Parent communication, contraceptive knowledge and preference, and condom use at last sex among young, sexually active Black men

Background: African American teens, ages 15-19 years, are twice as likely to experience unintended pregnancy compared to their White counterparts. Examining factors that may contribute to unintended pregnancy among this high-risk population remain a public health priority. This study examines the role parent communication and youth contraceptive knowledge and preference play in condom behaviors among young, sexually-active African American men. 

Methods: An anonymous paper-and-pencil questionnaire surveyed young men regarding: parent-youth communication, contraceptive knowledge and preferences, and condom use at last vaginal intercourse. Data were analyzed using multiple linear regression models.

Results: A total of 209 sexually-active men age 14-19 years (mean=16.4), completed the questionnaire. Overall, 73.2% reported that they and their parent(s) had discussed sex at least 3 times or more, particularly pregnancy prevention (67.0%), where to get condoms (66.2%), and sexually transmitted infections (STIs) (52.5%). The majority of men reported having contraceptive knowledge regarding condoms (98.5%), the pill (77.5%), and emergency contraception (53.4%) and preferred using condoms (90.1%)  A large majority (78.0%) reported using a condom the last time they had vaginal intercourse. Condom use at last vaginal intercourse was predicted by condom preference and discussions with parents (≥ 3 times) about where to get condoms.

Discussion: This study provides insight into the role parent-youth communication and young men’s contraceptive knowledge and preference play in condom use behaviors for the prevention of pregnancy and STIs among young African American men. Findings suggest that parent communication about condom accessibility and youth condom preference contribute to young men’s condom use behaviors.