IDENTIFYING CONDOM USERS AT RISK FOR BREAKAGE AND SLIPPAGE - FINDINGSFROM 3 INTERNATIONAL SITES

Objectives. This study examined whether past condom failure (breakage, slippage, or both) can predict future failure and evaluated other pre dictors of condom failure. Methods. At each of 3 international sites, approximately 130 male condom users were enrolled and given 5 condoms to use for vaginal intercourse over a 3-week period. Results. Men at i ncreased risk (history of 1 or more condoms that broke or-slipped off) reported approximately twice as many condom failures as those not in this group. Condom failure increased with the number of adverse condom use behaviors reported per participant. Opening condom packages with sharp objects and unrolling condoms before donning were associated wit h breakage. Unrolling condoms before donning and lengthy or intense in tercourse were associated with slippage. Of background characteristics evaluated, having less education was associated with condom failure. Conclusions. These data suggest that a history of condom failure predi cts future failure, a finding that may be useful for targeted interven tion. Moreover, these data provide further evidence that certain behav iors and lower educational attainment are associated with condom failu re.