Condom Misuse Among Adjudicated Girls: Associations with Laboratory-Confirmed Chlamydia and Gonorrhea

Richard Crosby, Laura F. Salazar, Ralph J. DiClemente, William L. Yarber, Angela M. Caliendo, Michelle Staples-Horne

Research output: Contribution to journalArticlepeer-review


Objectives: To identify the prevalence of condom use errors among detained female teens and to test two inter-related hypotheses concerning condom failure. Methods: A cross-sectional survey of 134 female teens recruited within eight detention facilities. Measures were collected using audio-computer assisted self-interviewing. Assessment for the presence of C. trachomatis and N. gonorrhoeae was also conducted. Results: Five forms of condom use errors/problems were common: not discussing condom use with the partner (34.3%), not having a condom when one was desired (48.5%), starting sex before application (21.6%), removing condoms before sex concludes (26.9%), and breakage (32.8%). Significant, associations were found between condom errors/problems and drug/alcohol use. Errors/problems with condom use were significantly higher among teens diagnosed with an sexually transmitted disease (STD) (P = 0.039 for an index measure; P = 0.022 for a single-item measure). Conclusions: Findings suggest that detained female teens may have experienced multiple condom use error and problems thereby increasing their vulnerability to STD acquisition.

Original languageEnglish (US)
Pages (from-to)339-343
Number of pages5
JournalJournal of Pediatric and Adolescent Gynecology
Issue number6
StatePublished - Dec 2007


  • Adjudication
  • Condoms
  • Female Teens
  • STDs

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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