom and then removing it and resuming intercourse (2.6%) and complete Condom slippage during intercourse or withdrawal (1.5%). 16 men (34%) potentially exposed themselves and their partners to risks of pregnancy and infection. Assuming that multiple problems may have been experienced during the same Condom encounter a minimum of 35 (13%) of total Condom uses were associated with these risks. These exposure levels are likely even greater among less experienced less educated men.
Yu Wang - One of the best experts on this subject based on the ideXlab platform.
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the role of young adults pleasure attitudes in shaping Condom use
American Journal of Public Health, 2015Co-Authors: Jenny A Higgins, Yu WangAbstract:Condoms can help young adults protect themselves from sexually transmitted infections and unintended pregnancy. We examined young people’s attitudes about whether Condoms reduced pleasure and how these attitudes shape Condom practices. We used a nationally representative sample of 2328 heterosexually active, unmarried 15- to 24-year-old young adults to document multivariate associations with Condom nonuse at the last sexual episode. For both young men and women, pleasure-related attitudes were more strongly associated with lack of Condom use than all sociodemographic or sexual history factors. Research and interventions should consistently assess and address young people’s attitudes about how Condoms affect pleasure.
Stephanie A. Sanders - One of the best experts on this subject based on the ideXlab platform.
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dual method use at last sexual encounter a nationally representative episode level analysis of us men and women prepared for resubmission to contraception
Contraception, 2014Co-Authors: Jenny A Higgins, Vanessa Schick, Nicole K Smith, Debby Herbenick, Brian Dodge, Michael Reece, Stephanie A. Sanders, Dennis J FortenberryAbstract:OBJECTIVES: Male Condom use in conjunction with other contraceptives increases protection against pregnancy and sexually transmitted infections. However few analyses contextualize dual method use within the sexual episode include reports from men or explore gendered patterns in reporting. STUDY DESIGN: We analyzed dual method use patterns using a nationally representative dataset of 18-44 years old in the US (N=404 men 416 women). Respondents indicated contraceptive methods used at last penile-vaginal intercourse Condom practices and relationship and sexual information about that particular partner. RESULTS: More than one-in-three penile-vaginal intercourse episodes (40%) involved male Condom use: 28% Condom only and 12% Condom plus a highly effective method. Dual method reporting did not differ significantly by gender. Among dual method users only 59% reported Condom use during the entire intercourse episode while 35% began intercourse without one and 6% removed the Condom during intercourse. A greater proportion of men than women reported incorrect use of Condoms (49% versus 35%) though this difference was not statistically significant. Only 50% of dual method users reported Condom use in all of their last 10 intercourse episodes. CONCLUSIONS: Many people classified as "dual users" in previous studies may not be using dual methods consistently or correctly. Researchers and practitioners should inquire how and how often Condoms are used when assessing and addressing dual method use. Furthermore though men have rarely been surveyed about dual method use they can provide consistent contraceptive estimates and may be more likely to report Condom practices such as late application or early removal. IMPLICATIONS STATEMENT: Many US women and men reporting dual method use also reported late application and early removal of Condoms as well as multiple Condom-less prior sexual acts with that partner. Clinicians may wish to inquire how and how often clients use Condoms; they may also wish to provide Condom instruction and/or tips on better integrating Condoms into the sexual experience with ones partner. Copyright (c) 2014 Elsevier Inc. All rights reserved.
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original research article dual method use at last sexual encounter a nationally representative episode level analysis of us men and women prepared for resubmission to contraception
2014Co-Authors: Jenny A Higgins, Vanessa Schick, Nicole K Smith, Debby Herbenick, Brian Dodge, Michael Reece, Stephanie A. Sanders, Dennis J FortenberryAbstract:Objectives: Male Condom use in conjunction with other contraceptives increases protection against pregnancy and sexually transmitted infections. However, few analyses contextualize dual method use within the sexual episode, include reports from men or explore gendered patterns in reporting. Study design: We analyzed dual method use patterns using a nationally representative dataset of 18–44 years old in the US (N=404 men, 416 women). Respondents indicated contraceptive methods used at last penile–vaginal intercourse, Condom practices and relationship and sexual information about that particular partner. Results: More than one-in-three penile–vaginal intercourse episodes (40%) involved male Condom use: 28% Condom only and 12% Condom plus a highly effective method. Dual method reporting did not differ significantly by gender. Among dual method users, only 59% reported Condom use during the entire intercourse episode, while 35% began intercourse without one and 6% removed the Condom during intercourse. A greater proportion of men than women reported incorrect use of Condoms (49% versus 35%), though this difference was not statistically significant. Only 50% of dual method users reported Condom use in all of their last 10 intercourse episodes. Conclusions: Many people classified as “dual users” in previous studies may not be using dual methods consistently or correctly. Researchers and practitioners should inquire how and how often Condoms are used when assessing and addressing dual method use. Furthermore, though men have rarely been surveyed about dual method use, they can provide consistent contraceptive estimates and may be more likely to report Condom practices such as late application or early removal. Implications statement: Many US women and men reporting dual method use also reported late application and early removal of Condoms, as well as multiple Condom-less prior sexual acts with that partner. Clinicians may wish to inquire how and how often clients use Condoms; they may also wish to provide Condom instruction and/or tips on better integrating Condoms into the sexual experience with one's partner.
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Condoms and US college-aged men and women: briefly assessing attitudes toward Condoms and general Condom use behaviours.
Sexual Health, 2011Co-Authors: Brandon J. Hill, Erick E. Amick, Stephanie A. SandersAbstract:Background: The purpose of this study was to develop an abbreviated reliable tool for assessing the attitudes US college-aged men and women have about Condoms and Condom use. Method: An online questionnaire was constructed and completed by 674 participants incorporating modified items from the Attitudes Towards Condom Scale (1984) and the Multidimensional Condom Attitude Scale (1994), with the addition of gender-neutral worded and Condom positive or erotic items. Results: The original 40 items were reduced to 18 Likert-type items comprising the Brief Condom Attitude Scale (BCAS). Gender comparisons on a subset of 584 self-identified heterosexual participants indicated that women were significantly more likely to consider Condoms as less protective, while men were significantly more likely to consider Condoms as more interruptive. Additional analyses examining partnership indicated that monogamous participants were significantly more likely to view Condoms as less interruptive, more erotic and less negative than non-monogamous participants. Conclusions: The BCAS appears to be a reliable measure for assessing US college-aged individuals' attitudes about Condoms.
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Condom discomfort and associated problems with their use among university students
Journal of American College Health, 2005Co-Authors: Richard A. Crosby, William L. Yarber, Stephanie A. Sanders, Cynthia A. GrahamAbstract:In addition to consistent use, Condoms must be used correctly. The purpose of this study was to identify prevalence and types of Condom-associated discomfort among university students, the outcomes of this discomfort, and the role of discomfort in Condom breakage. We conducted a cross-sectional study of 206 students attending a private university in the southern United States. We assessed 3 potential outcomes: breakage, not using Condoms throughout sex, and low Condom-use motivation. Nearly one third reported discomfort, including tightly fitting Condoms, vaginal irritation, and loss of sensation. Discomfort was associated with breakage (p = .0001), incomplete use (p = .0001), and less motivation to use Condoms (p = .018). Gender moderated the latter 2 findings. Adjusted findings indicate that students reporting discomfort were 3.6 times more likely to also report breakage (p = .0009). Continued investigation of this topic is warranted. Prevention education may benefit university students by promoting sev...
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Condom use errors and problems a neglected aspect of studies assessing Condom effectiveness
American Journal of Preventive Medicine, 2003Co-Authors: Richard A. Crosby, William L. Yarber, Stephanie A. Sanders, Cynthia A. GrahamAbstract:Abstract Objective To assess and compare Condom-use errors and problems among Condom-using university males and females. Methods A convenience sample of 260 undergraduates was utilized. Males (n=118) and females (n=142) reported using Condoms in the past 3 months for at least one episode of sex (penis in the mouth, vagina, or rectum) with a partner of the other sex. A questionnaire assessed 15 errors and problems associated with Condom use that could be observed or experienced by females as well as males. Results About 44% reported lack of Condom availability. Errors that could contribute to failure included using sharp instruments to open Condom packages (11%), storing Condoms in wallets (19%), and not using a new Condom when switching from one form of sex to another (83%). Thirty-eight percent reported that Condoms were applied after sex had begun, and nearly 14% indicated they removed Condoms before sex was concluded. Problems included loss of erection during Condom application (15%) or during sex (10%). About 28% reported that Condoms had either slipped off or broken. Nearly 19% perceived, at least once, that their Condom problems necessitated the use of a new Condom. Few differences were observed in errors and problems between males and females. Conclusions Findings suggest that Condom-use errors and problems may be quite common and that assessment of errors and problems do not necessarily need to be gender specific. Findings also suggest that correcting “user failure” may represent an important challenge in the practice of preventive medicine.
Laura Hoyt Danna - One of the best experts on this subject based on the ideXlab platform.
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p4 031 differences in Condom use consistency during vaginal and heterosexual anal sex findings from the safe in the city study
Sexually Transmitted Infections, 2013Co-Authors: Laura Hoyt Danna, O A Korosteleva, D Perez, Lydia Odonnell, Cornelis A Rietmeijer, Jeffrey D Klausner, C K MalotteAbstract:Background Condom use consistency is influenced by factors including participant and partnership characteristics, sex acts and cognitive mediators. We aimed to: (1) assess Condom use consistency among urban U.S. STD clinic users; (2) examine Condom use patterns for anal and vaginal sex within partnerships; and (3) identify characteristics and cognitive factors associated with Condom use consistency. Methods Patients (n = 1609) enrolled in a behavioural sub study of Safe in the City, a video-based STD/HIV prevention intervention, completed baseline and 3-month surveys measuring prior 3-month behaviours. The study population was restricted to 360 heterosexual males and females who reported both anal and vaginal sex with their most recent partner. Partnerships were classified into five mutually exclusive groups (below) according to reported Condom use behaviour. Chi-square and Kruskal-Wallis tests assessed associations between Condom use consistency and categorical (e.g., race, partnership type) and continuous (e.g., number of anal and vaginal sex acts, Condom use beliefs) variables. Results Of 360 partnerships, 156(43.3%) reported no Condom use; 92(25.6%) used Condoms for vaginal but not anal sex; 9(2.5%) used Condoms for anal but not vaginal sex; 61(16.9%) used Condoms for anal and vaginal sex inconsistently ( Conclusions Condoms were not used over 40% of the time, and only a small fraction of partnerships used Condoms consistently for both anal and vaginal sex. Results suggest that Condom use counselling should consider barriers and facilitators unique to anal and vaginal sex, and that improving cognitive mediators may enhance the success of risk-reduction strategies.
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problems with Condom use among patients attending sexually transmitted disease clinics prevalence predictors and relation to incident gonorrhea and chlamydia
American Journal of Epidemiology, 2007Co-Authors: Lee Warner, Laura Hoyt Danna, Daniel R Newman, Mary L Kamb, Martin Fishbein, John M Douglas, Jonathan Mark Zenilman, Gail Bolan, Judy Rogers, Thomas A PetermanAbstract:Condom use remains important for sexually transmitted disease (STD) prevention. This analysis examined the prevalence of problems with Condoms among 1,152 participants who completed a supplemental questionnaire as part of Project RESPECT, a counseling intervention trial conducted at five publicly funded STD clinics between 1993 and 1997. Altogether, 336 participants (41%, 95% confidence interval: 38, 45) reporting Condom use indicated that Condoms broke, slipped off, leaked, or were not used throughout intercourse in the previous 3 months. Correspondingly, 8.9% (95% confidence interval: 7.0, 9.5) of uses resulted in STD exposure if partners were infected because of delayed application of Condoms (4.3% of uses), breakage (2.0%), early removal (1.4%), slippage (1.3%), or leakage (0.4%). Use problems were significantly associated with reporting inconsistent Condom use, multiple partners, and other Condom problems. One-hundred thirty participants completing the questionnaire were tested for gonorrhea and chlamydia at this time and also 3 months earlier. Twenty-one (16.2%) were infected with incident gonorrhea and chlamydia, with no infections among consistent users reporting no use problems. Exact logistic regression revealed a significant dose-response relation between increased protection from Condom use and reduced gonorrhea and chlamydia risk (p trend = 0.032). Both consistency of use and use problems must be considered in studies of highly infectious STD to avoid underestimating Condom effectiveness.