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Sexual Behavior Patterns and Condom Use in Newly Sexually Active Female University Students.

Tessa S Fairfortune1, Joshua E Stern2, Barbra A Richardson2,3

  • 1HPV Research Group, Department of Epidemiology, University of Washington School of Public Health, 325 9th Ave., Box 359933, Seattle, WA, 98104, USA.

Archives of Sexual Behavior
|August 14, 2019
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Summary
This summary is machine-generated.

Newly sexually active college women show varied condom use. Older age and hormonal birth control decrease initial condom use, while partners with prior sexual experience encourage continued use.

Keywords:
CondomsFemalesNewly sexually activePartnerships

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Area of Science:

  • Public Health
  • Reproductive Health
  • Behavioral Science

Background:

  • Understanding sexual behavior patterns and condom use is crucial for preventing sexually transmitted infections (STIs) and unintended pregnancies among young adults.
  • Newly sexually active university students represent a key demographic for targeted sexual health interventions.
  • Previous research indicates inconsistent condom use in this population, highlighting the need for further investigation into influencing factors.

Purpose of the Study:

  • To describe sexual behavior patterns and condom use among newly sexually active female university students.
  • To identify factors associated with condom use at sexual debut and sustained condom use.
  • To inform public health strategies aimed at improving sexual health outcomes in college-aged women.

Main Methods:

  • A 4-year retrospective cohort study (2000-2007) involving 250 university women near sexual debut.
  • Participants utilized web-based biweekly sexual behavior diaries to record daily information on intercourse, condom use, and partner characteristics.
  • Statistical analyses included logistic regression for condom use at debut, Kaplan-Meier methods for time to condom non-use, and Cox proportional hazards ratios for associated factors.

Main Results:

  • Out of 27,736 intercourse events reported by 188 women, only 34.1% were condom-protected.
  • Older age (20+ years) and hormonal birth control use were linked to lower odds of condom use at sexual debut.
  • Women reporting partners with previous sexual partners were less likely to discontinue condom use after debut.

Conclusions:

  • Condom use remains suboptimal among newly sexually active female university students.
  • Older age and hormonal contraceptive use are associated with reduced condom use at first intercourse.
  • Engaging with sexually experienced partners may promote sustained condom use, suggesting potential avenues for intervention.