The validity of teens' and young adults' self-reported condom use
Eve Rose, Ralph J. Diclemente, Gina M. Wingood, Jessica Mc Dermott Sales, Teaniese P. Latham, Richard A. Crosby, Jonathan Zenilman, Johan Melendez, James Hardin
Objective: To examine the concordance between teens' and young adults' self-reported condom use, assessed by audio-computer-assisted self-interviewing, and Y-chromosome polymerase chain reaction (Yc-PCR) assay, a nondisease marker for detecting the presence of sperm in vaginal fluid for 14 days after unprotected vaginal sex. Design: Randomized trial of a human immunodeficiency virus prevention program. Only data from baseline (before randomization) were used for this analysis. Setting: A clinic-based sample in Atlanta, Georgia. Participants: Eligible teens and young adults were African American female teens and young adults 15 to 21 years old who had reported sexual activity in the previous 60 days. Of 1558 teens and young adults screened from March 1, 2002, through August 31, 2004, 847 were eligible and 715 (84.4%) participated at baseline. Main Outcome Measures: Self-reported consistent condom use in the 14 days before baseline and Yc-PCR results. Results: Of participants who reported vaginal sex in the past 14 days, 186 reported consistent condom use, defined as 100% condom use. Of these, 63 had a positive Yc-PCR result, indicating detection of the Y chromosome in the vaginal fluid. Participants who reported consistent condom use with a self-reported history of sexually transmitted diseases were 2.4 times more likely to have a positive Yc-PCR result (adjusted odds ratio, 2.4; 95% confidence interval, 1.2-4.8; P =.01). Conclusions: A significant degree of discordance between self-reports of consistent condom use and Yc- PCR positivity was observed. Several rival explanations for the observed discordance exist, including (1) teens and young adults inaccurately reported condom use; (2) teens and young adults used condoms consistently but used them incorrectly, resulting in user error; and (3) teens and young adults responded with socially desirable answers. Using an objective biological measure may provide one strategy for validating teens' and young adults' self-reported condom use.
Archives of Pediatrics and Adolescent Medicine
https://doi.org/10.1001/archpediatrics.2008.509
10.1001/archpediatrics.2008.509
Dive into the research topics of 'The validity of teens' and young adults' self-reported condom use'. Together they form a unique fingerprint.
Condoms Medicine & Life Sciences 100%
Young Adult Medicine & Life Sciences 73%
Y Chromosome Medicine & Life Sciences 61%
Unsafe Sex Medicine & Life Sciences 13%
Random Allocation Medicine & Life Sciences 9%
Sexual Behavior Medicine & Life Sciences 9%
African Americans Medicine & Life Sciences 9%
Rose, E., Diclemente, R. J., Wingood, G. M., Sales, J. M. D., Latham, T. P., Crosby, R. A., Zenilman, J., Melendez, J., & Hardin, J. (2009). The validity of teens' and young adults' self-reported condom use. Archives of Pediatrics and Adolescent Medicine, 163(1), 61-64. https://doi.org/10.1001/archpediatrics.2008.509
The validity of teens' and young adults' self-reported condom use. / Rose, Eve; Diclemente, Ralph J.; Wingood, Gina M.; Sales, Jessica Mc Dermott; Latham, Teaniese P.; Crosby, Richard A.; Zenilman, Jonathan; Melendez, Johan; Hardin, James.
In: Archives of Pediatrics and Adolescent Medicine, Vol. 163, No. 1, 01.2009, p. 61-64.
Rose, E, Diclemente, RJ, Wingood, GM, Sales, JMD, Latham, TP, Crosby, RA, Zenilman, J, Melendez, J & Hardin, J 2009, 'The validity of teens' and young adults' self-reported condom use', Archives of Pediatrics and Adolescent Medicine, vol. 163, no. 1, pp. 61-64. https://doi.org/10.1001/archpediatrics.2008.509
Rose E, Diclemente RJ, Wingood GM, Sales JMD, Latham TP, Crosby RA et al. The validity of teens' and young adults' self-reported condom use. Archives of Pediatrics and Adolescent Medicine. 2009 Jan;163(1):61-64. https://doi.org/10.1001/archpediatrics.2008.509
Rose, Eve ; Diclemente, Ralph J. ; Wingood, Gina M. ; Sales, Jessica Mc Dermott ; Latham, Teaniese P. ; Crosby, Richard A. ; Zenilman, Jonathan ; Melendez, Johan ; Hardin, James. / The validity of teens' and young adults' self-reported condom use. In: Archives of Pediatrics and Adolescent Medicine. 2009 ; Vol. 163, No. 1. pp. 61-64.
@article{d9cf580682eb49f584c0e957138d47cb,
title = "The validity of teens' and young adults' self-reported condom use",
abstract = "Objective: To examine the concordance between teens' and young adults' self-reported condom use, assessed by audio-computer-assisted self-interviewing, and Y-chromosome polymerase chain reaction (Yc-PCR) assay, a nondisease marker for detecting the presence of sperm in vaginal fluid for 14 days after unprotected vaginal sex. Design: Randomized trial of a human immunodeficiency virus prevention program. Only data from baseline (before randomization) were used for this analysis. Setting: A clinic-based sample in Atlanta, Georgia. Participants: Eligible teens and young adults were African American female teens and young adults 15 to 21 years old who had reported sexual activity in the previous 60 days. Of 1558 teens and young adults screened from March 1, 2002, through August 31, 2004, 847 were eligible and 715 (84.4%) participated at baseline. Main Outcome Measures: Self-reported consistent condom use in the 14 days before baseline and Yc-PCR results. Results: Of participants who reported vaginal sex in the past 14 days, 186 reported consistent condom use, defined as 100% condom use. Of these, 63 had a positive Yc-PCR result, indicating detection of the Y chromosome in the vaginal fluid. Participants who reported consistent condom use with a self-reported history of sexually transmitted diseases were 2.4 times more likely to have a positive Yc-PCR result (adjusted odds ratio, 2.4; 95% confidence interval, 1.2-4.8; P =.01). Conclusions: A significant degree of discordance between self-reports of consistent condom use and Yc- PCR positivity was observed. Several rival explanations for the observed discordance exist, including (1) teens and young adults inaccurately reported condom use; (2) teens and young adults used condoms consistently but used them incorrectly, resulting in user error; and (3) teens and young adults responded with socially desirable answers. Using an objective biological measure may provide one strategy for validating teens' and young adults' self-reported condom use.",
author = "Eve Rose and Diclemente, {Ralph J.} and Wingood, {Gina M.} and Sales, {Jessica Mc Dermott} and Latham, {Teaniese P.} and Crosby, {Richard A.} and Jonathan Zenilman and Johan Melendez and James Hardin",
doi = "10.1001/archpediatrics.2008.509",
journal = "JAMA Pediatrics",
publisher = "American Medical Association",
T1 - The validity of teens' and young adults' self-reported condom use
AU - Rose, Eve
AU - Wingood, Gina M.
AU - Sales, Jessica Mc Dermott
AU - Latham, Teaniese P.
AU - Crosby, Richard A.
AU - Zenilman, Jonathan
AU - Melendez, Johan
AU - Hardin, James
N2 - Objective: To examine the concordance between teens' and young adults' self-reported condom use, assessed by audio-computer-assisted self-interviewing, and Y-chromosome polymerase chain reaction (Yc-PCR) assay, a nondisease marker for detecting the presence of sperm in vaginal fluid for 14 days after unprotected vaginal sex. Design: Randomized trial of a human immunodeficiency virus prevention program. Only data from baseline (before randomization) were used for this analysis. Setting: A clinic-based sample in Atlanta, Georgia. Participants: Eligible teens and young adults were African American female teens and young adults 15 to 21 years old who had reported sexual activity in the previous 60 days. Of 1558 teens and young adults screened from March 1, 2002, through August 31, 2004, 847 were eligible and 715 (84.4%) participated at baseline. Main Outcome Measures: Self-reported consistent condom use in the 14 days before baseline and Yc-PCR results. Results: Of participants who reported vaginal sex in the past 14 days, 186 reported consistent condom use, defined as 100% condom use. Of these, 63 had a positive Yc-PCR result, indicating detection of the Y chromosome in the vaginal fluid. Participants who reported consistent condom use with a self-reported history of sexually transmitted diseases were 2.4 times more likely to have a positive Yc-PCR result (adjusted odds ratio, 2.4; 95% confidence interval, 1.2-4.8; P =.01). Conclusions: A significant degree of discordance between self-reports of consistent condom use and Yc- PCR positivity was observed. Several rival explanations for the observed discordance exist, including (1) teens and young adults inaccurately reported condom use; (2) teens and young adults used condoms consistently but used them incorrectly, resulting in user error; and (3) teens and young adults responded with socially desirable answers. Using an objective biological measure may provide one strategy for validating teens' and young adults' self-reported condom use.
AB - Objective: To examine the concordance between teens' and young adults' self-reported condom use, assessed by audio-computer-assisted self-interviewing, and Y-chromosome polymerase chain reaction (Yc-PCR) assay, a nondisease marker for detecting the presence of sperm in vaginal fluid for 14 days after unprotected vaginal sex. Design: Randomized trial of a human immunodeficiency virus prevention program. Only data from baseline (before randomization) were used for this analysis. Setting: A clinic-based sample in Atlanta, Georgia. Participants: Eligible teens and young adults were African American female teens and young adults 15 to 21 years old who had reported sexual activity in the previous 60 days. Of 1558 teens and young adults screened from March 1, 2002, through August 31, 2004, 847 were eligible and 715 (84.4%) participated at baseline. Main Outcome Measures: Self-reported consistent condom use in the 14 days before baseline and Yc-PCR results. Results: Of participants who reported vaginal sex in the past 14 days, 186 reported consistent condom use, defined as 100% condom use. Of these, 63 had a positive Yc-PCR result, indicating detection of the Y chromosome in the vaginal fluid. Participants who reported consistent condom use with a self-reported history of sexually transmitted diseases were 2.4 times more likely to have a positive Yc-PCR result (adjusted odds ratio, 2.4; 95% confidence interval, 1.2-4.8; P =.01). Conclusions: A significant degree of discordance between self-reports of consistent condom use and Yc- PCR positivity was observed. Several rival explanations for the observed discordance exist, including (1) teens and young adults inaccurately reported condom use; (2) teens and young adults used condoms consistently but used them incorrectly, resulting in user error; and (3) teens and young adults responded with socially desirable answers. Using an objective biological measure may provide one strategy for validating teens' and young adults' self-reported condom use.
U2 - 10.1001/archpediatrics.2008.509
DO - 10.1001/archpediatrics.2008.509
JO - JAMA Pediatrics
JF - JAMA Pediatrics