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  • Title: Reasons for condom utilization among high-risk adolescent girls.
    Author: Rosenthal SL, Biro FM, Succop PA, Baker JG, Stanberry LR.
    Journal: Clin Pediatr (Phila); 1994 Dec; 33(12):706-11. PubMed ID: 7874822.
    Abstract:
    Two hundred forty-eight adolescent girls responded to a list of 30 statements describing reasons for using and not using condoms. For 24 of the statements, most adolescents (> 70%) gave the same response regarding why they did or did not use condoms. Therefore, only the six remaining statements were used in further analyses. The relationship between the six statements and psychosexual history, condom use, and sexually transmitted disease (STD) history was examined. Those adolescent girls who had been sexually active longer were more likely to report lack of enjoyment as a reason that they did not use condoms (P < .03), and those adolescents who had been sexually active less time were more likely to report personal (P < .005) and partner (P < .0006) enjoyment of sex with condoms as a reason for using condoms. Longer relationships before intercourse were associated with having condoms available (P < .01) and partner insistence on their use (P < .02). Partner insistence on condom use was related to fewer episodes of sexually transmitted diseases (P = .03). These findings indicate the importance of relationship and partner variables in adolescent girls' perceptions of condom use. At a clinic for urban adolescents in Cincinnati, Ohio, interviews were conducted with 248 sexually active female adolescents to determine reasons for using and not using condoms in relation to their psychosexual history. 80% were African-Americans; 20% were Caucasians. More than 70% of the adolescents answered 24 of 30 survey items the same way, so the researchers examined the relationship between the six remaining items and psychosexual history, condom use, and sexually transmitted diseases (STDs). Teens who had engaged in sexual intercourse for a shorter period of time were more likely to cite own and partner's enjoyment of sex with condoms as reasons they used condoms (p = 0.005 and 0.0006, respectively). Those who had been sexually active for a longer period were more likely to report that they did not use condoms because condoms interfered with pleasure (p = 0.03). Teens who said that they used condoms because their partners insisted on it tended to have been sexually active for a shorter period of time (p = 0.001) and had a longer relationship with their partner before engaging in sexual intercourse (p = 0.02). Teens who said that availability of condoms was a reason for using condoms were more likely to have a longer relationship before engaging in sexual intercourse (p = 0.01). Teens who said that they did not use condoms because condoms were not available tended to have a shorter relationship prior to sexual intercourse than their counterparts (p = 0.0001). Lack of enjoyment of sex with condoms and partner insistence on using condoms were associated with condom use at last intercourse (odds ratio [OR] = 3.098, p 0.0001, and OR = 2.799, p 0.0002, respectively). Partner insistence on condom use was associated with fewer episodes of STDs (OR = 1.668, p = 0.03). Use of oral contraceptives did not decrease condom use. These findings suggest that the relationship and partner affect adolescents' perceptions of condom use.
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