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Journal of American College Health Volume 70, 2022 - Issue 6
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Major Articles

An exploratory test of a couples-based condom-use intervention designed to promote pleasurable and safer penile–vaginal sex among university students

Amanda N. Gesselmana Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0001-6485-6404View further author information
, PhDORCID Icon,
Rebecca Ryana Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;c School of Public Health, Indiana University, Bloomington, Indiana, USAView further author information
, MPH, PhD,
William L. Yarbera Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;c School of Public Health, Indiana University, Bloomington, Indiana, USA;d Department of Gender Studies, Indiana University, Bloomington, Indiana, USAView further author information
, HSD,
Karen B. Vanterpoola Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;c School of Public Health, Indiana University, Bloomington, Indiana, USAView further author information
, MPH,
Karly A. Beaversb Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;c School of Public Health, Indiana University, Bloomington, Indiana, USAView further author information
, MPH,
Heather Francisa Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;c School of Public Health, Indiana University, Bloomington, Indiana, USAView further author information
, MSEd, EdS,
Brandon T. Grantb Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;c School of Public Health, Indiana University, Bloomington, Indiana, USAView further author information
, MPH,
Katherine Woodb Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;c School of Public Health, Indiana University, Bloomington, Indiana, USAView further author information
, MPH,
Cynthia A. Grahama Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;e Department of Psychology, University of Southampton, Southampton, UKORCID Iconhttps://orcid.org/0000-0002-7884-599XView further author information
, PhDORCID Icon,
Robin Milhausena Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;f Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, CanadaView further author information
, PhD,
Stephanie A. Sandersa Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;d Department of Gender Studies, Indiana University, Bloomington, Indiana, USAView further author information
, PhD &
Richard A. Crosbya Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, Indiana, USA;b Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA;g College of Public Health, University of Kentucky, Lexington, Kentucky, USAView further author information
, PhD show all
Pages 1665-1672 | Received 25 Jan 2019, Accepted 28 Aug 2020, Published online: 05 Nov 2020
 
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Abstract

Objective: Dual use of male condoms and female contraceptives is widely advocated for unplanned pregnancy prevention, yet college students often neglect condoms. This feasibility and acceptability study assessed the efficacy of a self-guided home-based condom-promotion intervention among college students in heterosexual relationships. Participants: Fifty-nine couples who had been together at least 30 days and had penile–vaginal sex at least twice weekly. Methods: Assessments were done at baseline and 6 months later. Outcomes were frequency of condom-unprotected penile–vaginal sex and four psychosocial mediators of condom use. Results: Frequency of unprotected penile–vaginal sex decreased over time. Several corresponding psychosocial mediators showed change, particularly among women. Using actor–partner interdependence modeling, men’s increase in condom use was associated with an increase in women’s sexual pleasure. Conclusion: Findings support implementation of a brief, self-guided, home-based condom-use intervention that could lower incidence of unplanned pregnancy and STIs among heterosexually active college students.

Conflict of interest disclosure

The authors have no conflicts of interest to report. The authors confirm that the research presented in this article met the ethical guidelines, including adherence to the legal requirements, of the United States and received approval from the Indiana University.

Data availability statement

The data that support the findings of this study are available from the corresponding author, ANG, upon reasonable request.

Additional information

Funding

This study was funded by the Rural Center for AIDS/STD Prevention, Indiana University School of Public Health-Bloomington.

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