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Clinical Pediatrics
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Reasons for Condom Utilization Among High-Risk Adolescent Girls

Susan L. Rosenthal

Department of Pediatrics, University of Cincinnati College of Medicine, Division of Adolescent Medicine, Children's Hospital Medical Center

Frank M. Biro

Department of Pediatrics, University of Cincinnati College of Medicine, Division of Adolescent Medicine, Children's Hospital Medical Center

Paul A. Succop

Department of Environmental Health, University of Cincinnati College of Medicine

Janet G. Baker

Division of Adolescent Medicine, Children's Hospital Medical Center

Lawrence R. Stanberry

Department of Pediatrics, University of Cincinnati College of Medicine, Division of Infectious Diseases, Children's Hospital Medical Center, Cincinnati, Ohio

Two hundred forty-eight adolescent girls responded to a list of 30 statements describing reasons for using and not using condoms. For 24 of the statements, most adolescents (>70%) gave the same response regarding why they did or did not use condoms. Therefore, only the six remaining statements were used in further analyses. The relationship between the six statements and psychosexual history, condom use, and sexually transmitted disease (STD) history was examined. Those adolescent girls who had been sexually active longer were more likely to report lack of enjoyment as a reason that they did not use condoms ( P<.03), and those adolescents who had been sexually active less time were more likely to report personal (P < .005) and partner (P <.0006) enjoyment of sex with condoms as a reason for using condoms. Longer relationships before intercourse were associated with having condoms available (P<.01) and partner insistence on their use (P<.02). Partner insistence on condom use was related to fewer episodes of sexually transmitted diseases (P = .03). These findings indicate the importance of relationship and partner variables in adolescent girls' perceptions of condom use.

Clinical Pediatrics, Vol. 33, No. 12, 706-711 (1994)
DOI: 10.1177/000992289403301201
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