Condoms are more effective when applied by males: a study of young black males in the United States |
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| Affiliation: | 1. College of Public Health, University of Kentucky, Lexington;2. The Kinsey Institute for Research in Sex, Gender, and Reproduction, Bloomington, IN;3. Rural Center for AIDS/STD Prevention, Indiana University, Bloomington;4. Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON, Canada;5. Department of Gender Studies, Indiana University, Bloomington;6. Department of Psychology, University of Southampton, Southampton, UK;7. School of Public Health–Bloomington, Indiana University, Bloomington;1. Division of Global Public Health, Department of Medicine, University of California San Diego School of Medicine, 9500 Gilman Drive MC 0849, La Jolla, CA 92093, United States;2. The Center for Social Work Research, School of Social Work, The University of Texas at Austin, 1 University Station D3510, Austin, TX 78712, United States;1. Jordan Medical Education Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania;2. Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania;3. Center of Excellence for Diversity in Health Education and Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania;4. Biostatistics Analysis Center, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania;5. Center for Pediatric Clinical Effectiveness and PolicyLab, The Children''s Hospital of Philadelphia, Philadelphia, Pennsylvania;6. Healthcare Analytics Unit, The Children''s Hospital of Philadelphia, Philadelphia, Pennsylvania;7. Division of General Pediatrics, The Children''s Hospital of Philadelphia, Philadelphia, Pennsylvania;8. Division of Infectious Diseases, The Children''s Hospital of Philadelphia, Philadelphia, Pennsylvania |
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| Abstract: | PurposeTo determine, among a sample of young black male (YBM), whether female application of male condoms for penile–vaginal intercourse would be associated with higher or lower rates of breakage or slippage. A secondary aim was to investigate if higher rates of breakage or slippage were associated with increased odds of acquiring chlamydia and/or gonorrhea.MethodsA cross-sectional study of 412 YBM, aged 15 to 23 years, was conducted in three US cities located in the Southern United States.ResultsAmong YBM reporting frequent female application of condoms, 43.5% reported one or more instance of breakage or slippage, compared with those reporting less frequent female application (27.2%, P = .003). Among YBM reporting one or more event of breakage or slippage, 25.4% tested positive for chlamydia and/or gonorrhea. In contrast, among those not reporting breakage or slippage, 17.2% tested positive (P = .047).ConclusionsFindings suggest that educational and behavioral interventions should seek to improve young women's skills relative to condom application and use. Further studies could also investigate whether intervention efforts should encourage some YBM to be responsible for their own condom application. |
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| Keywords: | Condoms Young men Sexually transmitted diseases Sexual behavior |
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