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Perceived versus actual knowledge about correct condom use among
U.S. adolescents: results from a national study.
Journal of Adolescent Health 2001;28(5):415-420.
Crosby RA, Yarber WL.
Abstract
PURPOSE: To assess the prevalence of three misconceptions about correct condom
use and determine whether prevalence of these misconceptions varied by gender,
sexual intercourse experience, experience using condoms, and the relationship
between adolescents' actual and perceived knowledge about correct condom
use. Variables that predicted misconceptions about correct condom use were
also identified. METHODS : Data from the National Longitudinal Study of Adolescent
Health were analyzed to determine prevalence of misconceptions among 16,677
adolescents. Misconceptions were: (a) no space at the tip of the condom,
(b) Vaseline can be used with condoms, and (c) lambskin protects against
the acquired immunodeficiency virus better than latex. Chi-square analyses
determined differences in prevalence of misconceptions between male and female
adolescents based on their sexual and condom use experience as well as their
level of perceived knowledge about correct condom use. Logistic regression
models identified predictors of reporting misconceptions. RESULTS: Depending
on intercourse experience and experience using condoms, about one-third to
one-half believed the first two misconceptions and about one-fifth believed
the latter one. Perception of knowledge about correct condom use was infrequently
related to actual knowledge. Misconceptions were less likely among older
adolescents, those ever having intercourse, those reporting four or more
lifetime intercourse partners, those who had used condoms, females, and those
not reporting a religious affiliation. CONCLUSIONS: Misconceptions about
correct condom use are common among adolescents. Sexually active adolescents
need more complete information about correct condom use.