Psychosocial constructs associated with condom use among high-risk African American men newly diagnosed with a sexually transmitted disease.
BACKGROUND
African American men are disproportionately burdened by the US AIDS epidemic.


OBJECTIVE
The purpose of this study was to determine associations between condom-related psychosocial constructs and condom use among a sample of young, heterosexual, African American men newly diagnosed with a sexually transmitted disease.


METHODS
This cross-sectional study collected data from 266 men. Predictors included seven scale measures and 12 covariates. Unadjusted odds ratios were estimated followed by multivariable logistic regression.


RESULTS
Nearly one half (47.7%) used condoms at last sex. Five of the psychosocial measures had significant bivariate associations with condom use (p < 0.05). Specific attitudes toward condom use and partner-related barriers retained multivariable significance. Changes of one standard deviation in these measures increased the estimated odds of condom use by 40% (p = 0.021) and 55% (p = 0.002), respectively.


CONCLUSIONS
Specific attitudes toward condom use and partner-related barriers may be particularly important constructs to consider when designing behavioral interventions for high-risk, heterosexual, African American men.
Charnigo
Richard
R
College of Public Health, University of Kentucky, Lexington, KY 40506-0003, USA.
Crosby
Richard A
RA
Troutman
Adewale
A
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D001290:Attitude; D017280:Condoms / Q000706:statistics & numerical data*; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D016017:Odds Ratio; D011584:Psychology; D012307:Risk Factors; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D012749:Sexually Transmitted Diseases / Q000517:prevention & control / Q000523:psychology*; D055815:Young Adult