244189 Prevalence and Correlates of Recent Condom Use Errors among Young African-American Men

Monday, October 31, 2011

Andrea Swartzendruber, MPH , Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Ralph DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
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.

Learning Areas:
Public health or related research

Learning Objectives:
Identify the prevalence of condom use errors among a sample of young African-American men. Discuss the correlates of experiencing a condom use error among a sample of young African-American men. Discuss suggestions for HIV/STD prevention to improve consistent and correct condom use.

Keywords: Condom Use, African American

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: MPH: Emory University Rollins School of Public Health, 1999 PhD Candidate: Johns Hopkins Bloomberg School of Public Health, 2012 expected graduation Experience in research and programs domestically and internationally
Any relevant financial relationships? No

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.