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4230.0: Tuesday, November 06, 2007 - Table 7

Abstract #163092

Perceptions of condom fit and feel and condom access among African-American men who have sex with men

Christopher M. Fisher, MA, Center for Sexual Health Promotion, Indiana University, 1025 E. 7th St., HPER 116, Bloomington, IN 47405, 812-855-0861, fishercm@indiana.edu, Michael Reece, PhD, MPH, Dept of Applied Health Science, Indiana University-Bloomington, 1025 E. 7th St, HPER 116, Bloomington, IN 47405, Debby Herbenick, PhD, MPH, Applied Health Science, Indiana University, HPER 116, Bloomington, IN 47405, and Brian Dodge, PhD, Indiana University, HPER 116, 1025 East Seventh Street, Bloomington, IN 47405.

BACKGROUND: Significant resources have been dedicated to the promotion of condoms for men who have sex with men (MSM), particularly, African-American men who are at a higher risk for HIV and STD infection. However, little is known about perceptions of condom fit and feel and condom access among African-American MSM. METHODS: Data from 202 African-American MSM who regularly used condoms were recruited at a 2006 African-American Gay Pride event. Descriptive and Chi-square statistics were employed to explore the perceptions of condom fit and feel using the Condom Fit and Feel scale as well as trends in accessing condoms. RESULTS: While many participants perceived condom fit and feel as acceptable, 21% of African-American MSM felt condoms were too tight and 13% felt condoms were too short. Many men (46%) reported purchasing condoms. African-American MSM acquired free condoms from sexual partners, community health fairs, and health care providers. Younger men (19-25) more often reported getting a condom from a sexual partner, health care provider or clinic than older men (p<.05). CONCLUSIONS: Findings suggest important differences in the size of condoms that should be offered to African-American MSM. Condoms perceived as too tight or too short may be considered uncomfortable and result in decreased consistent use. The nature of the venues through which men accessed condoms supports the continued dissemination of free condoms. Findings also suggest that public health providers may want to engage more with social networks to reach young African-American MSM in promoting condom use.

Learning Objectives:

Keywords: HIV/AIDS, African American

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

HIV Issues Facing African American Men

The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA