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Perfect Condom Use in a Less Than Perfect World
Arch Pediatr Adolesc Med. 2006;160:321-322.
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Dr Paz-Bailey and colleagues1 are to be applauded for their careful assessment of perfect condom use and its impact on risk reduction for gonococcal and chlamydial infections in young women. In their study, they have clearly used important methodological advances in assessing proper condom use like examining how the condom is used in each act of intercourse. In defining variables for analysis, they state, "Consistent and correct use included those with consistent condom use who reported none of the 5 assessed condom errors; consistent but not correct use included those who used condoms for every act of vaginal intercourse but reported 1 or more condom errors; and inconsistent use of condoms was defined as no use or some use but less than 100%."1(p537)
This delineation of the variable for "correct and consistent" makes one important error. The use of this variable does not acceptably identify the difference between user and . . . [Full Text of this Article] AUTHOR INFORMATION
Mary B. Adam, MD, MA
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RELATED LETTER
Perfect Condom Use in a Less Than Perfect World—Reply
Gabriela Paz-Bailey, Emilia Koumans, and Lauri E. Markowitz
Arch Pediatr Adolesc Med. 2006;160(3):322.
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RELATED ARTICLE
The Effect of Correct and Consistent Condom Use on Chlamydial and Gonococcal Infection Among Urban Adolescents
Gabriela Paz-Bailey, Emilia H. Koumans, Maya Sternberg, Antonya Pierce, John Papp, Elizabeth R. Unger, Mary Sawyer, Carolyn M. Black, and Lauri E. Markowitz
Arch Pediatr Adolesc Med. 2005;159(6):536-542.
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