We have almost no data on how
and when couples stop using condoms. This qualitative study investigated the
process of condom discontinuation.
From November 2013 to April 2014, a total of
25 women living in a college town in the Midwest, ages 18 to 25, participated
in semi-structured interviews centered around three domains: partner
interactions, contraceptive use, and sexually transmitted infection (STI)
prevention. Analysis followed a critical qualitative research orientation.
Participants described actively seeking the best options to prevent pregnancy,
perceiving condom discontinuation in favor of hormonal methods as a smart
decision, and reported wanting to discontinue using condoms due to physical
discomfort. Oftentimes, nonverbal communication around contextual instances of
condom unavailability paved the way for discontinuation.
Participants indicated
the decision to stop using condoms was neither deliberate nor planned. Condom
discontinuation rarely occurred at one point in time; instead, it was preceded
by a period of occasional use.
Even after participants described themselves as
not using condoms, sporadic condom use was normal (typically related to
fertility cycles). This study provides a more detailed understanding of how and
why emerging adults negotiate condom discontinuation, thereby enhancing our
ability to design effective condom continuation messages.
Attention should be paid
to helping emerging adults think more concretely about condom discontinuation.
Purchase full article at: http://goo.gl/xQ8x0c
By:
- 1 HIV Center for Clinical and Behavioral Studies , Columbia University and New York State Psychiatric Institute.
- 2 Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University-Bloomington and Department of Gender Studies , Indiana University-Bloomington.
- 3 Department of Counseling and Educational Psychology, School of Education , Indiana University-Bloomington.
- 4 Department of Gender and Women's Studies , University of Wisconsin-Madison.
- 5 Department of Pediatrics , Indiana University-Indianapolis.
- 6 Center for Sexual Health Promotion , Indiana University-Bloomington.
- J Sex Res. 2016 Mar 16:1-9.
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