Condom Misuse Among Adjudicated Girls: Associations with Laboratory-Confirmed Chlamydia and Gonorrhea

Abstract Objectives To identify the prevalence of condom use errors among detained female teens and to test two inter-related hypotheses concerning condom failure. Methods A cross-sectional survey of 134 female teens recruited within eight detention facilities. Measures were collected using audio-co...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2007-12, Vol.20 (6), p.339-343
Main Authors: Crosby, Richard, PhD, Salazar, Laura F., PhD, DiClemente, Ralph J., PhD, Yarber, William L., HSD, Caliendo, Angela M., MD, PhD, Staples-Horne, Michelle, MD
Format: Article
Language:English
Subjects:
Adjudication
Adolescent
Chlamydia Infections - epidemiology
Condoms
Condoms - utilization
Contraception Behavior
Cross-Sectional Studies
Female
Female Teens
Gonorrhea - epidemiology
Humans
Obstetrics and Gynecology
Pediatrics
Prevalence
Prisoners - psychology
Risk Factors
Southeastern United States - epidemiology
STDs
Substance-Related Disorders - psychology
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Summary:Abstract Objectives To identify the prevalence of condom use errors among detained female teens and to test two inter-related hypotheses concerning condom failure. Methods A cross-sectional survey of 134 female teens recruited within eight detention facilities. Measures were collected using audio-computer assisted self-interviewing. Assessment for the presence of C. trachomatis and N. gonorrhoeae was also conducted. Results Five forms of condom use errors/problems were common: not discussing condom use with the partner (34.3%), not having a condom when one was desired (48.5%), starting sex before application (21.6%), removing condoms before sex concludes (26.9%), and breakage (32.8%). Significant, associations were found between condom errors/problems and drug/alcohol use. Errors/problems with condom use were significantly higher among teens diagnosed with an sexually transmitted disease (STD) ( P = 0.039 for an index measure; P = 0.022 for a single-item measure). Conclusions Findings suggest that detained female teens may have experienced multiple condom use error and problems thereby increasing their vulnerability to STD acquisition.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2007.09.001