title: Condom use in the context of romantic relationships: A study among university students from 12 universities in four Central and Eastern European countries.
abstract: OBJECTIVE
  To investigate the extent to which romantic relationship status influences condom use during vaginal, oral and anal sex among students from 12 universities in the Czech Republic, Hungary, Lithuania and Slovakia.
  
  
  METHODS
  A pilot study of 880 students from the ongoing Student Life Cohort in Europe (SLiCE) study. Multiple logistic regression was conducted to establish the effect of romantic relationship status on condom use during vaginal, anal and oral sex in the previous 30 days, while adjusting for participants' age, gender, use of alcohol and other drugs prior to sex, condom-carrying practices and number of sexual partners.
  
  
  RESULTS
  Of the total sample, 73.7% were currently engaged in a romantic relationship and their condom use during vaginal sex (p < 0.001), oral sex (p < 0.001) and anal sex (p = 0.003) was significantly associated with their romantic relationship status. Students who were not in a romantic relationship had the lowest odds of condom use. Use of alcohol or other drugs before sex was detrimental to condom use (odds ratio 0.5; p = 0.045) during vaginal sex. Condom use during vaginal and oral sex was lower among older students.
  
  
  CONCLUSIONS
  The need to target university students with more pragmatic sexual health risk reduction interventions that accommodate the role of romantic relationships on behavioural choices is justified.
authors: a * Unit for Health Promotion Research, University of Southern Denmark , Esbjerg , Denmark.
authors: Derrick
authors: D
authors: Ssewanyana
authors: b Department of Psychology , Faculty of Arts, Šafárik University in Košice , Košice , Slovak Republic.
authors: Rene
authors: R
authors: Sebena
authors: c Department of Preventive Medicine , Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences , Kaunas , Lithuania.
authors: Janina
authors: J
authors: Petkeviciene
authors: d Faculty of Health Care, University of Miskolc , Miskolc , Hungary.
authors: Andrea
authors: A
authors: Lukács
authors: e Department of Addictology , First Faculty of Medicine, Charles University, Prague, and General University Hospital , Prague , Czech Republic.
authors: Michal
authors: M
authors: Miovsky
authors: a * Unit for Health Promotion Research, University of Southern Denmark , Esbjerg , Denmark.
authors: Christiane
authors: C
authors: Stock
mesh_terms: D000428:Alcohol Drinking; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D018153:Czech Republic; D005260:Female; D006801:Humans; D006814:Hungary; D008097:Lithuania; D008297:Male; D016017:Odds Ratio; D010865:Pilot Projects; D021841:Safe Sex / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners / Q000523:psychology*; D018154:Slovakia; D013334:Students / Q000706:statistics & numerical data; D019966:Substance-Related Disorders; D011795:Surveys and Questionnaires; D014495:Universities / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Condom use; Romantic relationships; Sexuality; University students