Condom use in heavy drinking college students: The importance of always using condoms

Heather E. Certain, Brian J. Harahan, Elizabeth M. Saewyc, Michael F. Fleming

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Objective: The authors examined whether alcohol use decreased condom use. Participants: The subjects were heavy-drinking students on 5 different college campuses. Methods: A face-to-face interview, administered between November of 2004 and February of 2007, gathered information about condom use, alcohol use, and other behaviors. Multivariate logistic regression was used to assess predictors of condom use. Results: Of the 1715 participants, 64% reported that they did not always use condoms. Male students who drank heavily were less likely to always use condoms (adjusted odds ratio [AOR] 0.61). Participants with more sexual partners used condoms less when drinking (AOR 1.93 for men, 1.45 for women). Conclusions: Many students do not use condoms consistently, especially those who drink heavily or have multiple sexual partners. Clinicians at student health need to encourage all students to use condoms every time they have intercourse.

Original languageEnglish (US)
Pages (from-to)187-194
Number of pages8
JournalJournal of American College Health
Issue number3
StatePublished - Nov 1 2009


  • Alcohol
  • Clinical medicine
  • Sexual health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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