Spruyt A, Steiner M J, Joanis C, Glover L H, Piedrahita C, Alvarado G, Ramos R, Maglaya C, Cordero M
Family Health International, Research Triangle Park, NC 27709, USA.
Am J Public Health. 1998 Feb;88(2):239-44. doi: 10.2105/ajph.88.2.239.
This study examined whether past condom failure (breakage, slippage, or both) can predict future failure and evaluated other predictors of condom failure.
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.
Men at increased 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 with breakage. Unrolling condoms before donning and lengthy or intense intercourse were associated with slippage. Of background characteristics evaluated, having less education was associated with condom failure.
These data suggest that a history of condom failure predicts future failure, a finding that may be useful for targeted intervention. Moreover, these data provide further evidence that certain behaviors and lower educational attainment are associated with condom failure.
本研究探讨既往避孕套失败（破裂、滑落或两者皆有）是否可预测未来失败，并评估避孕套失败的其他预测因素。
在3个国际地点，每个地点招募约130名男性避孕套使用者，并在3周时间内给他们5个避孕套用于阴道性交。
风险增加的男性（有1个或更多避孕套破裂或滑落史）报告的避孕套失败次数约为未处于该组男性的两倍。避孕套失败率随每位参与者报告的不良避孕套使用行为数量增加而上升。用尖锐物品打开避孕套包装以及在戴上之前展开避孕套与破裂有关。在戴上之前展开避孕套以及长时间或激烈性交与滑落有关。在所评估的背景特征中，受教育程度较低与避孕套失败有关。
这些数据表明，避孕套失败史可预测未来失败，这一发现可能有助于进行有针对性的干预。此外，这些数据进一步证明某些行为和较低的教育程度与避孕套失败有关。
