Enhancing Condom Use Among Black Male Youths: A Randomized Controlled Trial

Crosby, Richard A.; Charnigo, Richard; Salazar, Laura F.; Pasternak, Ryan; Terrell, Ivy; Ricks, JaNelle M.; Smith, Ray; Taylor, Stephanie N.

doi:10.2105/ajph.2014.302131

Cited by 39 publications

(48 citation statements)

References 31 publications

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“…Following completion of screening (Stage 2), five studies met all the inclusion criteria: studies that tested and reported outcome measures representing aspects of condom use fit and feel. [15][16][17][18][19] Characteristics of included studies…”

Section: Resultsmentioning

confidence: 99%

Evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review

et al. 2019

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Continuing high rates of sexually transmissible infections (STIs) in many countries highlight the need to identify effective behavioural interventions. Consistent and correct use of male condoms is a key strategy for the prevention of STIs. However, some men report problems with condom fit (e.g. the size and shape of the condom) and feel (e.g. tightness, irritation, sensitivity), which inhibits their use. We conducted a systematic review to identify existing interventions addressing condom use fit and feel problems. We searched electronic databases for peer-reviewed articles and searched reference lists of retrieved studies. Five studies met the inclusion criteria. These were generally small-scale pilot studies evaluating behavioural interventions to promote safer sex with men aged under 30 years, addressing, among other things, barriers to condom use relating to fit and feel. There were significant increases in the reported use of condoms, including condom use with no errors and problems. Improvements in some condom use mediators were reported, such as condom use self-efficacy, knowledge, intentions and condom use experience. There were mixed findings in terms of the ability of interventions to reduce STI acquisition. Behavioural interventions addressing condom fit and feel are promising in terms of effectiveness but require further evaluation.

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Section: Resultsmentioning

confidence: 99%

Evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review

et al. 2019

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“…This practice of using multiple forms of the same outcome measure is well-established in the extant literature. 26–28 Additionally, whether men had multiple partners as a “top” or as a “bottom” was assessed and coded as yes/no, with the percent indicating “yes” reported in Table 1. Finally, as a marker of sexual risk behaviors we also tested for Chlamydia or gonorrhea.…”

Section: Methodsmentioning

confidence: 99%

Measures of Attitudes Toward and Communication about Condom Use

Crosby

Graham

Yarber

et al. 2016

Sexually Transmitted Diseases

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Objective To construct and test measures of psychosocial mediators that could be used in intervention studies seeking to promote safer sex behavior among young Black men who have sex with men (YBMSM). Methods YBMSM (N=400), ages 18–29 years, were recruited from an STI clinic, in the Southern U.S. All men had engaged in penile-anal sex with a male as a “top” in the past 6 months. Men completed an audio-computer assisted self-interview and provided specimens used for NAAT testing to detect Chlamydia and gonorrhea. Four measures were constructed and tested for criterion validity (Safer Sex Communication, Condom Turn-Offs, Condom Pleasure Scale, and a single item assessing frequency of condom use discussions before sexual arousal). Results With the exception of Safer Sex Communication, all of the measures showed criterion validity for both unprotected anal insertive, and unprotected anal receptive sex. With the exception of the Condom Turn-Offs, the three other measures were supported by criterion validity for oral sex. Both the Condom Turn-Offs and Condom Pleasure Scale were significantly related to whether or not men reported multiple partners as a “top” but only the Condom Pleasure Scale was associated with reports of multiple partners as a “bottom.” Only the Condom Turn-Offs Scale was positively associated with having been diagnosed with either Chlamydia or gonorrhea. Conclusion Findings provide three brief scales and a single item that can be used in intervention studies targeting YBMSM. Perceptions about condoms a turn off and about condoms enhancing pleasure showed strong association with sexual risk behaviors.

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“…Consequently, evidence-based interventions applied to promote the correct, as well as the consistent use of, condoms may be as efficacious as PrEP. [39][40][41] It is noteworthy that the most recently published study on condom effectiveness against HIV acquisition among MSM provided a 70% effectiveness rate for persons using condoms consistently. 42 The study, however, did not correct for lack of correct use among those using condoms consistently, thereby creating bias towards the null.…”

Section: Dual Use Of Prep and Condomsmentioning

confidence: 99%

“…weekends only) and the expense of PrEP makes its use impractical during times when MSM do not have anal sex, the option of condom use (either fully or as a supplement to PrEP) must be delivered as a practical alternative or companion practice to PrEP, and clinics should consider using evidence-based counselling programs that promote the correct and consistent use of condoms in a sex-positive context. 40 This same ethic of dual use should also be applied to future PrEP delivery strategies that may be sexual-activity dependent.…”

Section: Dual Use Of Prep and Condomsmentioning

confidence: 99%

Dealing with pre-exposure prophylaxis-associated condom migration: changing the paradigm for men who have sex with men

Crosby

2017

Sex. Health

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Abstract. The behavioural aspects of pre-exposure prophylaxis (PrEP) are challenging, particularly the issue of condom migration. Three vital questions are: (1) at the population-level, will condom migration lead to increases in non-viral sexually transmissible infections?; (2) how can clinic-based counselling best promote the dual use of condoms and PrEP?; and (3) in future PrEP trials, what are the 'best practices' that should be used to avoid type 1 and type 2 errors that arise without accounting for condom use behaviours? This communication piece addresses each question and suggests the risk of a 'PrEP only' focus to widening health disparities.

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Enhancing Condom Use Among Black Male Youths: A Randomized Controlled Trial

Abstract: This brief intervention, delivered as part of STI clinical care, could help alleviate the disproportionate STI-HIV burden among young Black men.

Cited by 39 publications

References 31 publications

Evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review

Evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review

Measures of Attitudes Toward and Communication about Condom Use

Dealing with pre-exposure prophylaxis-associated condom migration: changing the paradigm for men who have sex with men

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