Condom use and fertility among divorced and separated women.

Abstract:

:Sexually active divorced and separated women constitute a significant population at risk for sexually transmitted diseases. With components of the Interaction Model of Client Health Behavior (IMCHB) used as the conceptual framework, a convenience sample (N=254) of women--mostly educated, White, and in their 30s (20 to 49 years)--was examined relative to condom use and individual and social context characteristics. To explore the effect of fertility on condom use, the sample was divided into fertile and infertile subsamples. The IMCHB explained 49% of the variance in infrequent condom use by the fertile women (n=93) and 21% of the variance in less frequent condom use by the infertile women (n=161). :In response to stress during marital separation, many women have sexual relationships with multiple male partners. In so doing, they place themselves at risk for contracting and transmitting sexually transmitted diseases (STD). While divorced, women have more sexual partners over time than women in any other marital category. Moreover, White, college-educated divorced and separated women have more sex partners than other educational or racial groups. Components of the Interaction Model of Client Health Behavior (IMCHB) were used in the study of a convenience sample of 254 women relative to condom use and individual and social context characteristics. The subjects were mainly White, educated, and in their 30s. To explore the effect of fertility on condom use, the sample was divided into fertile and infertile subsamples. Women were considered fertile if they reported the use of barrier methods, withdrawal, rhythm, or no method of contraception at the time of the study. They were considered currently infertile if they reported that they were temporarily or permanently incapable of pregnancy due to the use of oral contraception, tubal ligation, hysterectomy, and/or menopause. The IMCHB explained 49% of the variance in infrequent condom use by the 93 fertile women and 21% of the variance in less frequent condom use by the 161 infertile women. This sample of divorced and separated women was at high risk for STDs due to their sexual involvement with a variety of new partners, and without condom use. Fertile women used condoms more often than did infertile women.

journal_name

Nurs Res

journal_title

Nursing research

authors

Marion LN,Cox CL

doi

10.1097/00006199-199603000-00010

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

110-5

issue

2

eissn

0029-6562

issn

1538-9847

journal_volume

45

pub_type

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