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  • Title: Planned condom use among women undergoing tubal sterilization.
    Author: Sangi-Haghpeykar H, Poindexter AN.
    Journal: Sex Transm Dis; 1998 Aug; 25(7):335-41. PubMed ID: 9713911.
    Abstract:
    BACKGROUND AND OBJECTIVES: Women who are undergoing tubal sterilization are at risk for various sexually transmitted diseases (STDs) if they do not use a barrier method of contraception. There is a paucity of data concerning dual use of condoms among sterilized women. GOAL: Planned use of condoms for protection against STDs was examined among 2,782 women undergoing surgical sterilization from 1991 to 1996. STUDY DESIGN: Cross-sectional survey. RESULTS: Planned condom use increased significantly over the 6-year study period. Of women who were using condoms before sterilization (n = 646), nearly half indicated no plans to do so after becoming sterilized. Thus, 11% of the total sample experienced an increased risk for exposure to human immunodeficiency virus or other STDs. Condom abandonment was significantly higher among Hispanic and married women. Multiple regression analysis was used to examine the association between condom use and various characteristics. Factors associated with future condom use were younger age, black ethnicity, being unmarried, previous STD, not having a steady partner, higher number of previous sexual partners, having used condoms for disease prevention in the past, and lack of partner involvement in the decision to undergo sterilization. CONCLUSIONS: Use of condoms among sterilized women appears to be on the rise, women at higher risk for disease are more likely than others to be using condoms, and only a small group of women experience an increased risk for exposure to disease as a result of selecting this permanent method of contraception. Women undergoing tubal sterilization are at risk of various sexually transmitted diseases (STDs) if they do not use a barrier method of contraception. The authors investigated the planned use of condoms for protection against STDs among 2782 women undergoing surgical sterilization during 1991-96 at the Baylor College of Medicine in Houston, Texas. The women were 18-50 years old (mean age, 30.3 years); 62% were Hispanic, 20% Black, and 17% White. 31% reported being unmarried, the mean level of educational attainment was 9.8 years, and 20% had a known risk factor for HIV. 646 of the women reported regular condom use during the 3 months before being sterilized, of whom 45% had no plans to continue their practice after becoming sterilized. 11% of the total sample therefore planned to stop using condoms once sterilized. Among Hispanic, White, and Black women, respectively, 55%, 36%, and 18% planned to stop condom use once sterilized. Also, among former condom users, 54% of married women and 21% of unmarried women planned to abandon condom use. Factors found through multiple regression analysis to be associated with future condom use were younger age, being Black, unmarried status, having previously had a STD, not having a steady sex partner, having a relatively higher number of previous sex partners, having ever used condoms to prevent disease, and lack of partner involvement in the decision to be sterilized. The planned future use of condoms among women undergoing sterilization increased steadily and significantly from 1991 to 1996, irrespective of age, marital status, or ethnic background.
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