Correlates of incorrect condom use among depressed young women: an event-level analysis.
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Date
2011-01-25
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Abstract
STUDY OBJECTIVE Depressed young women are at particularly high risk of sexually transmitted infections STIs yet little is known about their condom use practices This study sought 1 to describe condom use errors among depressed adolescent and young adult women and 2 to identify event and individual level correlates of incorrect use DESIGN Depressed sexually active outpatients ages 15 22 responded to a computer based questionnaire then reported on penile vaginal sex events on a handheld computer several times a day for two weeks For each sex event with a condom incorrect condom use was defined as a response indicating incorrect use on at least one of five questions Event and individual level correlates of incorrect use were analyzed using logistic regression adjusted for age and within individual clustering SETTING Participants were recruited from two adolescent clinics a psychiatric clinic and a young parents program of an urban children s hospital and collected data in the settings of their everyday lives PARTICIPANTS Thirty one young women contributed 143 condom use events to these analyses INTERVENTIONS None MAIN OUTCOME MEASURE Incorrect condom use RESULTS Incorrect condom use was reported for 51 of condom use events The most common error was not holding the condom on withdrawal 31 Having sex to change mood to relax or for physical pleasure increased the odds of incorrect condom use but was no longer significant when individual level variables were included in the model In the multiple logistic regression model impulsiveness increased and stronger belief that mood affects sexual behaviors decreased the odds of incorrect condom use adjusted OR 1 3 and 0 81 respectively CONCLUSIONS Even if they use condoms depressed adolescent and young adult women are at increased risk of STIs because they frequently use condoms incorrectly Psychological factors may help identify depressed young women who are at particularly high risk of incorrect condom use
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Keywords
Women (only), Young people (10-24 years), Client, Access to information or data, Disabled, Pilot, Feasibility, Contraception, Mental health, Treatment adherence, Data collection and reporting, Text, Digital form