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American Journal of Men's Health
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Correlates of Putting Condoms On After Sex Has Begun and of Removing Them Before Sex Ends: A Study of Men Attending an Urban Public STD Clinic

William L. Yarber, HSD

Indiana University, Bloomington, Indiana, yarber{at}indiana.edu

Richard A. Crosby, PhD

Indiana University, Bloomington, Indiana, University of Kentucky

Cynthia A. Graham, PhD

Indiana University, Bloomington, Indiana, Oxford Doctoral Course in Clinical Psychology, Warneford Hospital, Oxford, United Kingdom

Stephanie A. Sanders, PhD

Indiana University, Bloomington, Indiana

Janet Arno, MD

Bell Flower Clinic, Indianapolis, Indiana

Rose M. Hartzell, MS

Indiana University, Bloomington, Indiana

Kimberly McBride, PhD

Indiana University, Bloomington, Indiana

Robin Milhausen, PhD

University of Guelph, Guelph, Ontario, Canada

Lindsay Brown, MS

Boston Medical Center, Boston, Massachusetts

Laurie J. Legocki, MS

Indiana University, Bloomington, Indiana

Martha Payne, MPH

Substance Abuse and Mental Health Services Administration, Indianapolis, Indiana

Alexis Rothring, MS

San Carlos Park and Rescue District, Fort Myers, Florida

This study aimed to identify possible correlates of putting condoms on after sex has begun and taking them off before sex has ended among male patients of an urban, public sexually transmitted disease clinic. Participants responded to a questionnaire and were largely African American men, 18 to 35 years old, who had used a condom during penile-vaginal intercourse at least three times in the past 3 months. In controlled analyses, men who were not highly motivated to use condoms correctly were nearly twice as likely to put a condom on after sex had begun. Men who reported erection loss during sex were about twice as likely to remove condoms before sex ended. Men reporting difficulties with the fit and feel of condoms were 2.5 times more likely to remove condoms early. Identified correlates may be amenable to clinic-based education and counseling augmented by offering a variety of condom brands and sizes to patients.

Key Words: condoms • men • sexually transmitted diseases • prevention

This version was published on September 1, 2007

American Journal of Men's Health, Vol. 1, No. 3, 190-196 (2007)
DOI: 10.1177/1557988307301276


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