Variability in Condom Use Trends by Sexual Risk Behaviors: Findings from the 2003–2015 National Youth Risk Behavior Surveys

Harper, Christopher R.; Steiner, Riley J.; Lowry, Richard; Hufstetler, Schell; Dittus, Patricia

doi:10.1097/olq.0000000000000763

Cited by 21 publications

(15 citation statements)

References 18 publications

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“…Harper et al [ 13 ] found similar associations between condom non-use and first sexual intercourse before the age of 13, drinking alcohol, and using drugs, suggesting more pronounced declines among male than female students whose first sexual intercourse was before the age of 13. Similarly, our results revealed that for both sexes, condom non-use was highly associated with risk behaviors such as very early age of first sexual intercourse and substance use.…”

Section: Discussionmentioning

confidence: 98%

“…Australian government high schools reported that 34.4% of the students had engaged in sexual intercourse at least once [ 30 ]. Harper et al [ 13 ] evaluated US high school students and found that the percentage of currently sexually active students ranged around 35.0%. Our results are similar to the existing literature, despite the differences between boys and girls.…”

Section: Discussionmentioning

confidence: 99%

“…In a contrasting finding, results from a study on US adolescents [ 31 ] showed lower condom use at last sexual intercourse (≅55%). Moreover, another study [ 13 ] on US high school students offered concerning results, indicating that condom use during last sexual intercourse declined significantly in 2005 compared to 2003 in both female students (57 to 52%) and male students (69 to 62%).…”

Section: Discussionmentioning

confidence: 99%

“…Given this background, we chose to use a nationally representative study of Brazil in order to expand the range of associated factors related to condom non-use and to analyze related socio-environmental factors (health education and access to health services) and self-reported health, neither of which had yet been investigated. Moreover, as recently suggested by Harper et al [ 13 ], we analyzed differences between boys and girls.…”

Section: Introductionmentioning

confidence: 99%

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Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE)

et al. 2020

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Background Condom non-use among sexually active adolescents is a major cause of unintended pregnancy and sexually transmitted infections. In order to promote condom use, it is essential to understand factors associated with condom non-use. Aim Our aim was to evaluate sex differences and associated factors of condom non-use based on the nationally representative Brazilian National School Health Survey. Methods The study participants were 100,962 adolescents 13–18 years old, 9th graders from both public and private schools throughout Brazil. The following factors were considered as explanatory group variables for the outcome of condom non-use among adolescents: school and health service, sexual behavior, substance use, and self-reported body and health perception. Poisson regression model was performed. Results Of the total students, 28% (n = 28,157) had had sexual intercourse at least once. (boys, 37.1%; girls, 19.5%). Of these, 69.2% had used condoms the last time they had intercourse (girls: 68%; boys: 69.9%). The variables associated with condom non-use for both sexes were not having accessed a health service or approached a health professional for health-related care; not having received pregnancy prevention counseling or guidance on AIDS or STI prevention at school; early sexual initiation; no additional contraception method; substance use; feeling alone; not being satisfied with their own body; feeling fat or thin; and poor self-reported health. The number of sexual partners was also associated with condom non-use; however, contrasting behavior was indicated between sexes. A higher number of sexual partners indicated less use of condoms among girls, while for boys, a higher number of sexual partners indicated higher condom use. Conclusion High condom non-use appears to be associated with lack of health care access and sexual health education, poor sexual practices, substance use, and poor self-perception, indicating areas for health promotion programs.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE)

et al. 2020

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“…Finally, our analysis does not account for changes in condom use or the use of pre-exposure HIV prophylaxis (PrEP). The increases of sexually transmitted diseases during this period in the United States-to the highest recorded levels-appear to confirm that condom use declined during this period [31][32][33]. CDC recommended PrEP in 2014 and by 2016 an estimated 78,000 people had filled a prescription for it [34].…”

Section: Plos Onementioning

confidence: 85%

Impact of viral suppression among persons with HIV upon estimated HIV incidence between 2010 and 2015 in the United States

et al. 2020

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Barrier Methods for the Prevention of Infectious Diseases: Decades of Condom Research can Inform the Promotion of Face Mask Use

2020

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Let's consider two seemingly unrelated protective behaviors: using a condom to interrupt the transmission of HIV and wearing a mask to prevent the spread of SARS-CoV-2. At first blush, these two activities would seem to have very little in common. Not only do they involve distinctly different features of the human anatomy but the latter (i.e., mask wearing) is a practice typically adopted in public venues, while the former takes place in the most private of settings. Yet, on closer consideration, there are discernable similarities between these two practices. Both actions are often perceived as inconvenient or troublesome, fettering as they do, natural biologic activities. Furthermore, despite documented efficacy, the prevention effectiveness of both requires ready access to the needed gear along with the knowledge and skills of how to properly and consistently use said gear. Just as there are incorrect ways to don and doff a condom, masks, too, can be worn in a fashion that defeats their intended purpose. And finally, the uptake of both of these prevention practices can be significantly influenced by our own attitudes as well as the attitudes and practices of our peers and other, so-called, opinion leaders. This rather metaphorical comparison is offered not as an exercise in intellectual calisthenics, but to assert that efforts to promote the consistent and proper use of face masks to prevent the spread of SARS-CoV-2 will require the same breadth of scientific underpinning that went into our national efforts to promote condom use during the first decades of the AIDS epidemic. Currently, much of the discussion surrounding mask wearing as a strategy to prevent the further spread of SARS-CoV-2 has focused on the need for mandatory regulations to enforce consistent use [1]. While we * Ronald O. Valdiserri

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Variability in Condom Use Trends by Sexual Risk Behaviors: Findings from the 2003–2015 National Youth Risk Behavior Surveys

Abstract: Results suggest that declines in self-reported condom use have occurred among female students at greater risk for acquiring a sexually transmitted disease.

Cited by 21 publications

References 18 publications

Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE)

Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE)

Impact of viral suppression among persons with HIV upon estimated HIV incidence between 2010 and 2015 in the United States

Barrier Methods for the Prevention of Infectious Diseases: Decades of Condom Research can Inform the Promotion of Face Mask Use

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