The University of Southampton
University of Southampton Institutional Repository

The protective value of discussing condom use: a study of young black men attending STI clinics in the Southern United States

The protective value of discussing condom use: a study of young black men attending STI clinics in the Southern United States
The protective value of discussing condom use: a study of young black men attending STI clinics in the Southern United States
Young Black men (YBM) experience disparities in both HIV incidence and incidence of bacterial sexually transmitted infections (STIs); thus, developing efficacious behavioral interventions is an especially critical goal. One potential avenue for intervention involves improving sexual health communications among YBM and their partners, before sex occurs. Such discussions may serve several purposes, including improving condom use and facilitating the negotiation of correct and consistent condom use. The aim of the current study was to determine the STI-protective effects of discussing condom use with sex partners, among medically-underserved YBM. Seven-hundred-two YBM were recruited from three STI clinics in the Southern US. YBM completed a self-interview at baseline and again 6-months later. At twelve months post-enrollment, a chart review determined incident STIs. The majority of YBM participants (61.1%) had recently discussed condom use with partners before sex. Of twelve assessed outcomes, seven were significantly associated with this measure. In each case a protective effect was observed. In controlled analyses, the 12-month incidence of STIs was significantly (P=.05) greater among YBM not discussing condoms with sex partners. The results of the current study suggest that, among YBM attending clinics, discussing condom use with sex partners may promote safer sex practices. This behavior was also predictive of lower STI incidence in the ensuing 12 months, suggesting that it may be an ideal intervention target for programs designed to protect YBM against STI acquisition, including HIV.
1090-1981
1-8
Crosby, Richard
56a5d8e1-979b-4404-816f-3219ee88bfcb
Skakoon-Sparling, Shayna
6fac6f9d-99da-4a5f-a3d7-ccd3344fb703
Milhausen, Robin
db33134e-f1c8-4f47-bab3-22801781f0ab
Sanders, Stephanie
2cdaa259-0493-43c6-812a-927eb730229b
Graham, Cynthia
ac400331-f231-4449-a69b-ec9a477224c8
Yarber, William
b2aa9a78-ba6c-430e-834e-3a1acaa8db6b
Crosby, Richard
56a5d8e1-979b-4404-816f-3219ee88bfcb
Skakoon-Sparling, Shayna
6fac6f9d-99da-4a5f-a3d7-ccd3344fb703
Milhausen, Robin
db33134e-f1c8-4f47-bab3-22801781f0ab
Sanders, Stephanie
2cdaa259-0493-43c6-812a-927eb730229b
Graham, Cynthia
ac400331-f231-4449-a69b-ec9a477224c8
Yarber, William
b2aa9a78-ba6c-430e-834e-3a1acaa8db6b

Crosby, Richard, Skakoon-Sparling, Shayna, Milhausen, Robin, Sanders, Stephanie, Graham, Cynthia and Yarber, William (2018) The protective value of discussing condom use: a study of young black men attending STI clinics in the Southern United States. Health Education & Behaviour, 1-8. (doi:10.1177/1090198118775496).

Record type: Article

Abstract

Young Black men (YBM) experience disparities in both HIV incidence and incidence of bacterial sexually transmitted infections (STIs); thus, developing efficacious behavioral interventions is an especially critical goal. One potential avenue for intervention involves improving sexual health communications among YBM and their partners, before sex occurs. Such discussions may serve several purposes, including improving condom use and facilitating the negotiation of correct and consistent condom use. The aim of the current study was to determine the STI-protective effects of discussing condom use with sex partners, among medically-underserved YBM. Seven-hundred-two YBM were recruited from three STI clinics in the Southern US. YBM completed a self-interview at baseline and again 6-months later. At twelve months post-enrollment, a chart review determined incident STIs. The majority of YBM participants (61.1%) had recently discussed condom use with partners before sex. Of twelve assessed outcomes, seven were significantly associated with this measure. In each case a protective effect was observed. In controlled analyses, the 12-month incidence of STIs was significantly (P=.05) greater among YBM not discussing condoms with sex partners. The results of the current study suggest that, among YBM attending clinics, discussing condom use with sex partners may promote safer sex practices. This behavior was also predictive of lower STI incidence in the ensuing 12 months, suggesting that it may be an ideal intervention target for programs designed to protect YBM against STI acquisition, including HIV.

Text
Discuss Condoms Accepted - Accepted Manuscript
Download (98kB)

More information

Accepted/In Press date: 23 March 2018
e-pub ahead of print date: 1 June 2018

Identifiers

Local EPrints ID: 419298
URI: http://eprints.soton.ac.uk/id/eprint/419298
ISSN: 1090-1981
PURE UUID: 49b86210-9c31-45a8-8137-19aea761b310
ORCID for Cynthia Graham: ORCID iD orcid.org/0000-0002-7884-599X

Catalogue record

Date deposited: 10 Apr 2018 16:30
Last modified: 07 Oct 2020 05:57

Export record

Altmetrics

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×