Correlates of condom failure among adolescent males: An exploratory study

Richard A. Crosby, Ralph J. DiClemente, Gina M. Wingood, Laura F. Salazar, Eve Rose, David Levine, Larry Brown, Celia Lescano, David Pugatch, Timothy Flanigan, Isa Fernandez, William Schlenger, Barabra J. Silver

Research output: Contribution to journalArticlepeer-review


Objective. To identify the prevalence and correlates of condom failure (defined as breakage or slipping off in the past 90 days) among a sample of adolescent males (15 to 21 years of age). Design. A cross-sectional study of 481 condom-using males residing in three US cities (Atlanta, GA, Providence RI, Miami FL). Data were collected, in the years 2000 and 2001, using audio computer-assisted self-interviewing technology. Prevalence ratios were used to determine the strength and significance of bivariate associations between ten assessed correlates and condom failure. Correlates achieving a screening level of significance were entered into a multivariate model that was used to calculate adjusted odds ratios (AOR). Results. Recent condom failure was reported by 34.1%. Younger adolescents were about one-third less likely to report condom failure (AOR = 0.66; P = 0.4). Adolescents reporting multiple sex partners were about 80% more likely to report failure (AOR = 1.84; P = 0.09). Adolescents indicating they had sex with someone on the same day they met the person were about 80% more likely to report failure (AOR = 1.77; P = 0.02). Finally, adolescents indicating recent problems obtaining condoms were about 70% more likely to report failure (AOR = 1.69; P = 0.1). Failure was not less common among those reporting a history of STD infection or those ever impregnating a partner. Conclusion. Because adolescent males may commonly experience condom failure, targeted clinic- and community-based programs designed to reduce user error could be an important aspect of preventing pregnancy and the spread of STDs.

Original languageEnglish (US)
Pages (from-to)873-876
Number of pages4
JournalPreventive Medicine
Issue number5-6
StatePublished - Nov 2005


  • Adolescents
  • Condoms
  • Prevention
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Correlates of condom failure among adolescent males: An exploratory study'. Together they form a unique fingerprint.

Cite this