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Condom Acquisition, Errors, and Breakage among U.S. Cisgender College Students
Scott M Butler1, Sara B Oswalt2, Charmayne M L Hughes3
1School of Health & Human Performance, Georgia College & State University, Milledgeville, GA, USA.
Archives of Sexual Behavior
|September 20, 2024
Summary
College students frequently get condoms off-campus, with errors and breakage common. Unpartnered students experienced more errors, and specific usage mistakes predicted breakage, highlighting needs for better sexual health education.
Area of Science:
- Public Health
- Sexual Health
- Sociology
Background:
- High rates of sexually transmitted infections and unplanned pregnancies persist among young adults.
- Low condom use is a significant contributing factor to these public health issues.
Purpose of the Study:
- To investigate condom acquisition, errors, and breakage among United States cisgender college students.
- To identify factors influencing condom use practices and challenges.
Main Methods:
- A survey was conducted among 1584 cisgender college students who used external condoms in the past year.
- Data collected on condom acquisition locations, errors, and breakage predictors prior to the COVID-19 pandemic.
Main Results:
- Condoms were most frequently acquired off-campus, with variations by gender and relationship status.
- Condom errors were common; unpartnered students reported errors more frequently than partnered students.
- Relationship status, incorrect application, delayed application, removal during sex, slippage, and fit issues predicted condom breakage.
Conclusions:
- Findings offer insights into college students' condom acquisition and usage patterns.
- Results can guide healthcare providers and sexuality educators in addressing student needs for improved condom use and reduced STI/unplanned pregnancy rates.
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