Condom Slippage and Breakage Rates

Trussell, James; Warner, David L.; Hatcher, Robert A.

doi:10.2307/2135721

Cited by 74 publications

(33 citation statements)

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“…In particular, it is important to note the relatively high rate of breakage and slippage among a sample that may be somewhat biased, as suggested by the fact that participants responded to either a newspaper advertisement or website blog in order to voluntarily complete a survey about sex using the Kinsey Institute website. The overall breakage rate of 5.9% (data not shown) exceeds national estimates for the USA of 3-4% 21 and approximates or exceeds rates (ranging from 2.3% to 7.3%) reported from clinicbased samples. 12,22,23 Clearly, condom breakage is a public health problem and thus, it is important to develop effective prevention programs aimed at reducing these rates.…”

Section: Discussionsupporting

confidence: 46%

Problems with condoms may be reduced for men taking ample time to apply them

et al. 2010

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Abstract. Background: One potentially important antecedent of experiencing problems with condom use during penilevaginal sex is the amount of time that men (and perhaps women) allow for condom application. To examine whether men reporting that ample time was available to apply a male condom (the last time a condom was used for penile-vaginal sex) were also less likely to report problems with condom use such as breakage, slippage and erection difficulties during that sexual event. Methods: A convenience sample of men (n = 440) was recruited via advertisements in newspapers (two urban and one small town) and a blog on the website of a condom sales company. Men completed a questionnaire posted on the website of The Kinsey Institute for Research in Sex, Gender, and Reproduction. Inclusion criteria were that participants were: at least 18 years old; used condoms for penile-vaginal intercourse in the past 3 months; and able to read English. Results: In controlled, event-specific analyses, men reporting that they did not have sufficient time for condom application were~three times more likely to report breakage and~2.4 times more likely to report slippage. In addition, men who reported that they lacked time for condom application were~2.4 times more likely to experience any of nine sexual problems, 3.4 times more likely to report difficulty with erection, 2.1 times more likely to report reduced sexual pleasure, 2.2 times more likely to report reduced sexual pleasure of their female partner and 2.6 times more likely to report that the condom irritated their partner's vagina. Conclusions: This is the first study using an event-specific analysis to examine the effect of not having enough time for condom application on condom breakage, slippage and several outcomes related to sexual pleasure. Sexually transmissible infections and pregnancy prevention messages should include recommendations to men to take their time applying condoms.

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Section: Discussionsupporting

confidence: 46%

Problems with condoms may be reduced for men taking ample time to apply them

et al. 2010

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“…56,68 Such design innovations in condoms are being made in an effort to make use more acceptable to broad populations of prospective users for STI prevention. [69][70][71][72] Though still representing a very small fraction (~0.2%) of the worldwide condom market, 73 condoms designed to be worn by women serve a specific need for female-controlled barriers, and are increasing in popularity and availability. 72 From a marketing standpoint, traditional condom marketing that focusses on the value of condoms in preventing STI (or unintended pregnancy) may need to be replaced by or supplemented with marketing that emphasises that sexual satisfaction is possible with the use of condoms for both men and women.…”

Section: Potential Solutionsmentioning

confidence: 99%

Condom use around the globe: how can we fulfil the prevention potential of male condoms?

2012

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“…Regular and consistent users may be up to 10Á20 times less likely to become infected when exposed to the virus than are inconsistent and non-users (European Study Group, 1992;Trussel, Warner, & Hatcher, 1992) and this protection holds in the more risky receptive vaginal and anal sex as well as in the insertive penile role.…”

Section: Introductionmentioning

confidence: 99%

Condom use and other HIV risk issues among Nigerian soldiers: challenges for identifying peer educators

Okulate¹,

Jones²,

Olorunda³

2008

AIDS Care

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Most Nigerian soldiers acknowledge the usefulness of condoms in HIV prevention, but few use them in sexual relationships. Identification of soldiers low in HIV-risk behaviours, particularly regular condom use, to function as peer educators appears desirable. We therefore sought to identify HIV-risk issues among a group of Nigerian soldiers. Male soldiers were more likely to be older, married and living alone than their female counterparts. Female soldiers had had better education than the males but, in spite of that, alcohol use and sexual relationships in the context of alcohol were widespread with no difference between the genders. However, alcohol abuse as detected in 22-27% of the soldiers was more likely to be a male problem. Having more than one sex partner did not distinguish the male soldiers from the females. Consistent condom use was uncommon, found in only 16-20%, with no difference between genders. Married persons (more likely to be males) were more guilty of no or inconsistent condom use. Although this study has failed to recognise who might be potential peer educators based on their non-risky behaviours, it has highlighted some important inadequacies in the Army health education campaign programme with respect to HIV/AIDS issues. Large-scale interventions, including more extensive condom promotion, training large numbers of peer educators, promoting ingenious ways of female self-protection from the highly dominant males and encouraging further research have been advocated.

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Condom Slippage and Breakage Rates

Cited by 74 publications

References 0 publications

Problems with condoms may be reduced for men taking ample time to apply them

Problems with condoms may be reduced for men taking ample time to apply them

Condom use around the globe: how can we fulfil the prevention potential of male condoms?

Condom use and other HIV risk issues among Nigerian soldiers: challenges for identifying peer educators

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