Article Text

PDF
Short report
A longitudinal daily diary analysis of condom use during bleeding-associated vaginal sex among adolescent females
  1. Devon J Hensel1,2,
  2. Amanda E Tanner3,
  3. Ashley Sherrow2,
  4. J Dennis Fortenberry1
  1. 1Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA
  2. 2Department of Sociology, Indiana University Purdue University-Indianapolis, Indianapolis, Indiana, USA
  3. 3Department of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina, USA
  1. Correspondence to Dr Devon J Hensel, Section of Adolescent Medicine, Indiana University School of Medicine, 410 West 10th Street, Room 1001, Indianapolis, IN 46202, USA; djhensel{at}iu.edu

Abstract

Objective Sex during bleeding is a risk factor for sexually transmitted infection (STI) and other bloodborne viruses, including HIV. We examined daily predictors of adolescent women's male condom use during bleeding-associated vaginal sex.

Methods Adolescent females (N=387; 14–17 years) were recruited from primary care clinics for a longitudinal cohort study of STIs and sexual behaviour. Data were daily partner-specific sexual diaries; generalised estimating equation logistic regression assessed the likelihood of condom use during bleeding-associated vaginal sex.

Results Less than 30% of bleeding-associated vaginal sex events were condom protected. Condom use during these events was less likely with younger age, higher partner support, higher partner negativity or past week bleeding-associated sex with a given partner; condom use was more likely with high individual mood and past week condom use during bleeding-associated vaginal sex with a given partner.

Conclusions Low condom rates during bleeding-associated vaginal sex can increase STI and bloodborne virus risk. Providers should consider integrating partner-specific and behavioural factors when they deliver sexual health messages to young women.

  • ADOLESCENT
  • SEXUAL BEHAVIOUR
  • CONDOMS
  • MENSTRUAL CYCLE

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.