Mechanical failure of the latex condom in a cohort of women at high STD risk.
Mechanical failure of the latex condom in a cohort of women at high STD risk.
复制标题
一群性传播疾病高风险女性的乳胶避孕套机械失效。
DOI：
10.1097/00007435-199909000-00006
复制
发表时间：
1999
影响因子：
3.1
通讯作者：
Valappil,T
中科院分区：
文献类型：
--
作者：
Macaluso,M;Kelaghan,J;Artz,L;Austin,H;Fleenor,M;Hook3rd,EW;Valappil,T
研究设计：到 STD 诊所就诊的女性参加了一项为期 6 个月的屏障避孕预防 STD 的前瞻性研究。他们完成了性日记，并在每月的随访中进行审查。没有从男性伴侣那里收集数据。参与者的基线特征和时间依赖性行为被评估为安全套失效的潜在决定因素。结果：892 名女性使用的 21,852 个安全套中，500 个在性交过程中破裂（2.3%），290 个滑落（1.3%）。在从事高风险行为的年轻黑人单身未产妇中，骨折更为常见。滑倒在有孩子的已婚妇女中更为常见。失败率随着安全套的使用、性交频率和杀精剂的使用而降低。结论：用户特征和经验是破裂和滑落的决定因素，而这通常仅被视为产品设计缺陷的影响。关注可改变的失败决定因素可能会改善用户咨询和产品标签。
Study Design:Women attending an STD clinic participated in a 6-month prospective study of barrier contraception for the prevention of STD. They completed sexual diaries that were reviewed at monthly follow-up visits. No data were collected from the male partners. Baseline characteristics of the participants and time-dependent behaviors were evaluated as potential determinants of condom failure.Results:Of 21,852 condoms used by 892 women, 500 broke during intercourse (2.3%) and 290 slipped (1.3%). Breakage was more common among young, black, single nulliparae who engaged in high-risk behavior. Slippage was more common among married women with children. Failure rates decreased with condom use, with coital frequency, and with use of spermicides.Conclusion:User characteristics and experience are determinants of breakage and slippage, which are often regarded only as the effect of product design flaws. Attention to modifiable determinants of failure may improve user counseling and product labeling.