Factors associated with condom use among at-risk women students and nonstudents seen in managed care.


Journal Article

OBJECTIVES: Sexually transmitted diseases (STD) research has focused on high-risk populations such as STD clinic patients and college students. This report examines predictors of unprotected sex among nonstudent women seen in primary care. STUDY DESIGN: Data are taken from the baseline survey of an intervention trial testing tailored print materials to encourage condom use. POPULATION: Eligible women were identified from automated databases of two managed care organizations and were ages 18-25, unmarried, heterosexually active in the prior 6 months, and not in a long-term monogamous relationship. OUTCOMES: The frequency of and relative contribution of risk behaviors to occurrences of unprotected vaginal sex were compared among non-full-time students (n=711) and full-time students (n=390). RESULTS: STD risk behaviors were prevalent and had similar associations with unprotected sex in both subsamples. Older age, using hormonal or no usual contraception, and having a "primary" partner increased unprotected sex; partner approval of condoms and having bought or carried condoms decreased unprotected sex. CONCLUSION: While sexually active single women seen in primary care perceive themselves at low STD risk, their risk profiles are similar to those of higher risk populations. Clinic-based interventions that include proactive identification of at-risk women and systems for encouraging safer sex practices are needed.

Full Text

Duke Authors

Cited Authors

  • Yarnall, KSH; McBride, CM; Lyna, P; Fish, LJ; Civic, D; Grothaus, L; Scholes, D

Published Date

  • August 2003

Published In

Volume / Issue

  • 37 / 2

Start / End Page

  • 163 - 170

PubMed ID

  • 12855216

Pubmed Central ID

  • 12855216

International Standard Serial Number (ISSN)

  • 0091-7435

Digital Object Identifier (DOI)

  • 10.1016/s0091-7435(03)00109-9


  • eng

Conference Location

  • United States