title: Condom use among heterosexual immigrant Latino men in the southeastern United States.
abstract: Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases (STDs). We examined correlates of condom use among adult heterosexual Latino men who are members of a large multicounty soccer league in rural North Carolina. Of 222 participants, the mean (+/-SD) age was 29.8 (+/-8.3) years. Approximately 60% reported Mexico as their country of origin, 60% reported Grade 8 or below as their highest level of education, and 50% reported using condoms during their most recent vaginal intercourse episodes. Adjusting for relationship status, multivariable logistic regression identified four correlates of condom use: having sought health care information from family members (adjusted odds ratio [AOR]=3.68; 95% confidence interval [CI]=1.48-9.13); greater knowledge of HIV transmission and prevention (AOR = 2.61; CI = 1.23-5.54); greater condom use self-efficacy (AOR = 4.45; 95% CI = 2.12-9.36); and greater adherence to traditional masculine norms (AOR = 2.10; 95% CI = 1.02-4.33). Our findings underscore the need for innovative and targeted HIV and STD prevention programming among the emerging Latino community in the southeastern United States.
authors.affiliation: Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
authors.forename: Emily
authors.initials: E
authors.lastname: Knipper
authors.forename: Scott D
authors.initials: SD
authors.lastname: Rhodes
authors.forename: Kristen
authors.initials: K
authors.lastname: Lindstrom
authors.forename: Fred R
authors.initials: FR
authors.lastname: Bloom
authors.forename: Jami S
authors.initials: JS
authors.lastname: Leichliter
authors.forename: Jaime
authors.initials: J
authors.lastname: Montaño
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D018672:Community Health Planning; D003256:Community Participation; D017280:Condoms / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000193:education* / Q000523:psychology; D005783:Gender Identity; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006265:Health Care Coalitions; D007722:Health Knowledge, Attitudes, Practice; D020010:Heterosexuality / Q000208:ethnology* / Q000523:psychology; D006630:Hispanic or Latino / Q000193:education* / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009657:North Carolina / Q000453:epidemiology; D012423:Rural Health / Q000706:statistics & numerical data*; D020377:Self Efficacy; D012749:Sexually Transmitted Diseases / Q000208:ethnology / Q000517:prevention & control*; D012916:Soccer; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires