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Am J Obstet Gynecol. 2007 Nov;197(5):474.e1-8. Epub 2007 Aug 21.

Women at risk for sexually transmitted diseases: correlates of intercourse without barrier contraception.

Author information

  • 1Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO, USA.

Abstract

OBJECTIVE:

The purpose of this study was to evaluate the correlates of vaginal intercourse without barrier contraception (unprotected intercourse).

STUDY DESIGN:

Baseline data from a randomized trial were analyzed to evaluate factors that are associated with intercourse without barrier method use among women < 35 years old. Logistic regression models provided estimates of the association of demographic, reproductive, and sexual history variables with unprotected intercourse.

RESULTS:

Intercourse without barrier contraception was common; 65% of participants had > or = 2 episodes of intercourse without barrier contraception use in the past month. Factors that were associated with increased odds of unprotected intercourse included the number of coital episodes, a male partner's unwillingness to use condoms (adjusted odds ratio, 4.1; 95% CI, 2.3-6.9), and, among women < 20 years old, low condom use self-efficacy score (adjusted odds ratio, 1.6; 95% CI, 1.0-2.9).

CONCLUSION:

Risk factors for unprotected intercourse included coital frequency and the male partner's unwillingness to use condoms. Self-efficacy for condom use was especially important for women < 20 years old.

PMID:
17714677
[PubMed - indexed for MEDLINE]
PMCID:
PMC2175265
Free PMC Article
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