, Volume 39, Issue 1, pp 3-4
Date: 17 Sep 2009

Sparse Evidence for the Association between Lack of Condom Use and Better Mental Health: Reply to Costa and Brody (2009)

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We wish to thank Costa and Brody (2009) for their thoughtful comments and concerns regarding our recent study on the relationships between sexual behaviors (age at first intercourse, frequency of condom use, and number of sexual partners) and a range of DSM-IV mental disorders and suicidal behavior in the National Comorbidity Survey Replication (Mota, Cox, Katz, & Sareen, 2009). However, some of their arguments are worthy of further discussion.

First, Costa and Brody argue for the relationship between sexual intercourse without condoms and better mental health, and cite selected studies demonstrating an association between less frequent condom use and less depressive symptomatology and suicide attempts (Gallup, Burch, & Platek, 2002; Morrill, Ickovics, Golubchikov, Beren, & Rodin, 1996; Smit et al., 2006). These associations are in the opposite direction of our own findings in never married adult participants. However, a closer look at the three studies referenced by Costa and Brody rev