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)
Adam MB. Perfect Condom Use in a Less Than Perfect World. Arch Pediatr Adolesc Med. 2006;160(3):321–322. doi:10.1001/archpedi.160.3.321-b
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