How Condom Discontinuation Occurs

Interviews With Emerging Adult Women

Bibliographic Data

ID10207668
AuthorsMargo Mullinax (HIV Center for Clinical and Behavioral Studies, Columbia University and New York State Psychiatric Institute, corresponding author), Stephanie Sanders (Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University–Bloomington and Department of Gender Studies, Indiana University–Bloomington), Barbara Dennis (0000-0001-7917-1424, Indiana University Bloomington), Jenny Higgins (University of Wisconsin–Madison), J Dennis Fortenberry (0000-0001-6612-176X, Indiana University Indianapolis), Michael Reece (0000-0001-7758-2641, Indiana University Bloomington)
Year2016
Volume54
Issue4-5
Pages642-650
Publication date2016-03-16
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journal of Sex Research (JOURNAL)
Journal identifiersISSN: 0022-4499 • E-ISSN: 1559-8519
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00224499.2016.1143440
PMID26983682
OpenAlexW2228005056
LanguageEN
Citations received19
References cited55

We have almost no data on how and when couples stop using condoms. This qualitative study investigated the process of condom discontinuation. From November 2013 to April 2014, a total of 25 women living in a college town in the Midwest, ages 18 to 25, participated in semistructured interviews centered around three domains: partner interactions, contraceptive use, and sexually transmitted infection (STI) prevention. Analysis followed a critical qualitative research orientation. Participants described actively seeking the best options to prevent pregnancy, perceiving condom discontinuation in favor of hormonal methods as a smart decision, and reported wanting to discontinue using condoms due to physical discomfort. Oftentimes, nonverbal communication around contextual instances of condom unavailability paved the way for discontinuation. Participants indicated the decision to stop using condoms was neither deliberate nor planned. Condom discontinuation rarely occurred at one point in time; instead, it was preceded by a period of occasional use. Even after participants described themselves as not using condoms, sporadic condom use was normal (typically related to fertility cycles). This study provides a more detailed understanding of how and why emerging adults negotiate condom discontinuation, thereby enhancing our ability to design effective condom continuation messages. Attention should be paid to helping emerging adults think more concretely about condom discontinuation

Condom · Discontinuation · Family medicine · Human immunodeficiency virus (HIV · Adolescent Sexual and Reproductive Health · Gender Roles and Identity Studies · Gender, Labor, and Family Dynamics · Medicine · Psychology · Social Psychology