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Can condom users likely to experience condom failure be identified?

M Steiner1, C Piedrahita, L Glover

  • 1Family Health International, Research Triangle Park, N.C.

Family Planning Perspectives
|September 1, 1993
PubMed
Summary

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Condom failure, including breakage and slippage, occurred in 8.8% of uses. Previous condom use and educational background significantly impact condom reliability and failure rates.

Area of Science:

  • Sexual health research
  • Public health interventions

Background:

  • Condom use is a key strategy for preventing unintended pregnancies and sexually transmitted infections.
  • Understanding factors associated with condom failure is crucial for improving contraceptive efficacy and safer sex practices.

Purpose of the Study:

  • To investigate the incidence and predictors of condom failure (breakage and slippage) in a sample of couples.
  • To identify demographic and behavioral factors associated with increased risk of condom failure.

Main Methods:

  • A convenience sample of 177 couples was recruited.
  • Each couple used 11 condoms, and instances of breakage or slippage were recorded.
  • Statistical analyses, including adjusted odds ratios, were used to identify risk factors.
Keywords:
AmericasBarrier MethodsCondomContraceptionContraceptive EffectivenessContraceptive MethodsContraceptive UsageCouplesData AnalysisDeveloped CountriesEconomic FactorsEducational StatusFamily And HouseholdFamily CharacteristicsFamily PlanningKnowledgeNorth AmericaNorthern AmericaResearch MethodologyResearch ReportSocioeconomic FactorsSocioeconomic StatusUnited States

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Main Results:

  • Overall condom failure rate was 8.8% (5.3% breakage, 3.5% slippage).
  • Couples with no recent condom use were nearly twice as likely to experience failure.
  • Previous condom breakage significantly increased the risk of future failure (more than double).
  • Living situation and lower educational attainment were associated with higher failure risk among experienced users.

Conclusions:

  • Condom failure remains a significant concern, influenced by user experience and socioeconomic factors.
  • Targeted education and support may be beneficial for specific subgroups at higher risk of condom failure.
  • Further research is needed to explore the mechanisms behind these observed associations.