AIDS and Behavior

, Volume 18, Issue 1, pp 128–134 | Cite as

Correlates of Condom-Associated Erection Problems in Young, Heterosexual Men: Condom Fit, Self-Efficacy, Perceptions, and Motivations

  • Stephanie A. Sanders
  • Brandon J. HillEmail author
  • Richard A. Crosby
  • Erick Janssen
Brief Report


Questionnaire data from 479 heterosexual men 18–24 years old were analyzed for correlates of CAEP during application (CAEP-Application) and CAEP during penile-vaginal intercourse (CAEP-PVI). Potential correlates were self-efficacy (condom application, product selection, and maintaining arousal), condom perceptions (condom worry/distraction, negative condom perceptions, concerns about application speed), condom fit, and motivation to use condoms. We conclude that (1) experiencing CAEP may become a repeating cycle, both affecting and being affected by, worry and distraction related to losing erections and maintaining arousal while using a condom (2) poorly fitting condoms may contribute to CAEP, and (3) CAEP may decrease motivation to use condoms.


Condoms Condom use Erection problems Condom self-efficacy Condom perceptions 


Datos del cuestionario hecho a 479 hombres heterosexuales entre 18 y 24 años fueron analizados para los correlatos de CAEP (problemas de erección asociados al condón) durante la colocación (Colocación -CAEP) y CAEP durante el coito vaginal (CAEP-PVI*). Los correlatos potenciales fueron la auto-eficacia (colocación del preservativo, selección del producto y el mantenimiento de la excitación), la percepción del condón (preocupación/distracción, percepción negativa del condón, preocupación acerca de la velocidad para colocar el condón), el ajuste del condón, y la motivación para usarlo. Concluimos que (1) experimentar CAEP puede convertirse en un ciclo repetitivo, afectando tanto como ser afectado por la preocupación y distracción relacionada a la pérdida de erecciones y el mantenimiento de la excitación durante el uso de un condón (2) condones mal ajustados pueden contribuir a CAEP, y (3) CAEP puede disminuir la motivación para usar condones.



Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health under Award Number R21 HD 060447 E. Janssen and S.A. Sanders (PIs). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Stephanie A. Sanders
    • 1
    • 2
    • 3
  • Brandon J. Hill
    • 1
    • 2
    Email author
  • Richard A. Crosby
    • 1
    • 3
    • 4
  • Erick Janssen
    • 1
  1. 1.The Kinsey Institute for Research in Sex, Gender, and ReproductionBloomingtonUSA
  2. 2.Department of Gender StudiesIndiana UniversityBloomingtonUSA
  3. 3.Rural Center for AIDS/STD Prevention, Indiana UniversityBloomingtonUSA
  4. 4.Department of Health BehaviorCollege of Public Health, University of KentuckyLexingtonUSA

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