Condom use relative to knowledge of sexually transmitted disease prevention, method of birth control, and past or present infection
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The purpose of this study was to assess knowledge regarding STD spread and prevention, and to assess motivational and behavioral factors that influence the use of condoms to prevent STD acquisition among inner-city women at high risk for STD infection. In addition, the effect of past and/or current STD infection on a woman's knowledge of the mechanism of STD acquisition and subsequent use of a condom to prevent STD infection was explored. We utilized three inner-city clinics offering family planning or gynecologic care located in Brooklyn, New York. Our study linked clinical findings regarding current infection with chlamydia orTrichomonas vaginalis. One thousand four hundred and four sexually active black and Hispanic women participated in the study. A past history of STD (37%) or current infection (29%) was recorded for 54% of the study population (12% were positive for both past and current infection). On average, only 60% of women who reported prior treatment for STD infection reported receiving any information regarding prevention of re-infection during the course of treatment. Depending on the specific STD, from 6.8% to 42.9% of women reporting prior treatment for an STD did not know the disease they were being treated for was sexually transmitted. Condom use for disease prevention was more frequently reported by women who had previously been treated for an STD (OR=1.62, 95% CI 1.23-2.13). However, condom use for contraception was a stronger predictor of use for STD prevention. Women who relied on condoms for contraception were almost 10 times more likely to also report condom use for STD prevention relative to women who did not use condoms for contraceptive purposes (OR=9.71, 95% CI 7.0-13.5). In addition, condom use was associated with the perceived attitude of their sexual partner toward such use. Condom use to prevent STD acquisition was more than twice as frequently reported when a favorable attitude was perceived by a male sexual partner (OR=2.30, 95% CI 1.54−3.43). Our findings suggest that prevention of unplanned pregnancy was a stronger motivator for condom use than disease prevention among the women comprising our study group. The findings also indicate the need for more extensive information regarding STD prevention among women at high risk for STD acquisition. Health care providers must insure that the information they give is clear and easily understood by the patient population they serve. Health care providers must also emphasize the importance of developing behaviors that protect against both unwanted pregnancies and STD infection, and that this responsibility should be shared by both sexual partners.
- Stone, KM, Grimes, DA, Magder, LS (1986) Primary prevention of sexually transmitted diseases. JAMA 255: pp. 1763-1766 CrossRef
- Condoms for prevention of sexually transmitted diseases.MMWR, 1988 andJAMA 259: 1925–1927, 1988.
- Trussell, J, Hatcher, RA, Cates, W, Stewart, FH, Kost, K (1990) Contraceptive failure in the United States: an update. Stud Fam Plann 21: pp. 51-54
- Mosher, WD (1990) Contraceptive practice in the United States, 1982–1988. Fam Plann Perspect 22: pp. 198-205
- Mishell, DR (1989) Contraception. N Engl J Med 320: pp. 777-787
- Cates, W (1984) Sexually transmitted diseases and family planning: strange or natural bedfellows?. J Reprod Med 29: pp. 317-322
- Hearst, N, Hulley, SB (1988) Preventing the heterosexual spread of AIDS. JAMA 259: pp. 2428-2432 CrossRef
- Soskolne, V, Aral, SO, Magder, LS, Reed, DS, Bowen, GS (1991) Condom use with regular and casual partners among women attending family planning clinics. Fam Plann Perspect 23: pp. 222-225
- Jaccard J, Wilson T, Endias R, Minkoff H: Use of multiple contraceptive methods and increased risk for sexually transmitted disease. Submitted for publication.Fam Plann Perspect, 1992.
- Upchurch, DM, Farmer, MY, Glasser, D, Hook, EW (1987) Contraceptive needs and practices among women attending an inner-city STD clinic. Am Public Health Assoc 77: pp. 1427-1430
- Vessey, MP, Villard-Mackintosh, L., McPherson, K, Yeates, D (1988) Factors influencing use-effectiveness of the condom. Br J Fam Plann 14: pp. 40-43
- Wasser, SC, Aral, SO, Reed, DS, Bowen, GS (1989) Assessing behavioral risk for HIV infection in family planning and STD clinics: similarities and differences. Sex Transm Dis 16: pp. 178-183
- Roter, DL, Knowles, N, Somerfield, M, Baldwin, J (1990) Routine communication in sexually transmitted disease clinics: An observational study. Am J Public Health 80: pp. 605-606
- 1989 Sexually Transmitted Diseases Treatment Guidelines.MMWR 38:Suppl S-8, September 1, 1989.
- Condom use relative to knowledge of sexually transmitted disease prevention, method of birth control, and past or present infection
Journal of Community Health
Volume 19, Issue 6 , pp 395-407
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- Kluwer Academic Publishers-Human Sciences Press
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- Author Affiliations
- 1. Department of Preventive Medicine & Community Health, SUNY Health Science Center at Brooklyn, 450 Clarkson Avenue, Box 43, 11203, Brooklyn, New York
- 2. University at Albany, State University of New York, Albany, USA