TY - JOUR
T1 - Influences on condom use
T2 - A secondary analysis of women's perceptions from the Australian Contraceptive ChOice pRoject (ACCORd) trial
AU - Watson, Cathy
AU - McGeechan, Kevin
AU - McNamee, Kathleen
AU - Black, Kirsten I.
AU - Lucke, Jayne
AU - Taft, Angela
AU - Haas, Marion
AU - Peipert, Jeffrey F.
AU - Mazza, Danielle
N1 - Funding Information:
Cathy Watson PhD, MNSc, Post Grad Dip (Women’s Health), BA, RN, RM, Research Fellow, Department of General Practice, School of Primary and Allied Health Care, Monash University, Vic Kevin McGeechan PhD, Associate Professor, Sydney School of Public Health, University of Sydney, NSW Kathleen McNamee MBBS, M Epi, MBBS, FRACGP, DipVen, Medical Director, Family Planning Victoria, Vic Kirsten I Black MD, MBBS, FRACGP, DRANZCOG, Grad Dip Women’s Health, Joint Head of Discipline of Obstetrics, Gynaecology and Neonatology, Central Clinical School, University of Sydney, NSW Jayne Lucke BA (Hons), PhD, Adjunct Professor, School of Psychology and Public Health, La Trobe University, Vic Angela Taft PhD, MPH, Dip Ed, BA, Professor and Principal Research Fellow, Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Vic Marion Haas PhD, MPH, Bphty, Professor of Health Economics, Centre for Health Economics Research and Evaluation, University of Technology Sydney, NSW Jeffrey F Peipert PhD, MD, MPH, MHA, Clarence E. Ehrlich Professor and Chair of Obstetrics and Gynecology, Indiana University School of Medicine, Department of Obstetrics & Gynecology, Indianapolis, IN, USA Danielle Mazza MD, MBBS, FRACGP, Grad Dip Women’s Health, Head, Department of General Practice, Monash University, Vic; Director, SPHERE (NHMRC Centre of Excellence in Sexual and Reproductive Health for Women in Primary Care), Department of General Practice, Monash University, Vic Competing interests: KMcN reports training and education activities outside this submitted work related to Bayer Australia and MSD, unrelated to this study. KIB has attended one international advisory board meeting for Bayer Australia for which no personal fees were received. JL has received research funding, sponsorship to attend conferences and has been involved in training and education activities related to Bayer Australia and MSD, outside the submitted work. JFP has received research funding and support from CooperSurgical, Bayer and Merck, and serves on advisory boards for CooperSurgical and Bayer Healthcare Pharmaceuticals, unrelated to this study. DM has received research funding, sponsorship to attend conferences and has been involved in training and education activities and advisory boards related to Bayer Australia and MSD, outside the submitted work. Funding: This trial was funded by the National Health and Medical Research Council (APP1081743). Provenance and peer review: Not commissioned, externally peer reviewed. Correspondence to: [email protected]
Publisher Copyright:
© 2021 The Royal Australian College of General Practitioners. All Rights Reserved.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/8
Y1 - 2021/8
N2 - Background and objective Women's ability to negotiate condom use helps prevent sexually transmissible infections (STIs) and unintended pregnancies. The aim of this study was to assess the relationship between substance use, risk perception and the certainty of using condoms in several hypothetical situations. Methods This is a secondary analysis from the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial. Descriptive statistics and logistic regression were used for the analysis. Results At baseline, contraceptive questions were answered by 698 women attending 57 general practices in Melbourne, Australia. Condom use was reported by 47%. Of those using condoms as the sole form of contraception (n = 137), 20% used them inconsistently. Dual protection was used by 58% of women (188/325). Condoms and the pill were more frequently used than condoms and longer-acting contraceptives. Women were less likely to be confident negotiating condom use when using substances. Discussion Substance use and the concurrent use of other forms of contraception impact use of condoms. Even when condoms are the sole form of contraception with willing partners, use is inconsistent, leaving women at risk of pregnancy and STI.
AB - Background and objective Women's ability to negotiate condom use helps prevent sexually transmissible infections (STIs) and unintended pregnancies. The aim of this study was to assess the relationship between substance use, risk perception and the certainty of using condoms in several hypothetical situations. Methods This is a secondary analysis from the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomised controlled trial. Descriptive statistics and logistic regression were used for the analysis. Results At baseline, contraceptive questions were answered by 698 women attending 57 general practices in Melbourne, Australia. Condom use was reported by 47%. Of those using condoms as the sole form of contraception (n = 137), 20% used them inconsistently. Dual protection was used by 58% of women (188/325). Condoms and the pill were more frequently used than condoms and longer-acting contraceptives. Women were less likely to be confident negotiating condom use when using substances. Discussion Substance use and the concurrent use of other forms of contraception impact use of condoms. Even when condoms are the sole form of contraception with willing partners, use is inconsistent, leaving women at risk of pregnancy and STI.
UR - https://www.scopus.com/pages/publications/85112278101
U2 - 10.31128/AJGP-06-20-5489
DO - 10.31128/AJGP-06-20-5489
M3 - Article
C2 - 34333575
AN - SCOPUS:85112278101
SN - 2208-794X
VL - 50
SP - 581
EP - 587
JO - Australian Journal of General Practice
JF - Australian Journal of General Practice
IS - 8
ER -