Correlates of Putting Condoms On After Sex Has Begun and of Removing Them Before Sex Ends: A Study of Men Attending an Urban Public STD Clinic

Yarber, William L.; Crosby, Richard A.; Graham, Cynthia A.; Sanders, Stephanie A.; Arno, Janet N.; Hartzell, Rose; McBride, Kimberly R.; Milhausen, Robin R.; Brown, Lindsay; Legocki, Laurie J.; Payne, Martha E.; Rothring, Alexis

doi:10.1177/1557988307301276

Cited by 21 publications

(28 citation statements)

References 19 publications

(24 reference statements)

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“…Further, the association between perceived pleasure loss and UAI reported by men in the insertive position is consistent with other literature tying condom use to condom fit and feel; condom discomfort by condom wearers has been linked to incomplete condom use during intercourse (e.g., early condom removal), 17,20,28 lower motivation for condom use, 17 and lower likelihood of condom use during anal intercourse. 18 Manufacturing companies' continued improvements in male condom texture, lubrication, and other physical properties as well as their production of condoms that vary by size and shape will help to accommodate diversity in tactile preferences and genital dimensions across male condom wearers.…”

Section: Discussionsupporting

confidence: 88%

The Pleasure Principle: The Effect of Perceived Pleasure Loss Associated with Condoms on Unprotected Anal Intercourse Among Immigrant Latino Men Who Have Sex with Men

Calabrese

Reisen

Zea

et al. 2012

AIDS Patient Care and STDs

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Sexual pleasure has been identified as an important consideration in decision-making surrounding condom use. We examined the impact of perceived pleasure loss associated with condom use on recent history of insertive and receptive unprotected anal intercourse (UAI) among Latino men who have sex with men (MSM) living in the United States. A total of 482 Dominican, Colombian, and Brazilian immigrant MSM were surveyed regarding sexual attitudes and practices via computer-assisted self-interviewing technology with audio enhancement (ACASI). Participants rated the pleasure they derived from protected and unprotected anal intercourse in each position (insertive and receptive) and also reported their HIV status, relationship status, and recent sexual history. Men who had engaged in both positions, with and without condoms (n = 268), perceived a greater pleasure loss associated with condoms during anal intercourse in the insertive versus receptive position. Logistic regression analyses controlling for HIV status, relationship status, and age revealed that men who perceived greater pleasure loss from condoms were more likely to have engaged in UAI over the past 3 months (n[insertive] = 297; n[receptive] = 284). Findings indicate that the pleasure loss associated with condoms may be a key deterrent for their use in either sex position among Latino MSM. Therefore, pleasure needs to be prioritized in the development of condoms and other sexual safety measures as well as in the promotion of their use.

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Section: Discussionsupporting

confidence: 88%

The Pleasure Principle: The Effect of Perceived Pleasure Loss Associated with Condoms on Unprotected Anal Intercourse Among Immigrant Latino Men Who Have Sex with Men

Calabrese

Reisen

Zea

et al. 2012

AIDS Patient Care and STDs

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“…[10][11][12][13][14][15][16] Seven studies reported the prevalence of late application as a proportion of condom use events, with estimates ranging from 1.5% to 24.8%. [16][17][18][19][20][21][22] Six studies reported early removal at the participant level, with prevalence ranging from 13.6% to 44.7%. 11,[13][14][15]19,23 Six studies reported early removal at the event level, with prevalence ranging from 1.4% to 26.9%.…”

Section: Resultsmentioning

confidence: 99%

“…[16][17][18][19][20][21][22] Six studies reported early removal at the participant level, with prevalence ranging from 13.6% to 44.7%. 11,[13][14][15]19,23 Six studies reported early removal at the event level, with prevalence ranging from 1.4% to 26.9%. [16][17][18][20][21][22] Finally, two studies reported a combined prevalence (either late application or early removal or both), ranging from 20.0% to 60.0% of participants.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding early removal of condoms, we know that issues related to arousal and pleasure and erectile difficulties can be the impetus for taking off condoms before sex is over. 19,22,54 Condom-associated erection difficulties have been surprisingly under-researched. Yet what evidence we have suggests that they may be of crucial importance in terms of their relationship to slippage, 54,57 and possibly to attitudes towards condoms and future use.…”

Section: Discussionmentioning

confidence: 99%

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Condom use errors and problems: a global view

et al. 2012

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Abstract. Background: Significantly more research attention has been devoted to the consistency of condom use, with far fewer studies investigating condom use errors and problems. The purpose of this review was to present the frequency of various condom use errors and problems reported worldwide. Methods: A systematic literature search was conducted for peer-reviewed articles, published in English-language journals between 1995 and 2011. Results: Fifty articles representing 14 countries met criteria for inclusion. The most common errors included not using condoms throughout sex, not leaving space at the tip, not squeezing air from the tip, putting the condom on upside down, not using water-based lubricants and incorrect withdrawal. Frequent problems included breakage, slippage, leakage, condom-associated erection problems, and difficulties with fit and feel. Prevalence estimates showed great variation across studies. Prevalence varied as a function of the population studied and the period assessed. Conclusion: Condom use errors and problems are common worldwide, occurring across a wide spectrum of populations. Although breakage and slippage were most commonly investigated, the prevalence of other condom use errors and problems found in this review were substantially higher. As a framework for understanding the role of condom errors and problems in inadequate protection, we put forward a new model: the Condom Use Experience model. This model can be used to generate testable hypotheses for future research. Addressing condom use errors and problems in research and interventions is crucial to closing the gap between the perfect use and typical use of condoms.Additional keywords: condom breakage, condom slippage, sexual behaviour, sexually transmissible infections.

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] Although much of this research has been descriptive, few studies have identified likely causes of these problems. 5,7,8,14 For example, allowing condoms to contact sharp objects, reporting problems with 'fit-and-feel' condoms and having low self-efficacy to use condoms correctly may predispose men to experience condom breakage. 8 Loss of erection and inadequate lubrication have been associated with slippage.…”

Section: Introductionmentioning

confidence: 99%

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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Correlates of Putting Condoms On After Sex Has Begun and of Removing Them Before Sex Ends: A Study of Men Attending an Urban Public STD Clinic

Cited by 21 publications

References 19 publications

The Pleasure Principle: The Effect of Perceived Pleasure Loss Associated with Condoms on Unprotected Anal Intercourse Among Immigrant Latino Men Who Have Sex with Men

The Pleasure Principle: The Effect of Perceived Pleasure Loss Associated with Condoms on Unprotected Anal Intercourse Among Immigrant Latino Men Who Have Sex with Men

Condom use errors and problems: a global view

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

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