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A brand new meta-analysis comparing condom use throughout 249 research and greater than 1 / 4 million U.S. young people unearths that merely having wisdom about more secure intercourse practices isn’t sufficient to inspire condom use.
The paper, “Identifying the Strongest Correlates of Condom Use Among U.S. Adolescents: a Systematic Review and Meta-Analysis,” is revealed within the magazine JAMA Pediatrics.
The evaluation suggests young people additionally wish to really feel assured about purchasing and the usage of condoms, they wish to plan to make use of them, and so they want as a way to keep up a correspondence successfully with their companions about condom use.
“Condoms are effective at preventing pregnancy and protecting against sexually transmitted infections, but only about half of sexually active teens in the U.S. used a condom the last time they had sex,” says Laura Widman, corresponding creator of the meta-analysis and a professor of psychology at North Carolina State College. “Our function with this paintings used to be to determine precisely what predicts condom use amongst young people.
“That is necessary as a result of sexually transmitted infections are on the upward push amongst young people, and this find out about will lend a hand us perceive which sides of sexual well being decision-making must be focused in intercourse teaching programs.
“For example, our analysis really underscores the importance of effective communication between partners about condom use, which tells us that future programs should prioritize developing this skill set in teens.”
For this meta-analysis, the researchers drew on information from 249 research revealed between 2000 and 2024. Jointly, the ones research concerned 251,713 find out about contributors with an average age of simply over 16.
The researchers synthesized the information from the ones research the usage of statistical tactics to inspect 36 other predictors of condom use. The researchers then carried out a sequence of analyses designed to spot elements that had been maximum intently related to condom use.
“We found that having knowledge about safe sex, by itself, was not correlated with condom use across studies,” Widman says. “We know that just giving people knowledge alone is not enough to change their behavior.”
Alternatively, the researchers did establish a number of elements which might be related to condom use.
“Teens who used a condom the first time they had sex were far more likely to use condoms consistently over time,” Widman says. “This underscores the importance of early interventions, before teens have their first sexual experiences.”
Different notable predictors had been whether or not young people deliberate to make use of condoms previous to having intercourse, whether or not young people had been speaking with their companions about condom use, and teenagers’ self assurance of their talent to interact in more secure intercourse. The researchers discovered that every one of those predictors held true throughout age, gender and sexual orientation.
“This meta-analysis combines more than 20 years of research to help us better understand how teens make decisions in sexual relationships,” Widman says.
“The findings highlight the need to boost teens’ interpersonal skills and confidence, and to do so early in their development so they can make the best sexual choices for themselves.”
Additional information:
Laura Widman et al, Figuring out the Most powerful Correlates of Condom Use Amongst US Youth, JAMA Pediatrics (2025). DOI: 10.1001/jamapediatrics.2024.5594
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North Carolina State College
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