Problems with condoms may be reduced for men taking ample time to apply them

Richard A. Crosby; Cynthia A. Graham; William L. Yarber; Stephanie A. Sanders

doi:10.1071/SH09020

RESEARCH ARTICLE (Open Access)

Problems with condoms may be reduced for men taking ample time to apply them

Richard A. Crosby ^A ^C ^D ^G , Cynthia A. Graham ^A ^C ^E ^F , William L. Yarber ^A ^B ^C ^E and Stephanie A. Sanders ^A ^B ^C

+ Author Affiliations

- Author Affiliations

^A The Kinsey Institute for Research in Sex, Gender, and Reproduction, Morrison Hall 313, Indiana University, Bloomington, IN 47405, USA.

^B Department of Gender Studies, Memorial Hall E130, Indiana University, Bloomington, IN 47405, USA.

^C Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, IN 47405, USA.

^D College of Public Health at the University of Kentucky, 121 Washington Avenue, Suite 113, Lexington, KY 40506, USA.

^E Department of Applied Health Science, Indiana University, Bloomington, IN 47405, USA.

^F Oxford Doctoral Course in Clinical Psychology, University of Oxford, Oxford OX3 7JX, UK.

^G Corresponding author. Email: crosby@uky.edu

Sexual Health 7(1) 66-70 https://doi.org/10.1071/SH09020
Submitted: 26 February 2009 Accepted: 21 September 2009 Published: 15 February 2010

Abstract

Background: One potentially important antecedent of experiencing problems with condom use during penile-vaginal sex is the amount of time that men (and perhaps women) allow for condom application. To examine whether men reporting that ample time was available to apply a male condom (the last time a condom was used for penile-vaginal sex) were also less likely to report problems with condom use such as breakage, slippage and erection difficulties during that sexual event. Methods: A convenience sample of men (n = 440) was recruited via advertisements in newspapers (two urban and one small town) and a blog on the website of a condom sales company. Men completed a questionnaire posted on the website of The Kinsey Institute for Research in Sex, Gender, and Reproduction. Inclusion criteria were that participants were: at least 18 years old; used condoms for penile-vaginal intercourse in the past 3 months; and able to read English. Results: In controlled, event-specific analyses, men reporting that they did not have sufficient time for condom application were ~three times more likely to report breakage and ~2.4 times more likely to report slippage. In addition, men who reported that they lacked time for condom application were ~2.4 times more likely to experience any of nine sexual problems, 3.4 times more likely to report difficulty with erection, 2.1 times more likely to report reduced sexual pleasure, 2.2 times more likely to report reduced sexual pleasure of their female partner and 2.6 times more likely to report that the condom irritated their partner’s vagina. Conclusions: This is the first study using an event-specific analysis to examine the effect of not having enough time for condom application on condom breakage, slippage and several outcomes related to sexual pleasure. Sexually transmissible infections and pregnancy prevention messages should include recommendations to men to take their time applying condoms.

Additional keywords: erection, men, sexual pleasure, STI risk.

Acknowledgements

Support for this project was provided, in part, by the Rural Center for AIDS/STD Prevention, a joint project of Indiana University, University of Colorado and the University of Kentucky, and by The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University.

References

[1] Crosby RA, Graham CA, Yarber WL, Sanders SA. If the condom fits, wear it: a qualitative study of young African American men. Sex Transm Infect 2004; 80 306–9.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[2] Crosby RA, Salazar LF, DiClemente RJ, Yarber WL, Caliendo AM, Staples-Horne M. Accounting for failures may improve precision: evidence supporting improved validity of self-reported condom use. Sex Transm Dis 2005; 32 513–5.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[3] Crosby RA, Sanders S, Yarber WL, Graham CA, Dodge B. Condom use errors and problems among college men. Sex Transm Dis 2002; 29 552–7.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[4] Crosby RA, Sanders SA, Yarber WL, Graham CA. Condom use errors and problems: a neglected aspect of studies assessing condom effectiveness. Am J Prev Med 2003; 24 367–70.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[5] Crosby RA, DiClemente RJ, Yarber WL, Snow G, Troutman A. An event-specific analysis of condom breakage among African American men at risk of HIV acquisition. Sex Transm Dis 2008; 35 174–7.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[6] Crosby RA, Yarber WL, Sanders SA, Graham CA, Arno JN. Slips, breaks, and falls: condom errors and problems reported by men attending an STI clinic. Int J STD AIDS 2008; 19 90–3.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[7] Yarber WL, Crosby RA, Graham CA, Sanders SA, Arno JA, Hartzell RM, et al. Correlates of putting condoms on after sex has begun and removing them before sex ends: a study of men attending an urban public STD clinic. Am. J Men’s Health 2007; 1 190–6.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[9] Shlay JC, McClung MW, Patnaik JL, Douglas JM. Comparison of sexually transmitted disease prevalence by reported condom use: errors among consistent condom users seen at an urban sexually transmitted disease clinic. Sex Transm Dis 2004; 31 526–32.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[10] Civic D, Scholes D, Ichikawa L, Grothaus L, McBride CM, Yarnall KSH, et al. Ineffective use of condoms among young women in managed care. AIDS Care 2002; 14 779–88.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[11] Mertz KJ, Finelli L, Levine WC, Mognoni RC, Berman SM, Fishbein M, et al. Gonorrhea in male adolescents and young adults in Newark, New Jersey: implications of risk factors and patient preferences for prevention strategies. Sex Transm Dis 2000; 27 201–7.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[12] Macaluso M, Kelaghan J, Artz L, Austin H, Fleenor M, Hook EW, et al. Mechanical failure of the latex condom in a cohort of women at high STD risk. Sex Transm Dis 1999; 26 450–8.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[13] Warner L, Clay-Warner J, Boles J, Williamson J. Assessing condom use practices: implications for evaluating method and user effectiveness. Sex Transm Dis 1998; 25 273–7.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[14] Crosby RA, DiClemente RJ, Yarber WL, Snow G, Troutman A. Young African American men having sex with multiple partners are more likely to use condoms incorrectly: a clinic based study. J Men’s Health 2008; 2 340–3.
| Crossref | GoogleScholarGoogle Scholar |

[15] Richters J, Gerofi J, Donovan B. Why do condoms break or slip off in use? An exploratory study. Int J STI AIDS 1995; 6 11–8.
| CAS |

[16] Grimley DM, Annang L, Houser S, Chen H. Prevalence of condom use errors among STD clinic patients. Am J Health Behav 2005; 29 324–30.
| PubMed |

[17] Mukenge-Tshibaka L, Alary M, Geraldo N, Lowndes CM. Incorrect condom use and frequent breakage among female sex workers and their clients. Int J STD AIDS 2005; 16 345–9.
| PubMed |

[18] Yarber WL, Graham CA, Sanders SA, Crosby RA. Correlates of condom breakage and slippage among university undergraduates. Int J STD AIDS 2004; 15 467–72.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[19] Graham CA, Crosby RA, Yarber WL, Sanders SA, McBride K, Milhausen RR, et al. Erection loss in association with condom use among young men attending a public STI clinic: potential correlates and implications for risk behaviour. Sex Health 2006; 3 255–60.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[20] Sanders SA, Milhausen RM, Crosby RA, Graham CG, Yarber WL. Do phosphodiesterase type 5 inhibitors protect against condom-associated erection loss and condom slippage? J Sex Med 2009; 6 1451–6.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[22] Spruyt A, Steiner MJ, Joanis C, Glover LH, Piedrahita C, Alvarado G, et al. Identifying condom users at risk for breakage and slippage: findings from three international sites. Am J Public Health 1998; 88 239–44.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[23] Laumann EO , Gagnon JH , Michaels RT , Michael S . The social organization of sexuality. Sexual practices in the United States. Chicago: University of Chicago Press; 1994.

[24] Glasgow R, Vogt T, Boles S. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 1999; 89 1322–7.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |

[25] Green L, Glasgow R. Evaluating the relevance, generalization, and applicability of research: issues in external validation and translation methodology. Eval Health Prof 2006; 29 126–53.
| Crossref | GoogleScholarGoogle Scholar | PubMed |

[26] Yarber WL, Graham CA, Sanders SA, Crosby RA, Butler S, Hartzell R. “Do you know what you are doing?” College students’ experiences with male condoms. Am J Health Educ 2007; 38 322–31.