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Condom failure among adolescents: implications for STD prevention.

Richard A Crosby1, Ralph J DiClemente, Gina M Wingood

  • 1Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA. crosby@uky.edu

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|May 20, 2005
PubMed
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Condom failure affects over a third of adolescents, increasing sexually transmitted disease (STD) risk. Each instance of condom failure raises STD diagnosis odds by 22%.

Area of Science:

  • Adolescent health
  • Sexual and reproductive health
  • Epidemiology

Background:

  • Condom use is a primary method for preventing sexually transmitted diseases (STDs) and unintended pregnancies.
  • Adolescent populations often face unique challenges in consistent and correct condom use.
  • Understanding factors associated with condom failure is crucial for public health interventions.

Purpose of the Study:

  • To investigate the prevalence of condom failure in a sample of adolescents.
  • To determine the association between the frequency of condom failure and sexually transmitted disease (STD) diagnosis.

Main Methods:

  • A cross-sectional study was conducted with 921 adolescent participants.
  • Data were collected on condom use, condom failure incidents within the past 90 days, and STD diagnoses.

Related Experiment Videos

  • Statistical analysis, including adjusted odds ratios (AOR), was used to assess the association between condom failure and STD diagnosis.

    • Main Results:

    • At least one-third of the 921 adolescents reported condom failure in the past 90 days, irrespective of gender.
    • A positive association was found between the frequency of condom failure and STD diagnosis (AOR = 1.22, 95% CI = 1.01-1.48).
    • Each additional event of condom failure was linked to a 22% increase in the odds of testing positive for an STD.

    Conclusions:

    • Condom failure is a significant issue among adolescents, impacting sexual health outcomes.
    • Increased frequency of condom failure is a risk factor for sexually transmitted disease diagnosis in this age group.
    • Public health strategies should address barriers to effective condom use and promote safer sexual practices among adolescents.