Condom Use by Adolescents - POLICY STATEMENT
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FROM THE AMERICAN ACADEMY OF PEDIATRICS Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of all Children POLICY STATEMENT Condom Use by Adolescents COMMITTEE ON ADOLESCENCE ABBREVIATIONS abstract CDC—Centers for Disease Control and Prevention Rates of sexual activity, pregnancies, and births among adolescents FC—female condom FDA—Food and Drug Administration have continued to decline during the past decade to historic lows. De- HIV—human immunodeficiency virus spite these positive trends, many adolescents remain at risk for un- HPV—human papillomavirus intended pregnancy and sexually transmitted infections (STIs). This MSM—men who have sex with men STI—sexually transmitted infection policy statement has been developed to assist the pediatrician in un- YRBS—Youth Risk Behavior Survey derstanding and supporting the use of condoms by their patients to This document is copyrighted and is property of the American prevent unintended pregnancies and STIs and address barriers to their Academy of Pediatrics and its Board of Directors. All authors use. When used consistently and correctly, male latex condoms reduce have filed conflict of interest statements with the American the risk of pregnancy and many STIs, including HIV. Since the last policy Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American statement published 12 years ago, there is an increased evidence base Academy of Pediatrics has neither solicited nor accepted any supporting the protection provided by condoms against STIs. Rates of commercial involvement in the development of the content of acquisition of STIs/HIV among adolescents remain unacceptably high. this publication. Interventions that increase availability or accessibility to condoms are The guidance in this statement does not indicate an exclusive most efficacious when combined with additional individual, small- course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be group, or community-level activities that include messages about safer appropriate. sex. Continued research is needed to inform public health interven- All policy statements from the American Academy of Pediatrics tions for adolescents that increase the consistent and correct use automatically expire 5 years after publication unless reaffirmed, of condoms and promote dual protection of condoms for STI pre- revised, or retired at or before that time. vention with other effective methods of contraception. Pediatrics 2013;132:973–981 INTRODUCTION This policy statement updates a previous statement from the American Academy of Pediatrics published in 2001.1 The medical and societal consequences of adolescent sexual activity, including sexually trans- mitted infections (STIs) and unintended pregnancies, remain a signif- www.pediatrics.org/cgi/doi/10.1542/peds.2013-2821 icant public health problem. Although abstinence of sexual activity is doi:10.1542/peds.2013-2821 the most effective method for prevention of pregnancy and STIs, PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275). young people should be prepared for the time when they will become Copyright © 2013 by the American Academy of Pediatrics sexually active. Prevention of STIs in adolescents involves safer sexual practices by those who are sexually active or who no longer plan to be abstinent. Since publication of the previous statement, there has been increasing evidence supporting the effectiveness of condoms to prevent many STIs, including HIV. Increased availability of condoms has been shown to increase use, and widespread distribution pro- grams have been recommended by the Centers for Disease Control and Prevention (CDC).2 In this policy statement, the use of condoms as a method of preventing STIs, including HIV and pregnancy will be reviewed including effective- ness, factors that influence use, and the roles that schools, communities, PEDIATRICS Volume 132, Number 5, November 2013 973 Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
and parents can play in improving use have all continued to increase in ad- women during 2010–2011. Adolescent of condoms and increased availability olescent and young adults.9 A study and young adult men have also had of condoms. that examined the prevalence of STIs increasing rates of gonorrhea, in- among female adolescents 14 to 19 creasing 6% in those aged 20 to 24 TRENDS IN ADOLESCENT SEXUAL years of age in the United States from years during 2010–2011.9 ACTIVITY AND CONSEQUENCES the 2003–2004 NHANES reported Syphilis rates in both men and women a 24.1% prevalence of any of 5 STIs Despite recent data indicating that are highest in the 15- to 24-year old age (Neisseria gonorrhea, Chlamydia tra- sexual activity has declined among group and increased most dramati- chomatis, Trichomonas vaginalis, adolescents, the current rates of sex- cally during 2010–2011 in 20- to 24- herpes simplex virus type 2, and hu- ual activity and health consequences year-old men (5.2–21.9 cases/100 000), man papilloma virus [HPV] infections) of STIs and pregnancy remain a sig- particularly in men who have sex with among all female adolescents and nificant public health concern. The men (MSM).9 CDC, through its Youth Risk Behavior a prevalence of 37.7% among sexually experienced females. Importantly, An estimated 10 065 young people Survey (YRBS), reports sexual risk even among those whose sexual aged 13 to 24 years received a di- behaviors in a nationally representa- tive sample of high school students partner was the same age or 1 year agnosis of HIV infection in 2011, ac- surveyed biannually. In the most re- older, the prevalence was high counting for 20% of all new infections cently available YRBS (2011), 47.4% of (25.6%), and among those with only 1 in the United States. Among adolescent/ students reported that they had ever lifetime partner, the prevalence was young adult males living with and had sexual intercourse, 33.7% re- 19.7%.10 diagnosed with HIV, 77% acquired ported that they were currently sex- For specific infections, in 2011 the infection from MSM, 4% from hetero- ually active, and 15.3% had had sexual highest Chlamydia rates were seen in sexual transmission, and 13% were intercourse with four or more part- 15- to 19-year-old (3.4%) and 20- to 24- perinatally acquired. Among females, ners in their lifetime. Among sexually year-old women (3.7%). Of concern, 56% acquired infection by heterosexual active students, 60.2% reported con- during 2010–2011, rates increased 4% transmission, and 34% were perinatally dom use during their last sexual en- for those aged 15 to 19 years and 11% acquired.11,12 Anonymous HIV screening counter. Of additional concern, by 12th for those aged 20 to 24 years. in locations where youth 12 to 24 years grade, nearly two-thirds (63.1%) of Reported rates of Chlamydia are of age congregate in communities sur- students reported ever being sexually lower among young men, likely be- rounding the Adolescent Trials Net- active but reported lower use of cause of decreased screening efforts, work for HIV/AIDS interventions found condoms than did sexually active 9th- but have increased 6% for those 15 to a prevalence of HIV of 15.3% in 611 and 10th-graders.3 19 years of age and 12% for those 20 MSM tested, 60% of whom did not In 2011, approximately 330 000 teen- to 24 years of age between 2010 and know they were infected.13 In addition agers gave birth,4 and in 2008, the 2011. In studies of higher-risk pop- to patients with behaviorally acquired most recently available estimates are ulations (for example, the National HIV infections, an estimated 9038 that 750 000 teenagers became preg- Job Training Program, an educational program for disadvantaged youth) at people with perinatally acquired HIV nant.5 Despite the fact that US teen entry, rates of Chlamydia for women are now in adolescence and young birth rates are at the lowest level in the past 70 years,6 the birth rate for and men 16 to 24 years of age were adulthood. These youth are generally US teenagers remains higher than 10.3% and 8%, respectively. Similarly, receiving highly active antiretroviral other developed nations, and marked in juvenile correctional facilities, therapy, and concern exists for ex- disparities by race/ethnicity and geo- 13.5% of women and 6.5% of men tensive drug-resistant strains.14 In graphic area persist.7 screened positively for Chlamydia.9 a prospective cohort study of the re- Rates of STIs remain highest among Adolescent and young adult women productive health of sexually active adolescents and young adults, with also have the highest rates of gonor- adolescent girls perinatally infected estimates suggesting that 15- to 24- rhea compared with any other age and with HIV, the cumulative incidence of year-olds, who represent 25% of the gender group and increased 1.4% in pregnancy at 19 years of age was 24%, sexually experienced population, ac- 15- to 19-year-old women during 2009– and incidence of STIs was 26%, quire nearly half of all new STIs.8 Rates 2010 (unchanged in 2011), and in- stressing the need for comprehensive of Chlamydia, gonorrhea, and syphilis creased 5.4% in 20- to 24-year-old HIV/STI-prevention strategies.15 974 FROM THE AMERICAN ACADEMY OF PEDIATRICS Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
FROM THE AMERICAN ACADEMY OF PEDIATRICS CONDOM USE associated with greater consistency of use include receiving comprehensive Recent Trends in Adolescent condom use included African Ameri- sex and HIV education programs,28 Condom Use can race/ethnicity, more positive con- attending schools where condoms are dom attitudes, and more discussion of available,29 and perceiving a risk of The condom remains the most pop- health topics with parents. Adoles- STIs.30 ularly used contraceptive method cents who did not have formal sex The effect of the media on adolescent among teenagers.3 An increased pro- education were half as likely to use sexual behavior has been reviewed in portion of sexually active adolescents a condom at first intercourse and a recent American Academy of Pedi- report using a condom at last in- even less likely to use condoms con- atrics policy statement.31 Adolescents tercourse, according to 2 CDC surveys. sistently. Lower condom use at first are exposed to an increasing amount In the YRBS, condom use increased sex was associated with older age, an of sexual content in music, movies, from 46.2% in 1991 to 60.2% in 2011.3 older or casual first sexual partner, magazines, television, and the Inter- The prevalence of condom use was and a partner using another method net, and this exposure plays an im- higher among male (68.6%) than fe- of contraception. These factors were portant role in adolescent initiation male (53.9%) students and higher also associated with lower condom of sexual activity. Despite the in- among white (63.3%) and African use at last sex, except for having creasingly sexually explicit material in American (62.4%) than Hispanic stu- a casual sexual partner, which was media and programming, there are dents (54.9%).3 In the National Survey associated with higher condom use.18 rare messages promoting responsible of Family Growth, condom use at last intercourse increased among females Higher rates of condom use are noted sexual activity, such as contraception, from 31% in 1988 to 52% in 2006–2010 in youth who perceive their partners including condom use.31 On primetime and males from 53% to 75%.16 Rates as wanting to use condoms and in television, 77% of programs have of actual condom use in both surveys those able to communicate their de- sexual content but only 14% reference may also be lower than thought be- sire to use condoms with their part- risks or responsibility of sexual be- cause of the uncertain/questionable ners.19 Motivations for young people havior.32 validity of self-report of this and to have sex include the pursuit of Adults, especially parents, play an other sexual behaviors that are prone fulfilling sexual experiences in addi- important role in promoting the sexual to bias. For example, in a clinic-based tion to other motivations such as in- health of adolescents. Bright Futures sample of African American females timacy, procreation, or in response to outlines how pediatricians and other 15 to 21 years of age in Atlanta, peer or partner pressure. However, health care providers can support Georgia, 186 young women reported adolescents’ lack of condom use is parents in promoting healthy sexual 100% condom use via an audio associated with perceptions that con- development and sexuality, including computer-assisted self-interviewing doms reduce sexual pleasure and/or the use of condoms to protect against technique. In these young women, that partners disapprove of condom STIs including HIV.33 A number of 34% had a positive biologic marker use.20 Condom-promotion campaigns studies have examined the role of for unprotected vaginal sex in the that include linking condom use to parent-adolescent communication about past 14 days (a Y-chromosome poly- enhanced sensitivity and sensuality, sexual risk and association with in- merase chain reaction assay). As and, thus, a more positive experience creased adolescent use of con- a possible explanation of these find- as a motivating factor, have found in- doms.34–38 Parental communication ings, condoms may have been used creased uptake of condoms and safer about sexual risk and condom use are inconsistently or incorrectly, or youth sex behaviors.21–23 associated with increases in adoles- might have provided socially desirable The influence of social networks that cents’ use of condoms.34–36,38 Timing answers.17 encourage condom use is becoming of the discussion is important; in 1 increasingly recognized.24,25 However, study, the highest rates of condom Factors That Influence Condom Use increased relationship intimacy and use at first and last sex, as well as for A number of factors, including in- closeness to the partner’s family can regular use, were found among ado- dividual, family, sociodemographic, be associated with less condom use.26 lescent girls who communicated with attitude, education, relationship, and Condom use rates are higher in new their mothers about condom use be- partner-related factors, influence relationships compared with estab- fore onset of sexual activity compared condom use. For example, in a national lished relationships.27 Other factors with after initiation.34 In a recent lon- study of adolescent males,18 factors associated with increased condom gitudinal study of parents and their PEDIATRICS Volume 132, Number 5, November 2013 975 Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
children regarding the timing of parent 9-month follow-up survey, 36% repor- for unintended pregnancy is estimated and child communication about sexual ted receipt of instruction.41 to be 2% in 12 months of use (ie, 2 behaviors, more than 40% of the chil- pregnancies per 100 woman-years dren had intercourse before there EFFECTIVENESS OF CONDOM USE with perfect use), although with typi- were discussions about STI symptoms, cal use, the failure rate (accounting for Materials used for male condoms are condom use, birth control, or partner inconsistent and incorrect use) is of 3 types: most (>80%) are composed condom refusal.39 This suggests in- 18%. 49 The most important non- of latex (natural rubber), and a small creased efforts are needed by pedia- contraceptive benefit of condom use proportion (
FROM THE AMERICAN ACADEMY OF PEDIATRICS other STIs can be attributed to limi- FEMALE CONDOM effective user-independent methods of tations in study design, because the contraception” defined as injectables, The female condom 1 (FC1; Reality, quality of studies historically tended to intrauterine devices, and implants, Femy, Care Contraceptive Sheath, be weaker than for studies of HIV.54 even lower than those who use oral Femidom), a loose-fitting polyurethane Recent studies have empirically doc- contraceptives.80 sheath with 2 flexible polyurethane umented that the effectiveness of rings, introduced in 1994, was the first Adolescents with main and regular condom use against many STIs is un- partners tend to discontinue condom condom marketed to women but is no derestimated because of limitations use quickly, especially if other preg- longer in production in the United of study design.62–68 Even with these nancy prevention methods are used.27 States. The FC2 (similarly designed to limitations, these and more recent Studies that have examined dual the FC1 but made of nitrile and without studies with improved methodologies method use among adolescents have a seam) was approved for use in 2009 have found that condoms provide found that increased use is associated protection against a variety of STIs, by the US FDA and is the only female- initiated barrier method for STI pre- with perceived risks of pregnancy and including gonorrhea, Chlamydia, STIs, communication with parents about trichomoniasis, genital herpes, and vention currently available in the United States. Data regarding contra- sexual risk, parental approval of birth HPV.53,54,65,69–74 control, positive attitudes toward ceptive effectiveness of female con- Given the coital-dependent nature of condoms, increased use with casual doms suggest estimated rates of condoms, effectiveness against both un- partners versus main partners, part- pregnancy during the first 12 months intended pregnancy and STIs is closely ner support for condom use, and self- of perfect use and typical use for FC1 tied to the degree of consistency or efficacy of condom negotiation.77,78,81–84 were 5% and 21%; these pregnancy correctness of use. Factors associated In 1 clinic-based study of African rates are slightly higher than those with decreased condom effectiveness American and Hispanic female ado- associated with use of the male include failure to use a condom with lescents who received counseling and condom.75 every act of intercourse; failure to use watched a video incorporating themes condoms throughout intercourse, such Although laboratory and clinical stud- of condom use and nonuse, research- as placing condoms on after initiating ies suggest that the female condom ers found that at 3-month follow-up, intercourse or removing before ejacu- might be as effective as the male con- those who had the intervention were lation; condom breakage and slippage; dom in preventing STIs, data are much more than twice as likely to have used and improper lubricant use with latex more limited. Continued research is a condom at last intercourse than in condoms (oil-based lubricants, such as needed to evaluate the effectiveness the usual care group. However, dif- petroleum jelly, baby oil, hand lotions, and acceptability of female condoms, ferences did not persist at the and some vaginal medications), which which currently account for less than 12-month follow-up.85 can reduce condom integrity and may 1% of US condom use overall.75,76 result in breakage.51 EFFORTS AIMED AT INCREASING DUAL PROTECTION CONDOM USE Five key condom instructions reached by consensus at a World Health Or- Hormonal contraceptives and intra- Eighty-three studies of curriculum- ganization Experts Meeting51 are as uterine devices offer pregnancy pro- based sex- and HIV-education pro- follows: tection but no protection against STIs. grams among people younger than 1. Use a new condom for each act of Use of “dual methods” (the combined 25 years from all countries were sexual intercourse. use of condoms and hormonal con- reviewed, finding that two-thirds of the traceptives or an intrauterine device) programs significantly improved one 2. Before any genital contact, place may be the optimal approach for pro- or more sexual behaviors. Of the 54 the condom on the tip of the erect tection against both pregnancy and studies that evaluated effects on con- penis with the rolled side out. STIs for adolescents. Although dual dom use, nearly half (48%) demon- 3. Unroll the condom all the way to method use has been increasing over strated an increase in condom use, the base of the erect penis. time, studies find that fewer than 25% and no studies found decreased con- 4. Immediately after ejaculation, hold of adolescents use dual methods77–79 dom use. Concern that these programs the rim of the condom and with- According to data from the National might hasten the initiation of sex draw the penis while it is still erect. Survey of Family Growth, condom use appears unfounded. In the 52 studies 5. Throw away the used condom safely. is lower in women who use “highly that measured timing of initiation of PEDIATRICS Volume 132, Number 5, November 2013 977 Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
sex, 42% found that sexual initiation who are sexually active or contem- making condoms available to adoles- was significantly delayed for at least 6 plating sexual activity. The respon- cents does not increase the onset or months, and 55% found no effect.28 sibility of males as well as females frequency of adolescent sexual activ- Condom availability programs have in preventing unintended pregnan- ity and that use of condoms can been evaluated in a variety of settings. cies and STIs should be empha- help decrease rates of unintended In a study of programs in Massachusetts sized. pregnancy and acquisition of STIs. high schools, adolescents in schools 3. Pediatricians and other clinicians are 8. Pediatricians and other clinicians where condoms were available were encouraged to implement the recom- should provide and support paren- more likely to receive condom use mendations in Bright Futures promot- tal education programs that help instruction and less likely to report ing communication between parents parents develop communications lifetime or recent sexual intercourse, and adolescents about healthy sexual skills with their adolescent chil- and adolescents who were sexually development and sexuality including dren around prevention of STIs active were twice as likely to use the use and effectiveness of condoms. and proper use of condoms. condoms at most recent sexual 4. Restrictions and barriers to condom 9. The American Academy of Pediat- encounter. 29 Likewise, clinic-based availability should be removed, given rics should encourage additional interventions have been shown to the research that demonstrates that research to identify strategies to be effective in increasing condom increase continued condom use in increased availability of condoms use and decreasing STIs. 86,87 Clinic- established relationships and strat- facilitates use. Beyond retail distri- based safer sex interventions are egies for use of dual protection bution of condoms, sexually active endorsed by the CDC. 88 with condoms aimed at prevention adolescents should have ready ac- A recent meta-analysis of high-quality US cess to condoms at free or low cost of STIs and a second contraceptive and international studies of structural- where possible. Pediatricians and method for the most effective pre- level condom distribution interventions other clinicians are encouraged to vention of pregnancy. found significant effects on increased provide condoms within their offices condom use, condom acquisition, con- and to support availability within LEAD AUTHOR dom carrying, delayed sexual initiation their communities. Rebecca F. O’Brien, MD of youth, and reduced incidence of STIs. 5. Condom availability programs should CONSULTANT The interventions that increase availability be developed through a collaborative Lee Warner, PhD, Associate Director of Science or accessibility to condoms are most ef- community process and accompa- Centers for Disease Control and Prevention, ficacious when combined with additional Division of Reproductive Health nied by comprehensive sequential individual, small-group, or community- level activities. The intervention effects sexuality education to be most ef- were significant across target partic- fective. This is ideally part of a COMMITTEE ON ADOLESCENCE K–12 health education program, 2010–2011 ipant characteristics (youth, adults, Margaret J. Blythe, MD, Chairperson commercial sex workers, STI clinic with parental involvement, counsel- William P. Adelman, MD populations, or males).89 ing, and positive peer support. Cora C. Breuner, MD, MPH 6. Schools should be considered ap- David A. Levine, MD Arik V. Marcell, MD, MPH propriate sites for the availability Pamela J. Murray, MD, MPH RECOMMENDATIONS of condoms because they contain Rebecca F. O’Brien, MD, MD 1. Abstaining from sexual intercourse large adolescent populations and should be encouraged for adoles- may potentially provide a compre- LIAISONS cents as the most effective way to hensive array of related educa- Loretta E. Gavin, PhD, MPH – Centers for Disease prevent STIs, including HIV infec- tional and health care resources. Control and Prevention Rachel J. Miller, MD – American College of tion, and unintended pregnancy. Training of youth to improve com- Obstetricians and Gynecologists 2. Pediatricians and other clinicians munication skills around condom Jorge L. Pinzon, MD – Canadian Pediatric Society should actively support and encour- negotiation with partners can oc- Benjamin Shain, MD, PhD – American Academy cur in school-based settings. of Child and Adolescent Psychiatry age the consistent and correct use of condoms as well as other reli- 7. Pediatricians and other clinicians STAFF able contraception as part of antic- should actively help raise awareness Karen S. Smith ipatory guidance with adolescents among parents and communities that Mark Del Monte, JD 978 FROM THE AMERICAN ACADEMY OF PEDIATRICS Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
FROM THE AMERICAN ACADEMY OF PEDIATRICS REFERENCES 1. Kaplan DW, Feinstein RA, Fisher MM, et al; 13. Barnes W, D’Angelo L, Yamazaki M, et al; condom-using behaviors of homeless Committee on Adolescence. Condom use by Adolescent Trials Network for HIV/AIDS young people. Public Health Rep. 2010;125 adolescents. Pediatrics. 2001;107(6):1463– Interventions. Identification of HIV-infected (4):588–595 1469 12- to 24-year-old men and women in 15 US 26. Aalsma MC, Fortenberry JD, Sayegh MA, Orr 2. Centers for Disease Control and Pre- cities through venue-based testing. Arch DP. Family and friend closeness to adoles- vention. Condom Distribution as a Struc- Pediatr Adolesc Med. 2010;164(3):273–276 cent sexual partners in relationship to tural Level Intervention. Atlanta, GA: 14. Hazra R, Siberry GK, Mofenson LM. Growing condom use. J Adolesc Health. 2006;38(3): Centers for Disease Control and Pre- up with HIV: children, adolescents, and 173–178 vention; 2010. Available at: www.cdc.gov/ young adults with perinatally acquired HIV 27. Fortenberry JD, Tu W, Harezlak J, Katz BP, hiv/resources/factsheets/PDF/condom_ infection. Annu Rev Med. 2010;61:169––185 Orr DP. Condom use as a function of time in distribution.pdf. Accessed April 25, 2012 15. Brogly SB, Watts DH, Ylitalo N, et al. Re- new and established adolescent sexual 3. Eaton DK, Kann L, Kinchen S, et al; Centers productive health of adolescent girls peri- relationships. Am J Public Health. 2002;92 for Disease Control and Prevention (CDC). natally infected with HIV. Am J Public (2):211–213 Youth risk behavior surveillance—United Health. 2007;97(6):1047––1052 28. Kirby DB, Laris BA, Rolleri LA. Sex and HIV States, 2011. MMWR Surveill Summ. 2012; 16. Martinez G, Capen CE, Abma JC. Teenagers education programs: their impact on sex- 61(4 SS-4):1––162 in the United States: sexual activity, con- ual behaviors of young people throughout 4. Centers for Disease Control and Prevention. traceptive use and childbearing, 2006. Na- the world. J Adolesc Health. 2007;40(3): Births: final data 2011. Natl Vital Stat Rep. tional Survey of Family Growth. National 206–217 2013;62(1). Available at: www.cdc.gov/nchs/ Center for Health Statistics. Vital Health 29. Blake SM, Ledsky R, Goodenow C, Sawyer R, data/nvsr/nvsr62/nvsr62_01.pdf. Accessed Stat. 2011;23(31) Lohrmann D, Windsor R. Condom availability October 1, 2013 17. Rose E, Diclemente RJ, Wingood GM, et al. programs in Massachusetts high schools: 5. Ventura SJ, Curtin SC, Abma JC, Henshaw The validity of teens’ and young adults’ self- relationships with condom use and sexual SK. Estimated pregnancy rates and rates of reported condom use. Arch Pediatr Adolesc behavior. Am J Public Health. 2003;93(6): pregnancy outcomes for the United States, Med. 2009;163(1):61––64 955–962 1990–2008. Natl Vital Stat Rep. 2012;60(7): 18. Manlove J, Ikramullah E, Terry-Humen E. 30. Ellen JM, Adler N, Gurvey JE, Millstein SG, 1––21 Condom use and consistency among male Tschann J. Adolescent condom use and 6. Centers for Disease Control and Pre- adolescents in the United States. J Adolesc perceptions of risk for sexually transmitted vention. U.S. teenage birth rate resumes Health. 2008;43(4):325––333 diseases: a prospective study. Sex Transm decline. NCHS Data Brief. 2011;Feb(58):1–8 19. Tschann JM, Flores E, de Groat CL, Deardorff Dis. 2002;29(12):756–762 7. Santelli JS, Melnikas AJ. Teen fertility in J, Wibbelsman CJ. Condom negotiation 31. Council on Communications and Media. transition: recent and historic trends in the strategies and actual condom use among American Academy of Pediatrics. Policy United States. Annu Rev Public Health. Latino youth. J Adolesc Health. 2010;47(3): statement—sexuality, contraception, and 2010;31:371––383, 4, 383 254––262 the media. Pediatrics. 2010;126(3):576–582 8. Weinstock H, Berman S, Cates W Jr. Sexu- 20. Brown LK, DiClemente R, Crosby R, et al; 32. Kunkel D, Eyai K, Finnerty K, Biely E, ally transmitted diseases among American Project Shield Study Group. Condom use Donnerstein E. Sex on TV 4: A Biennial Re- youth: incidence and prevalence estimates, among high-risk adolescents: anticipation port to the Kaiser Family Foundation. Menlo 2000. Perspect Sex Reprod Health. 2004;36 of partner disapproval and less pleasure Park, CA: Kaiser Family Foundation; 2005 (1):6––10 associated with not using condoms. Public 33. Hagan JF, Shaw JS, Duncan PM, eds. Bright 9. Centers for Disease Control and Pre- Health Rep. 2008;123(5):601––607 Futures: Guidelines for Health Supervision vention. Sexually Transmitted Disease 21. Scott-Sheldon LA, Marsh KL, Johnson BT, of Infants, Children and Adolescents. 3rd Surveillance 2011. Atlanta, GA: US De- Glasford DE. Condoms + pleasure = safer ed. Elk Grove Village, IL: Amercian Academy partment of Health and Human Services; sex? A missing addend in the safer sex of Pediatrics; 2008 2012 message. AIDS Care. 2006;18(7):750–754 34. Miller KS, Levin ML, Whitaker DJ, Xu X. 10. Forhan SE, Gottlieb SL, Sternberg MR, et al. 22. Randolph ME, Pinkerton SD, Bogart LM, Patterns of condom use among adoles- Prevalence of sexually transmitted infec- Cecil H, Abramson PR. Sexual pleasure and cents: the impact of mother-adolescent tions among female adolescents aged 14 to condom use. Arch Sex Behav. 2007;36(6): communication. Am J Public Health. 1998; 19 in the United States. Pediatrics. 2009;124 844–848 88(10):1542–1544 (6):1505––1512 23. Crosby RA, Yarber WL, Graham CA, Sanders 35. Whitaker DJ, Miller KS, May DC, Levin ML. 11. Centers for Disease Control and Pre- SA. Does it fit okay? Problems with condom Teenage partners’ communication about vention. HIV Surveillance Report, 2011. use as a function of self-reported poor fit. sexual risk and condom use: the impor- February 2013. Vol. 23. Available at: www. Sex Transm Infect. 2010;86(1):36–38 tance of parent-teenager discussions. Fam cdc.gov/hiv/topics/surveillance/resources/ 24. Choi KH, Gregorich SE. Social network Plann Perspect. 1999;31(3):117–121 reports. Accessed June 15, 2013 influences on male and female condom use 36. DiClemente RJ, Wingood GM, Crosby R, 12. Centers for Disease and Prevention. HIV among women attending family planning Cobb BK, Harrington K, Davies SL. Parent- Surveillance in Adolescent and Young clinics in the United States. Sex Transm Dis. adolescent communication and sexual risk Adults (through 2011). Available at: www. 2009;36(12):757–762 behaviors among African American ado- cdc.gov/hiv/library/slideset. Accessed June 25. Rice E. The positive role of social networks lescent females. J Pediatr. 2001;139(3):407– 15, 2013 and social networking technology in the 412 PEDIATRICS Volume 132, Number 5, November 2013 979 Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
37. Hutchinson MK, Jemmott JB, III, Jemmott Testing. West Conshohocken, PA: ASTM; 60. Cates W Jr. The NIH condom report: the LS, Braverman P, Fong GT. The role of 1996 glass is 90% full. Fam Plann Perspect. 2001; mother-daughter sexual risk communica- 49. Summary Table of Contraceptive Efficacy. 33(5):231–233 tion in reducing sexual risk behaviors Percentage of women experiencing an un- 61. Pinkerton SD, Abramson PR. Effectiveness among urban adolescent females: a pro- intended pregnancy during the first year of of condoms in preventing HIV transmission. spective study. J Adolesc Health. 2003;33(2): typical use and the first year of perfect use Soc Sci Med. 1997;44(9):1303–1312 98–107 of contraception and the percentage con- 62. Devine OJ, Aral SO. The impact of inac- 38. Hadley W, Brown LK, Lescano CM, et al; tinuing use at the end of the first year. curate reporting of condom use and im- Project STYLE Study Group. Parent-adolescent United States. Contraceptive efficacy. In: perfect diagnosis of sexually transmitted sexual communication: associations of con- Hatcher RA, Trussell J, Nelson AL, Cates W, disease infection in studies of condom ef- dom use with condom discussions. AIDS Stewart FH, Kowal D. Contraceptive Tech- fectiveness: a simulation-based assessment. Behav. 2009;13(5):997–1004 nology. 19th rev. ed. New York, NY: Ardent Sex Transm Dis. 2004;31(10):588–595 39. Beckett MK, Elliott MN, Martino S, et al. Media, 2007. Available at: www.contra- 63. Warner L, Macaluso M, Austin HD, et al. Timing of parent and child communication ceptivetechnology.org/table.html. Accessed Application of the case-crossover design to about sexuality relative to children’s sexual April 25, 2012 reduce unmeasured confounding in studies behaviors. Pediatrics. 2010;125(1):34–42 50. Weller S, Davis K. Condom effectiveness in of condom effectiveness. Am J Epidemiol. reducing heterosexual HIV transmission. 40. Miller KS, Whitaker DJ. Predictors of 2005;161(8):765–773 Cochrane Database Syst Rev. 2001; (3): mother-adolescent discussions about con- 64. Warner L, Newman DR, Austin HD, et al; CD003255 doms: implications for providers who serve Project RESPECT Study Group. Condom ef- youth. Pediatrics. 2001;108(2). Available at: 51. Steiner MJ, Warner L, Stone KM, et al. fectiveness for reducing transmission of www.pediatrics.org/cgi/content/full/108/2/ Condoms and other barrier methods for gonorrhea and chlamydia: the importance e28 prevention of STD/HIV infection, and preg- of assessing partner infection status. Am J nancy. In: Holmes KK, Sparling PF, Stamm 41. Schuster MA, Elliott MN, Kanouse DE. Eval- Epidemiol. 2004;159(3):242–251 WE, eds. Sexually Transmitted Diseases, 4th uation of Talking Parents, Healthy Teens, a 65. Niccolai LM, Rowhani-Rahbar A, Jenkins H, ed. New York, NY: MacGraw-Hill; 2008 new worksite based parenting programme Green S, Dunne DW. Condom effectiveness 52. Centers for Disease Control and Pre- to promote parent-adolescent communica- for prevention of Chlamydia trachomatis vention. Sexually transmitted diseases tion about sexual health: randomised con- infection. Sex Transm Infect. 2005;81(4): treatment guidelines 2002. MMWR Recomm trolled trial. BMJ 2008;337:308 323–325 Rep. 2002;51(RR-6):1–78 42. Warner L, Steiner MJ. Male condoms. In: 66. Shlay JC, McClung MW, Patnaik JL, Douglas 53. Martin ET, Krantz E, Gottlieb SL, et al. A Hatcher RA, Guest F, Stewart F, et al. Con- JM Jr. Comparison of sexually transmitted pooled analysis of the effect of condoms in traceptive Technology. 20th ed. New York, disease prevalence by reported condom preventing HSV-2 acquisition. Arch Intern NY: Ardent Media Inc use: errors among consistent condom Med. 2009;169(13):1233–1240 43. Carey RF, Lytle CD, Cyr WH. Implications of users seen at an urban sexually trans- 54. Warner L, Stone KM, Macaluso M, Buehler laboratory tests of condom integrity. Sex mitted disease clinic. Sex Transm Dis. 2004; JW, Austin HD. Condom use and risk of Transm Dis. 1999;26(4):216–220 31(9):526–532 gonorrhea and Chlamydia: a systematic 44. Lytle CD, Routson LB, Seaborn GB, Dixon LG, review of design and measurement factors 67. Shlay JC, McClung MW, Patnaik JL, Douglas Bushar HF, Cyr WH. An in vitro evaluation of assessed in epidemiologic studies. Sex JM Jr. Comparison of sexually transmitted condoms as barriers to a small virus. Sex Transm Dis. 2006;33(1):36–51 disease prevalence by reported level of Transm Dis. 1997;24(3):161–164 55. Conant MA, Spicer DW, Smith CD. Herpes condom use among patients attending an 45. Gallo MF, Grimes DA, Lopez LM, Schulz KF. simplex virus transmission: condom stud- urban sexually transmitted disease clinic. Non-latex versus latex male condoms for ies. Sex Transm Dis. 1984;11(2):94–95 Sex Transm Dis. 2004;31(3):154–160 contraception. Cochrane Database Syst 56. Katznelson S, Drew WL, Mintz L. Efficacy of 68. Paz-Bailey G, Koumans EH, Sternberg M, Rev. 2006; (1):CD003550 the condom as a barrier to the trans- et al. The effect of correct and consistent 46. Centers for Disease Control and Prevention mission of cytomegalovirus. J Infect Dis. condom use on chlamydial and gonococcal (CDC). Nonoxynol-9 spermicide contracep- 1984;150(1):155–157 infection among urban adolescents. Arch tion use—United States, 1999. MMWR Morb 57. Rietmeijer CA, Krebs JW, Feorino PM, Judson Pediatr Adolesc Med. 2005;159(6):536–542 Mortal Wkly Rep. 2002;51(18):389–392 FN. Condoms as physical and chemical 69. Gallo MF, Steiner MJ, Warner L, et al. Self- 47. Wilkinson D, Tholandi M, Ramjee G, barriers against human immunodeficiency reported condom use is associated with Rutherford GW. Nonoxynol-9 spermicide for virus. JAMA. 1988;259(12):1851–1853 reduced risk of chlamydia, gonorrhea, and prevention of vaginally acquired HIV and 58. Van de Perre P, Jacobs D, Sprecher- trichomoniasis. Sex Transm Dis. 2007;34 other sexually transmitted infections: sys- Goldberger S. The latex condom, an efficient (10):829–833 tematic review and meta-analysis of ran- barrier against sexual transmission of 70. Winer RL, Hughes JP, Feng Q, et al. Condom domised controlled trials including more AIDS-related viruses. AIDS. 1987;1(1):49–52 use and the risk of genital human papillo- than 5000 women. Lancet Infect Dis. 2002;2 59. Judson FN, Ehret JM, Bodin GF, Levin MJ, mavirus infection in young women. N Engl J (10):613–617 Rietmeijer CA. In vitro evaluations of con- Med. 2006;354(25):2645–2654 48. ASTM Committee F-16 on Fasteners. Rubber doms with and without nonoxynol 9 as 71. d’Oro LC, Parazzini F, Naldi L, La Vecchia C. Products; Standard Specifications for physical and chemical barriers against Barrier methods of contraception, spermi- Rubber Contraceptives (Male Condoms- Chlamydia trachomatis, herpes simplex vi- cides, and sexually transmitted diseases: D3492). Selected ASTM Standards on rus type 2, and human immunodeficiency a review. Genitourin Med. 1994;70(6):410– Fastener-Related Materials, Coatings, and virus. Sex Transm Dis. 1989;16(2):51–56 417 980 FROM THE AMERICAN ACADEMY OF PEDIATRICS Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
FROM THE AMERICAN ACADEMY OF PEDIATRICS 72. Manhart LE, Koutsky LA. Do condoms pre- inner-city Baltimore women. Fam Plann 85. Roye C, Perlmutter Silverman P, Krauss B. A vent genital HPV infection, external genital Perspect. 1995;27(2):74–78 brief, low-cost, theory-based intervention to warts, or cervical neoplasia? A meta-analysis. 79. Anderson JE, Santelli J, Gilbert BC. Adoles- promote dual method use by black and Sex Transm Dis. 2002;29(11):725–735 cent dual use of condoms and hormonal Latina female adolescents: a randomized 73. Holmes KK, Levine R, Weaver M. Effective- contraception: trends and correlates 1991– clinical trial. Health Educ Behav. 2007;34(4): ness of condoms in preventing sexually 2001. Sex Transm Dis. 2003;30(9):719–722 608–621 transmitted infections. Bull World Health 80. Pazol K, Kramer MR, Hogue CJ. Condoms for 86. Crosby R, DiClemente RJ, Charnigo R, Snow Organ. 2004;82(6):454–461 dual protection: patterns of use with highly G, Troutman A. A brief, clinic-based, safer 74. Koss CA, Dunne EF, Warner L. A systematic effective contraceptive methods. Public sex intervention for heterosexual African review of epidemiologic studies assessing Health Rep. 2010;125(2):208–217 American men newly diagnosed with an condom use and risk of syphilis. Sex 81. Ott MA, Adler NE, Millstein SG, Tschann JM, STD: a randomized controlled trial. Am J Ellen JM. The trade-off between hormonal Public Health. 2009;99(suppl 1):S96–S103 Transm Dis. 2009;36(7):401–405 contraceptives and condoms among ado- 87. DiClemente RJ, Wingood GM, Rose ES, et al. 75. Vijayakumar G, Mabude Z, Smit J, Beksinska lescents. Perspect Sex Reprod Health. 2002; Efficacy of sexually transmitted disease/human M, Lurie M. A review of female-condom ef- 34(1):6–14 immunodeficiency virus sexual risk-reduction fectiveness: patterns of use and impact on 82. Sangi-Haghpeykar H, Posner SF, Poindexter intervention for african american adolescent protected sex acts and STI incidence. Int J AN III. Consistency of condom use among females seeking sexual health services: a STD AIDS. 2006;17(10):652–659 low-income hormonal contraceptive users. randomized controlled trial. Arch Pediatr 76. Warner L, Gallo MF, Macaluso M. Condom Adolesc Med. 2009;163(12):1112–1121 Perspect Sex Reprod Health. 2005;37(4): use around the globe: how can we fulfil the 184–191 88. Centers for Disease Control and Pre- prevention potential of male condoms? Sex vention. Compendium of HIV Prevention 83. Sieving RE, Bearinger LH, Resnick MD, Health. 2012;9(1):4–9 Interventions With Evidence of Effective- Pettingell S, Skay C. Adolescent dual 77. Bearinger LH, Resnick MD. Dual method use method use: relevant attitudes, normative ness. Atlanta, GA: Centers for Disease Con- in adolescents: a review and framework for beliefs and self-efficacy. J Adolesc Health. trol and Prevention; 1999, revised August research on use of STD and pregnancy 2007;40(3):275.e215–275.e222 31, 2001 protection. J Adolesc Health. 2003;32(5): 84. de Visser R. Why do heterosexual young 89. Charania MR, Crepaz N, Guenther-Gray C, 340–349 adults who use reliable contraception also et al. Efficacy of structural-level condom 78. Santelli JS, Davis M, Celentano DD, Crump use condoms? Results from a diary-based distribution interventions: a meta-analysis AD, Burwell LG. Combined use of condoms prospective longitudinal study. Br J Health of U.S. and international studies, 1998– with other contraceptive methods among Psychol. 2007;12(Pt 2):305–313 2007. AIDS Behav. 2011;15(7):1283–1297 PEDIATRICS Volume 132, Number 5, November 2013 981 Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
Condom Use by Adolescents COMMITTEE ON ADOLESCENCE Pediatrics 2013;132;973; originally published online October 28, 2013; DOI: 10.1542/peds.2013-2821 Updated Information & including high resolution figures, can be found at: Services http://pediatrics.aappublications.org/content/132/5/973.full.ht ml References This article cites 73 articles, 11 of which can be accessed free at: http://pediatrics.aappublications.org/content/132/5/973.full.ht ml#ref-list-1 Citations This article has been cited by 6 HighWire-hosted articles: http://pediatrics.aappublications.org/content/132/5/973.full.ht ml#related-urls Subspecialty Collections This article, along with others on similar topics, appears in the following collection(s): Committee on Adolescence http://pediatrics.aappublications.org/cgi/collection/committee _on_adolescence Adolescent Health/Medicine http://pediatrics.aappublications.org/cgi/collection/adolescent _health:medicine_sub Contraception http://pediatrics.aappublications.org/cgi/collection/contracept ion_sub Infectious Diseases http://pediatrics.aappublications.org/cgi/collection/infectious _diseases_sub Sexually Transmitted Infections http://pediatrics.aappublications.org/cgi/collection/sexually_t ransmitted_infections_new_sub Permissions & Licensing Information about reproducing this article in parts (figures, tables) or in its entirety can be found online at: http://pediatrics.aappublications.org/site/misc/Permissions.xh tml Reprints Information about ordering reprints can be found online: http://pediatrics.aappublications.org/site/misc/reprints.xhtml PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since 1948. PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, 60007. Copyright © 2013 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275. Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
Condom Use by Adolescents COMMITTEE ON ADOLESCENCE Pediatrics 2013;132;973; originally published online October 28, 2013; DOI: 10.1542/peds.2013-2821 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://pediatrics.aappublications.org/content/132/5/973.full.html PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since 1948. PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, 60007. Copyright © 2013 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275. Downloaded from pediatrics.aappublications.org by guest on May 11, 2015
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