RT Journal Article
SR Electronic
T1 A longitudinal daily diary analysis of condom use during bleeding-associated vaginal sex among adolescent females
JF Sexually Transmitted Infections
JO Sex Transm Infect
FD BMJ Publishing Group Ltd
SP 337
OP 339
DO 10.1136/sextrans-2015-052139
VO 92
IS 5
A1 Devon J Hensel
A1 Amanda E Tanner
A1 Ashley Sherrow
A1 J Dennis Fortenberry
YR 2016
UL http://sti.bmj.com/content/92/5/337.abstract
AB 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.