Social network influences on male and female condom use among women attending family planning clinics in the United States.
BACKGROUND
Research has shown that social networks play an important role in determining health behaviors. However, little is known about their influence on male and female condom use among women.


METHODS
We analyzed data obtained from 157 sexually-active women who enrolled in the Female Condom Intervention Trial from June 2003 to November 2004 in Northern California and completed an audio computer-assisted self interview at baseline and 3-months.


RESULTS
At the 3-month assessment, the mean number of male and female "conversation" network members (i.e., nonspouse/sex partner people with whom respondents had discussed male and female condoms in the past 3 months) was 1.62 and 1.03, respectively. Results of multiple logistic regression analyses showed that male and female condom use was higher among women with at least 1 network member who encouraged using the male condom (OR, 3.39; 95% CI, 1.52, 7.56) and the female condom (OR, 6.03; 95% CI, 1.95, 18.61), respectively. Female condom use was also associated with having "dense" female condom conversation networks (i.e., at least 2 of respondents' network members knew one another; OR, 8.42; 95% CI, 3.05, 23.29).


CONCLUSIONS
The significant association between conversation network characteristics and male and female condom use suggests that more research is needed to better understand the role of conversation networks in affecting condom use among women.
Choi
Kyung-Hee
KH
Center for AIDS Prevention Studies, University of California, San Francisco, CA 94105, USA. kyunghee.choi@ucsf.edu
Gregorich
Steven E
SE
D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D003142:Communication; D017280:Condoms / Q000706:statistics & numerical data*; D019111:Single-Use Internal Condom / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000706:statistics & numerical data; D005193:Family Planning Services; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D012725:Sexual Behavior; D012747:Sexual Partners; D012944:Social Support; D011795:Surveys and Questionnaires; D014481:United States
Cochrane Database Syst Rev. 2002;(1):CD003255
11869658
Am J Public Health. 2008 Oct;98(10):1841-8
18703460
Public Health Rep. 1998 Jun;113 Suppl 1:151-9
9722820
Psychol Bull. 2002 Nov;128(6):851-885
12405135
J Acquir Immune Defic Syndr Hum Retrovirol. 1996 Jul;12(3):282-9
8673532
Am J Public Health. 2002 Apr;92(4):646-54
11919066
BMJ. 2006 Nov 25;333(7578):1098
17040924
Int J STD AIDS. 2006 Oct;17(10):652-9
17059633
Sex Transm Dis. 2003 May;30(5):433-9
12916135
Am J Public Health. 2007 Jan;97(1):133-43
17138920
Annu Rev Sex Res. 2003;14:114-36
15287160
AIDS Care. 2002 Apr;14(2):163-80
11940276
Soc Sci Med. 1997 Sep;45(5):677-87
9226791
Bull World Health Organ. 2004 Jun;82(6):454-61
15356939
Soc Sci Med. 1997 May;44(9):1303-12
9141163
Demography. 2001 Feb;38(1):43-58
11227844
Soc Sci Med. 2003 Feb;56(3):465-76
12570967
Soc Sci Med. 2000 Jan;50(2):215-31
10619691
AIDS Educ Prev. 2003 Jun;15(3):205-20
12866833
Fam Plann Perspect. 1994 Mar-Apr;26(2):66-72
8033980