Condom refusal and young Black men: the influence of pleasure, sexual partners, and friends.
The study investigated pleasure-related, partner-related, and social normative correlates of recent condom refusal in young Black men (YBM). A cross-sectional study of YBM (N = 561) attending clinics treating sexually transmitted diseases in three cities was conducted. Mean age was 19.6 years (SD = 1.87). Nearly one of every two young men (46.8 %) indicated recent refusal to use a condom after a request from their partner. Significant findings included the following: partner-related beliefs "I feel closer to my partner without a condom" (OR = 2.52, 95 % confidence interval (CI) = 1.65-3.83) and "condoms make sex hurt for the female partner" (OR = 1.69, 95 % CI = 1.14-2.52), a scale measure of pleasure-related beliefs (OR = 2.58, 95 % CI = 1.73-3.84), and a scale measure of negative social beliefs associated with condom usage (OR = 1.05, 95 % CI = 1.00-1.10). Interventions addressing pleasure-related, partner-related, and social normative beliefs as barriers to condom use are warranted for YBM.
Department of Health Behavior, University of Kentucky, Lexington, KY, USA, angelica.geter@uky.edu.
Angelica
A
Geter
Richard
R
Crosby
D000293:Adolescent; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008145:Louisiana / Q000453:epidemiology; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D057181:Pleasure; D012747:Sexual Partners / Q000523:psychology; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D055815:Young Adult