Prevalence and Correlates of Recent Condom Use Errors among Young African-American Men

Background: “Consistent and correct condom use” is the mantra of HIV/STD prevention. However, relatively few studies have explored condom use errors reported by men.

Objective: To assess the prevalence and correlates of condom use errors among young African-American men.

Methods: Sociodemographic, psychosocial and sexual behavior data were collected via ACASI from 80 African-American men, 18-29 years, prior to randomization in an HIV prevention study. Men were categorized as experiencing an error if they reported during the last 3 months: putting on the condom after starting sex, taking it off before sex was over, condom breakage, slippage during sex or when pulling out. Logistic regression models assessed the correlates of experiencing an error.

Results: A total of 35 (44%) men experienced a condom error in the past 3 months. The most common error was taking off the condom before sex was over (57%). Those experiencing errors: were more likely to have casual partners (OR: 3.0, p=.018), had more frequent sex with casual partners (OR: 1.4, p=.037), reported greater condom use barriers (OR: 3.2, p=.008) and were more likely to pressure partners to have sex without a condom (OR: 5.3, p=.048). Condom use self-efficacy did not differ among those who did vs. did not experience condom errors. In adjusted analyses, only condom barriers remained statistically significant (AOR: 2.5, p=.044)

Conclusions: Many young African-American men report condom use errors. Despite similar self-efficacy, those experiencing errors perceived greater barriers to using condoms. HIV/STD prevention programs may benefit by addressing specific errors and overcoming barriers.