Difference in condom use among sexually active males at historically black colleges and universities.
Black men who have sex with men (MSM) and black men who have sex with both men and women (MSMW) may not perceive themselves to be part of the larger gay community and hence may not heed prevention messages aimed at the community.


OBJECTIVE
To better understand the participants behaviors, the authors examined differences in condom use between black MSM/W (including MSM and MSMW) and men who have sex with women (MSW) at historically black colleges and universities (HBCUs).


METHODS
A paper-and-pencil questionnaire survey investigated sexual behaviors of 1,865 freshmen from 35 HBCUs during the 2001-2002 school year.


RESULTS
MSM/W were about 0.37 times less likely to always use condoms compared with MSW (adjusted odds ratio = 0.63, 95% confidence interval = 0.42-0.95). Sexual behavior, age at survey, total family income, and religion were also associated with condom use.


CONCLUSIONS
These findings offer new directions for sexually transmitted disease and HIV prevention aimed at a highly marginalized population that remains at high risk for infection.
Washington
Thomas Alex
TA
Drug Abuse Research Program, Morgan State University, Baltimore, MD, USA. twashing@csulb.edu
Wang
Yan
Y
Browne
Dorothy
D
D000293:Adolescent; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D001727:Bisexuality / Q000208:ethnology; D017280:Condoms / Q000706:statistics & numerical data*; D018451:Homosexuality, Male / Q000208:ethnology; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000208:ethnology*; D013334:Students / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D014495:Universities; D055815:Young Adult