The validity of teens' and young adults' self-reported condom use

Eve Rose, Ralph DiClemente, Gina M. Wingood, Jessica McDermott Sales, Teaniese P. Latham, Richard A. Crosby, Jonathan Zenilman, Johan Melendez, James Hardin

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)61-64
Number of pages4
JournalArchives of Pediatrics and Adolescent Medicine
Volume163
Issue number1
DOIs
StatePublished - Jan 1 2009

Fingerprint

Condoms
Young Adult
Y Chromosome
Polymerase Chain Reaction
Unsafe Sex
Random Allocation
Sexually Transmitted Diseases
Sexual Behavior
African Americans
Self Report
Spermatozoa
Odds Ratio
Outcome Assessment (Health Care)
HIV
Confidence Intervals

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

The validity of teens' and young adults' self-reported condom use. / Rose, Eve; DiClemente, Ralph; Wingood, Gina M.; Sales, Jessica McDermott; Latham, Teaniese P.; Crosby, Richard A.; Zenilman, Jonathan; Melendez, Johan; Hardin, James.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 163, No. 1, 01.01.2009, p. 61-64.

Research output: Contribution to journalArticle

Rose, E, DiClemente, R, Wingood, GM, Sales, JM, 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, Eve ; DiClemente, Ralph ; Wingood, Gina M. ; Sales, Jessica McDermott ; 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{1e6d8e3337ca46c8babef85905a63b5e,
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 Ralph DiClemente and Wingood, {Gina M.} and Sales, {Jessica McDermott} and Latham, {Teaniese P.} and Crosby, {Richard A.} and Jonathan Zenilman and Johan Melendez and James Hardin",
year = "2009",
month = "1",
day = "1",
doi = "10.1001/archpediatrics.2008.509",
language = "English (US)",
volume = "163",
pages = "61--64",
journal = "JAMA Pediatrics",
issn = "2168-6203",
publisher = "American Medical Association",
number = "1",

}

TY - JOUR

T1 - The validity of teens' and young adults' self-reported condom use

AU - Rose, Eve

AU - DiClemente, Ralph

AU - Wingood, Gina M.

AU - Sales, Jessica McDermott

AU - Latham, Teaniese P.

AU - Crosby, Richard A.

AU - Zenilman, Jonathan

AU - Melendez, Johan

AU - Hardin, James

PY - 2009/1/1

Y1 - 2009/1/1

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.

UR - http://www.scopus.com/inward/record.url?scp=61449123987&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=61449123987&partnerID=8YFLogxK

U2 - 10.1001/archpediatrics.2008.509

DO - 10.1001/archpediatrics.2008.509

M3 - Article

VL - 163

SP - 61

EP - 64

JO - JAMA Pediatrics

JF - JAMA Pediatrics

SN - 2168-6203

IS - 1

ER -