title: Negative perceptions about condom use in a clinic population: comparisons by gender, race and age.
abstract: We sought to elucidate the associations of 13 items assessing negative perceptions about condom use with gender, age and race in a sample of clinic attendees. Patients from four clinics, in three US cities, were recruited (N = 928). Data were collected using audio-computer-assisted self-interviewing. The primary measure was a 13-item adapted version of the Condom Barriers Scale. Logistic regression and chi-square tests were employed to relate the 13 items to gender, age and race. Gender, race and age all had significant associations with negative perceptions of condoms and their use. A primary finding was a large number of significant differences between men and women, with negative perceptions more common among women than among men. For African Americans, especially women, negative perceptions were more common among older participants than among younger participants. In conclusion, important demographic differences regarding negative perceptions may inform the tailoring of intervention efforts that seek to rectify negative perceptions about condoms and thus promote condom use among individuals at risk for sexually transmitted infections (STIs) in the USA. On the other hand, our findings also suggest that the majority of STI clinic attendees may hold positive perceptions about condoms and their use; maintaining and building upon these positive perceptions via education, counselling, and access is also important.
authors: College of Public Health at the University of Kentucky.
authors: R
authors: R
authors: Crosby
authors: L A
authors: LA
authors: Shrier
authors: R
authors: R
authors: Charnigo
authors: S A
authors: SA
authors: Sanders
authors: C A
authors: CA
authors: Graham
authors: R
authors: R
authors: Milhausen
authors: W L
authors: WL
authors: Yarber
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D017677:Age Distribution; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D017280:Condoms / Q000009:adverse effects / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010465:Perception; D015995:Prevalence; D044469:Racial Groups / Q000523:psychology*; D012727:Sex Characteristics; D017678:Sex Distribution; D012725:Sexual Behavior / Q000208:ethnology*; D012747:Sexual Partners; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: African American; condoms; men; sexual behaviour; sexually transmitted infections; women