Does additional lubrication affect condom slippage and breakage?
| Autor: | Kim Benton, Anthony M. A. Smith, John Gerofi, Jane S Hocking, Damien Jolley |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Dermatology Affect (psychology) law.invention Condoms Breakage Condom law Condom breakage Lubrication medicine Humans Pharmacology (medical) Lubricant Gynecology business.industry Public Health Environmental and Occupational Health Middle Aged Sexual act Infectious Diseases Female Slippage business Demography |
| Zdroj: | International Journal of STD & AIDS. 9:330-335 |
| ISSN: | 1758-1052 0956-4624 |
| DOI: | 10.1258/0956462981922359 |
| Popis: | The risk of condom slippage (1.94%) and breakage (0.89%) among 3607 condoms was analysed with respect to the use of additional lubricant. Whether or not lubricant was used, the site at which it was applied and the type of lubricant used were all found to vary significantly with the type of sexual act(s) for which the condoms were used. Little evidence was found for differing effects of type of additional lubricant (water-based, saliva or other) or site of lubricant use (on penis/inside condom, on condom, in vagina/anus). The use of lubricant more than doubles the risk of slippage for vaginal sex. While anal sex is associated with much higher risks of slippage the use of lubricant for this practice actually reduces the risk of slippage to that similar for vaginal sex where lubricant is used. No significant effect of additional lubricant on condom breakage was observed. It is recommended that education messages concerning the use of additional lubricant may need to change to take into account the varied nature of lubricant use practices and the differential effects of lubricant with respect to sexual practices. Specifically, if the use of additional lubricant has little or no impact on condom breakage but increases condom slippage then encouraging its use may be counterproductive if condom users consider slippage to be a reason not to use condoms.Findings are reported from a study involving 194 men aged 19-54 years of mean age 30.7 years, and their sex partners, conducted to assess the effect of using supplemental lubricant upon condom slippage and breakage during a range of sex practices. A total 3607 condoms were used by the study participants. 59.8% of the men described themselves as heterosexual, 8.2% as bisexual, and 32% as homosexual. 32 (0.89%) condoms broke either during penetration or were found to have broken once the penis was withdrawn, while 70 (1.94%) slipped completely off of the penis. 5.7% of condoms were used only for oral sex, 58.0% only for vaginal sex, 25.4% only for anal sex, and 10.9% for more than one form of sexual practice. The use of additional lubricant was the norm for anal sex, but it was rarely used for vaginal and oral sex. The site at which additional lubricant was applied and the type of lubricant used varied significantly with the type of sexual acts for which the condoms were used. The use of lubricant was found to increase slippage for oral sex and more than double the risk of slippage during vaginal sex. However, lubricant use for anal sex and multiple practices reduces the risk of condom slippage to a level comparable to that observed for vaginal sex when lubricant is used. No significant effect of additional lubricant on condom breakage was observed. Education messages on the use of additional lubricant should take into account the range of different sex and lubricant use practices. |
| Databáze: | OpenAIRE |
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