title: Enhancing condom use among Black male youths: a randomized controlled trial.
abstract: OBJECTIVE
  We tested the efficacy of a brief intervention to promote correct and consistent use of condoms among Black male youths attending sexually transmitted infection (STI) clinics in 3 southern US cities.
  
  
  METHODS
  In 2010 to 2012, we screened (n = 1102) and enrolled (n = 702) youths aged 15 to 23 years who identified as Black and reported recent (past 2 months) sexual activity and randomized them to a private, brief, interactive intervention (n = 349) or an attention-equivalent control condition (n = 353). Assessments occurred at baseline and 2 and 6 months after the intervention.
  
  
  RESULTS
  At 6 months, with adjustment for age and pretest nonequivalence of the outcome variable, an estimated odds ratio (EOR) of 1.63 (95% confidence interval [CI] = 1.07, 2.49; P = .02) indicated efficacy for correct condom use. An adjusted generalized estimating equations model with both 2- and 6-month condom use variables produced an EOR of 1.49 (95% CI = 1.06, 2.08; P = .02). We did not observe significant effects on chlamydia and gonorrhea incidence.
  
  
  CONCLUSIONS
  This brief intervention, delivered as part of STI clinical care, could help alleviate the disproportionate STI-HIV burden among young Black men.
authors.affiliation: Richard A. Crosby, Richard J. Charnigo, and Rachel V. Smith are with the College of Public Health, University of Kentucky, Lexington. Laura F. Salazar is with the Institute of Public Health, Georgia State University, Atlanta. Ryan Pasternak and Ivy Terrell are with the Health Sciences Center, and Stephanie N. Taylor is with the Delgado Personal Health Center STD Clinic, Louisiana State University, New Orleans. JaNelle Ricks is with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Crosby
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Charnigo
authors.forename: Laura F
authors.initials: LF
authors.lastname: Salazar
authors.forename: Ryan
authors.initials: R
authors.lastname: Pasternak
authors.forename: Ivy W
authors.initials: IW
authors.lastname: Terrell
authors.forename: JaNelle
authors.initials: J
authors.lastname: Ricks
authors.forename: Rachel V
authors.initials: RV
authors.lastname: Smith
authors.forename: Stephanie N
authors.initials: SN
authors.lastname: Taylor
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data*; D006266:Health Education / Q000379:methods; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008145:Louisiana / Q000453:epidemiology; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D055815:Young Adult