The Role of Young Adults’ Pleasure Attitudes in Shaping Condom Use

Higgins, Jenny A.; Wang, Yu

doi:10.2105/ajph.2015.302567

Cited by 59 publications

(38 citation statements)

References 18 publications

(17 reference statements)

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“…Condoms can interpose a mechanical barrier, limit physical contact, reduce tactile sensation, attenuate heat transduction, or affect other aspects of sexual functioning masculine and feminine [71]. Studies support the hypothesis that persons who believe condoms interfere with pleasure or reduce pleasure, or who rate condom-protected sex as less enjoyable or pleasurable than unprotected sex may be less likely to use condoms in practice, and conversely [72][73][74][75]. This double profile emphasizes the role of cognition or emotion as important factors in the decision process [5,33,[76][77][78].…”

Section: Discussionmentioning

confidence: 93%

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

2016

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Heterosexual transmission represents 26 % of newly diagnosed infection in Spanish youth. Behavioral change models have emphasized the influence of multiple variables to predict condom use behavior. The aim of this study is to examine how those variables are organized and which theory explains the condom use behavior better. A sample of 424 young heterosexuals (M age = 20.62; SD = 2.16) filled out a battery of self-report questionnaires for assessing AIDS-related variables, personality traits and clinical variables (general, sexuality-related and health-related). A structural model was specified that included perceived pleasure and condom use self-efficacy as predictive variables. Depression and sexual compulsivity indirectly influence behavior. The final model accounted for 65.9 % of the variance in behavior. These results highlight the importance of cognitive and emotional variables as predictors of behavior (ex. expectations of pleasure and self-efficacy beliefs). This is important information for designing effective psychological interventions.Resumen La transmisión heterosexual representa el 26 % de los nuevos diagnósticos de VIH en los jóvenes españoles. Los modelos de cambio de comportamiento han enfatizado la influencia de múltiples variables para predecir el uso del preservativo. El objetivo del presente estudio es examinar cómo se organizan estas variables y qué teoría explica mejor esta conducta. Una muestra de 424 jóvenes heterosexuales (x edad = 20.62; SD = 2.16) completó una batería de cuestionarios sobre Sida, rasgos de personalidad y variables clínicas (generales, sexuales y de salud). Los resultados obtenidos utilizando modelos de ecuaciones estructurales apoyan una relación directa entre uso del preservativo y autoeficacia y placer percibido. Las variables depresión y compulsividad sexual influyen indirectamente sobre la conducta. El modelo explica el 65.9 % de la varianza. Estos resultados destacan la importancia de las variables cognitivas y emocionales como predictoras del comportamiento. Esta información es importante para el diseño de intervenciones psicológicas eficaces.

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Section: Discussionmentioning

confidence: 93%

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

2016

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“…As has been well documented in the literature on safer sex (e.g., Crosby, Yarber, Sanders & Graham, 2005;Higgins & Wang, 2015), the belief or experience that condoms reduce sexual pleasure was a disincentive to using condoms. Jack (64 yrs, heterosexual, married), for example, said that he "enjoy[s] sex more without a condom."…”

Section: Barriers To Safer Sexmentioning

confidence: 86%

Safer Sex in Later Life: Qualitative Interviews With Older Australians on Their Understandings and Practices of Safer Sex

Fileborn

Brown

Lyons

et al. 2017

The Journal of Sex Research

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Rates of sexually transmitted infections (STIs) are increasing in older cohorts in Western countries such as Australia, the U.K. and the U.S., suggesting a need to examine the safer sex knowledge and practices of older people. This article presents findings from 53 qualitative interviews from the study "Sex, Age & Me: a National Study of Sex and Relationships Among Australians aged 60+." Participants were recruited through an online national survey.We consider how participants understood "safer sex," the importance of safer sex to them, the safer sex practices they used (and the contexts in which they used them), and the barriers to using safer sex. Older adults had diverse understandings, knowledge, and use of safer sex practices, although participants tended to focus most strongly on condom use. Having safer sex was strongly mediated by relationship context, trust, perceived risk of contracting an STI, concern for personal health, and stigma. Common barriers to safer sex included erectile difficulties, embarrassment, stigma, reduced pleasure, and the lack of a safer sex culture among older people. The data presented has important implications for sexual health policy, practice, and education and health promotion campaigns aimed at improving the sexual health and wellbeing of older cohorts.

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“…For example, while we did not directly measure reasons for condom failure in this study, the association of the association of sexual interest with greater breakage/slippage during both vaginal and during anal sex could represent less careful condom application around concerns of reduced sexual pleasure or sexual enjoyment. The idea that an adolescent women can evaluate the sexual qualities of a relationship, and that evaluation directly impacts STI risk, although well established in adult women, 27 is virtually unaddressed in the adolescent STI literature. 28 Providers who directly and regularly revisit solutions for adolescent women’s and their partners’ ongoing concerns about sexual pleasure in the context of condom use – including condom texture or feel issues, vaginal lubrication, or integrating other pleasurable sexual activities – could directly reduce condom breakage and/or slippage.…”

Section: Discussionmentioning

confidence: 99%

A Daily Diary Analysis of Condom Breakage and Slippage During Vaginal Sex or Anal Sex Among Adolescent Women

Hensel¹,

Selby²,

Tanner³

et al. 2016

Sexual Trans Dis

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Background Adolescent women Adolescent women are disproportionately impacted by the adverse outcomes associated with sexual activity, including sexually transmitted infections (STI). Condoms as a means of prevention relies upon use that is free of usage failure, including breakage and/or slippage. This study examined the daily prevalence of and predictors of condom breakage and/or slippage during vaginal sex and during anal sex among adolescent women. Methods Adolescent women (N=387; 14 to 17 years) were recruited from primary care clinics for a longitudinal cohort study of STIs and sexual behavior. Data were daily partner-specific sexual diaries. Random intercept mixed effects logistic regression was used to estimate the fixed effect of each predictor on condom breakage/slippage during vaginal or during anal sex (Stata, 13.0), adjusting model coefficients for the correlation between repeated within-participant diary entries. Results Condom slippage and/or breakage varied across sexual behaviors and was associated with individual-specific (e.g., age and sexual interest) and partner-specific factors (e.g., negativity). Recent behavioral factors (e.g., experiencing slippage and/or breakage in the past week) were the strongest predictors of current condom slippage and/or breakage during vaginal or anal sex Conclusion Factors associated with young women’s condom breakage/slippage during vaginal or during anal sex should be integrated as part of STI prevention efforts, and should be assessed as part of ongoing routine clinical care.

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The Role of Young Adults’ Pleasure Attitudes in Shaping Condom Use

Cited by 59 publications

References 18 publications

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

Safer Sex in Later Life: Qualitative Interviews With Older Australians on Their Understandings and Practices of Safer Sex

A Daily Diary Analysis of Condom Breakage and Slippage During Vaginal Sex or Anal Sex Among Adolescent Women

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