Correlates of incorrect condom use among depressed young women: an event-level analysis.

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dc.contributor.authorShrier, Lydia A
dc.contributor.authorWalls, Courtney
dc.contributor.authorLops, Christopher
dc.contributor.authorFeldman, Henry A
dc.date.accessioned2020-02-06T15:47:26Z
dc.date.available2020-02-06T15:47:26Z
dc.date.issued2011-01-25
dc.description.abstractSTUDY 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
dc.identifier.urihttp://dx.doi.org/10.1016/j.jpag.2010.04.002
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/830
dc.relation.uriJournal of pediatric and adolescent gynecology
dc.subjectWomen (only)
dc.subjectYoung people (10-24 years)
dc.subjectClient
dc.subjectAccess to information or data
dc.subjectDisabled
dc.subjectPilot
dc.subjectFeasibility
dc.subjectContraception
dc.subjectMental health
dc.subjectTreatment adherence
dc.subjectData collection and reporting
dc.subjectText
dc.subjectDigital form
dc.titleCorrelates of incorrect condom use among depressed young women: an event-level analysis.en
dcterms.abstractSTUDY 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
dcterms.contributorShrier, Lydia A
dcterms.contributorWalls, Courtney
dcterms.contributorLops, Christopher
dcterms.contributorFeldman, Henry A
dcterms.identifierhttp://dx.doi.org/10.1016/j.jpag.2010.04.002
dcterms.relationJournal of pediatric and adolescent gynecology
dcterms.subjectWomen (only)
dcterms.subjectYoung people (10-24 years)
dcterms.subjectClient
dcterms.subjectAccess to information or data
dcterms.subjectDisabled
dcterms.subjectPilot
dcterms.subjectFeasibility
dcterms.subjectContraception
dcterms.subjectMental health
dcterms.subjectTreatment adherence
dcterms.subjectData collection and reporting
dcterms.subjectText
dcterms.subjectDigital form
dcterms.titleCorrelates of incorrect condom use among depressed young women: an event-level analysis.en
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