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Association between condom use at sexual debut and subsequent sexual trajectories: A longitudinal study using biomarkers

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  • Shafii, T.
  • Stovel, K.
  • Holmes, K.

Abstract

Objectives. We compared subsequent sexual behaviors and risk of sexually transmitted infections among adolescents who did and did not use a condom at their sexual debut. Methods. We derived data from the National Longitudinal Study of Adolescent Health, which followed a sample of 4018 sexually active adolescents between 1994 and 2002. During waves I, II, and III of the study, data on sexual behavior were gathered, and at wave III urine specimens were collected to test for sexually transmitted infections. Results. Among interviewed adolescents, those who reported condom use at their debut were more likely than those who did not use condoms at their debut to report condom use at their most recent intercourse (on average 6.8 years after sexual debut), and they were only half as likely to test positive for chlamydia or gonorrhea (adjusted odds ratio = 0.50; 95% confidence interval = 0.26, 0.95). Reported lifetime numbers of sexual partners did not differ between the 2 groups. Conclusions. Adolescents who use condoms at their sexual debut do not report more sexual partners, are more likely to engage in subsequent protective behaviors, and experience fewer sexually transmitted infections than do adolescents who do not use condoms at their sexual debut.

Suggested Citation

  • Shafii, T. & Stovel, K. & Holmes, K., 2007. "Association between condom use at sexual debut and subsequent sexual trajectories: A longitudinal study using biomarkers," American Journal of Public Health, American Public Health Association, vol. 97(6), pages 1090-1095.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.068437_4
    DOI: 10.2105/AJPH.2005.068437
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    Cited by:

    1. Alberto Chong & Marco Gonzalez-Navarro & Dean Karlan & Martín Valdivia, 2020. "Do Information Technologies Improve Teenagers’ Sexual Education? Evidence from a Randomized Evaluation in Colombia," The World Bank Economic Review, World Bank, vol. 34(2), pages 371-392.
    2. Kiyomi Tsuyuki & Noor A Al-Alusi & Jacquelyn C Campbell & DeMarjion Murry & Andrea N Cimino & Argentina E Servin & Jamila K Stockman, 2019. "Adverse childhood experiences (ACEs) are associated with forced and very early sexual initiation among Black women accessing publicly funded STD clinics in Baltimore, MD," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-15, May.
    3. Stulhofer, Aleksandar & Bacak, Valerio & Ajdukovic, Dea & Graham, Cynthia, 2010. "Understanding the association between condom use at first and most recent sexual intercourse: An assessment of normative, calculative, and habitual explanations," Social Science & Medicine, Elsevier, vol. 70(12), pages 2080-2084, June.

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