Influences on condom use: A secondary analysis of women's perceptions from the Australian Contraceptive ChOice pRoject (ACCORd) trial.

Watson, CJ; McGeechan, K; McNamee, K; Black, KI; Lucke, J; Taft, A; Haas, M; Peipert, JE; Mazza, D

Influences on condom use: A secondary analysis of women's perceptions from the Australian Contraceptive ChOice pRoject (ACCORd) trial.

Watson, CJ McGeechan, K McNamee, K Black, KI Lucke, J Taft, A Haas, M

Peipert, JE Mazza, D

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Publisher:: Racgp
Publication Type:: Journal Article
Citation:: Australian Journal of General Practice, 2021, 50, (8), pp. 581-587
Issue Date:: 2021-08-01

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Field	Value	Language
dc.contributor.author	Watson, CJ
dc.contributor.author	McGeechan, K
dc.contributor.author	McNamee, K
dc.contributor.author	Black, KI
dc.contributor.author	Lucke, J
dc.contributor.author	Taft, A
dc.contributor.author	Haas, M https://orcid.org/0000-0002-9726-3063
dc.contributor.author	Peipert, JE
dc.contributor.author	Mazza, D
dc.date.accessioned	2021-12-20T22:14:51Z
dc.date.available	2021-12-20T22:14:51Z
dc.date.issued	2021-08-01
dc.identifier.citation	Australian Journal of General Practice, 2021, 50, (8), pp. 581-587
dc.identifier.issn	2208-794X
dc.identifier.issn	2208-7958
dc.identifier.uri	http://hdl.handle.net/10453/152422
dc.description.abstract	Background and objectives 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.
dc.format	Print
dc.language	eng
dc.publisher	Racgp
dc.relation.ispartof	Australian Journal of General Practice
dc.relation.isbasedon	10.31128/ajgp-06-20-5489
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Humans
dc.subject.mesh	Contraceptive Agents
dc.subject.mesh	Contraception
dc.subject.mesh	Condoms
dc.subject.mesh	Perception
dc.subject.mesh	Pregnancy
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Australia
dc.subject.mesh	Condoms
dc.subject.mesh	Contraception
dc.subject.mesh	Contraceptive Agents
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Perception
dc.subject.mesh	Pregnancy
dc.title	Influences on condom use: A secondary analysis of women's perceptions from the Australian Contraceptive ChOice pRoject (ACCORd) trial.
dc.type	Journal Article
utslib.citation.volume	50
utslib.location.activity	Australia
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Centre for Health Economics Research and Evaluation
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-12-20T22:14:49Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	50
utslib.citation.issue	8

Abstract:

Background and objectives 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.

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http://hdl.handle.net/10453/152422