Other problems with condoms e. At six monthly follow-up visits, the women reviewed the diaries with a nurse. Breakage was more common among women who had had unprotected intercourse fewer than five times than among those who had had unprotected coitus 30 or more times odds ratio, 2. A total of 1, women enrolled in the study; the analyses are based on the who reported condom use. Associations between slippage and number of partners and number of unprotected acts of intercourse were inconsistent. Condom slippage followed a different pattern.
A number of follow-up factors roughly doubled the odds of slippage: Use of a spermicide had a slightly protective effect on breakage odds ratio, 0. While slippage was not associated with the likelihood of a condom's breaking, women who had other problems with the method had significantly increased odds of experiencing breakage 2. Women with children were somewhat more likely than childless women to experience slippage odds ratio, 1. Results of that analysis showed that baseline characteristics had a modest effect on the likelihood of condom breakage. Women who had had a condom slip in the past were 3. Nurses provided them with information on the correct use of barrier methods and recommended use of a condom and spermicide at each act of intercourse or, if that is not possible, use of a condom alone. If a woman had had one condom break, the chance that she would have another one break was elevated odds ratio, 3. Consequently, they recommend that future research and interventions focus on "the modifiable characteristics of the user" and on improving "user motivation and training. Moreover, the researchers emphasize that their results show condom breakage and slippage, which have generally been believed to be a result of product defects, to be at least partly related to users' characteristics. On average, they had first had intercourse at age 16, their median number of partners was six and half had used barrier contraceptives. A total of 1, women enrolled in the study; the analyses are based on the who reported condom use. Macaluso M et al. January 1, DOI: Again, as the number of times a woman had used condoms without problems decreased, her odds of having a condom slip rose 2. Condom breakage was more dramatically affected by a number of factors measured during follow-up; the strongest predictor of breakage was a woman's experience with condoms. The participants were given free barrier contraceptive supplies and diaries for recording information on their sexual activity, contraceptive use and any problems that occurred with their method. Noting that the rates of slippage and breakage they found are low, the researchers nonetheless urge that women at high risk of contracting HIV from their partner exercise caution, and they encourage health providers to recommend abstinence over condom use for such individuals. Condom slippage followed a different pattern. Associations between slippage and number of partners and number of unprotected acts of intercourse were inconsistent. Users of vaginal spermicides had slightly reduced odds of experiencing condom slippage 0. At six monthly follow-up visits, the women reviewed the diaries with a nurse. Other problems with condoms e. Study participants were recruited from among year-old nonpregnant women attending a county sexually transmitted diseases clinic in Birmingham, Alabama. Seventy percent had had a sexually transmitted disease.
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