title: Effectiveness of a brief condom promotion program in reducing risky sexual behaviours among African American men.
abstract: BACKGROUND
  The prevention of human immunodeficiency virus/sexually transmitted diseases remains a significant global public health issue, especially among vulnerable populations.
  
  
  OBJECTIVE
  To promote condom use skills among young urban African American men.
  
  
  METHODS
  As a pilot study, a randomized controlled trial was conducted among 136 African American men aged 18-24 years recruited from urban communities in Chicago. Participants assigned to the intervention received 45-60 minutes of a one-on-one single-session condom promotion program delivered by trained facilitators while those assigned to the attention-matched comparison condition received a general health program. Longitudinally, 115 (85%) and 120 (88%) participants completed the 3-month and 6-month follow-up surveys, respectively.
  
  
  RESULTS
  Overall, the study results indicate that positive effects were observed from baseline to 6-month follow-up for intervention participants relative to comparison condition participants for prior condom use (1.23-1.82 versus 1.34-0.97); condom use intention (2.51-3.19 versus 2.69-2.21); perceived condom availability (3.44-3.72 versus 3.42-3.38); positive reasons to use condoms (2.82-3.08 versus 2.95-1.99); favourable condom use attitude (2.41-2.69 versus 2.49-1.95); barriers to condom use (1.33-0.79 versus 1.25-1.85); and negative condom use attitude (1.45-0.66 versus 1.33-1.39), respectively.
  
  
  CONCLUSIONS
  We conclude that a brief single-session condom promotion program is effective in preventing high-risk sexual behaviours among urban young adult African American men.
authors.affiliation: Pacific Institute for Research & Evaluation, Louisville Center, Louisville, Kentucky 40208, USA. kennedy@pire.org
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Kennedy
authors.forename: Sherry
authors.initials: S
authors.lastname: Nolen
authors.forename: Zhenfeng
authors.initials: Z
authors.lastname: Pan
authors.forename: Betty
authors.initials: B
authors.lastname: Smith
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Applewhite
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Vanderhoff
mesh_terms: D000293:Adolescent; D001741:Black or African American; D002641:Chicago; D017280:Condoms; D006293:Health Promotion / Q000379:methods* / Q000592:standards; D006801:Humans; D008297:Male; D010865:Pilot Projects; D015397:Program Evaluation; D047568:Unsafe Sex / Q000517:prevention & control*; D055815:Young Adult