Young Black men (YBM) experience disparities in both HIV incidence and incidence of bacterial sexually transmitted infections (STIs); thus, developing efficacious behavioral interventions is an especially critical goal. One potential avenue for intervention involves improving sexual health communications among YBM and their partners, before sex occurs. Such discussions may serve several purposes, including improving condom use and facilitating the negotiation of correct and consistent condom use. The aim of the current study was to determine the STI-protective effects of discussing condom use with sex partners, among medically underserved YBM. A total of 702 YBM were recruited from three STI clinics in the Southern United States. YBM completed a self-interview at baseline and again 6 months later. At 12 months postenrollment, a chart review determined incidents of STIs. The majority of YBM participants (61.1%) had recently discussed condom use with partners before sex. Of the 12 assessed outcomes, 7 were significantly associated with this measure. In each case, a protective effect was observed. In controlled analyses, the 12-month incidence of STIs was significantly (p = .05) greater among YBM not discussing condoms with sex partners. The results of the current study suggest that, among YBM attending clinics, discussing condom use with sex partners may promote safer sex practices. This behavior was also predictive of lower STI incidence in the ensuing 12 months, suggesting that it may be an ideal intervention target for programs designed to protect YBM against STI acquisition, including HIV.
BowlegL.BurkholderG. S.MassieJ. S.WahomeR.TetiM.MalebrancheD. J.TschannJ. M. (2013). Racial discrimination, social support, and sexual HIV risk among Black heterosexual men. AIDS Behavior, 17, 407-418.
2.
BowlegL.TetiM.MalebrancheD. J.TschannJ. M. (2013). It’s an uphill battle everyday: Intersectionality, low-income Black heterosexual men, and implications for HIV prevention research and interventions. Psychology of Men & Masculinity, 14, 25-34.
3.
BrownL. K.DiClementeR. J.CrosbyR. A.FernandezM. I.PugatchD.CohnS.. . . SchlengerW. E. (2008). Condom use among high-risk adolescents: Anticipation of partner disapproval and less pleasure associated with not using condoms. Public Health Reports, 123, 601-607.
4.
Centers for Disease Control and Prevention. (2007, March). A heightened national response to the HIV/AIDS crisis among African Americans. Atlanta, GA: U.S. Department of Health and Human Services.
5.
Centers for Disease Control and Prevention. (2011). Disparities in diagnosis of HIV infection between Black/African American and other racial/ethnic populations: 37 states, 2005-2008. Morbidity and Mortality Weekly Report, 60, 93-98.
6.
Centers for Disease Control and Prevention. (2014). HIV/AIDS surveillance (year end edition). Atlanta, GA: U.S. Department of Health and Human Services.
CrosbyR. A.DiClementeR. J.CharnigoR.SnowG.TroutmanA. (2009). A brief, clinic-based, safer sex intervention for African American men at-risk of HIV acquisition: A randomized controlled trial. American Journal of Public Health, 99, 96-103.
9.
CrosbyR. A.DiClementeR. J.WingoodG. M.CobbB. K.DaviesS. L.. . . OhM. K. (2002). Condom use and correlates of African American adolescent females’ infrequent communication with sex partners about preventing sexually transmitted diseases and pregnancy. Health Education & Behavior, 29, 219-231.
10.
CrosbyR. A.DiClementeR. J.WingoodG. M.SalazarL. F.HeadS.RoseE.McDermott-SalesJ. (2008). Sexual agency versus relational factors: A study of condom use antecedents among high-risk young African American women. Sexual Health, 5, 41-47.
11.
CrosbyR. A.GrahamC. A.YarberW. L.SandersS. A. (2010). Problems with condoms may be reduced for men taking ample time to apply them. Sexual Health, 7, 66-70. doi:10.1071/SH09020.
12.
DiClementeR. J.CrosbyR. A. (2006). Preventing STIs in adolescents: “The glass is half full.” Current Opinion in Infectious Disease, 19, 39-43.
13.
DiClementeR. J.CrosbyR. A.SalazarL. F. (2006). Family influences on adolescent sexual health. Current Pediatric Reviews, 2, 369-373.
14.
DiClementeR. J.MilhausenR.McDermottJ.SalazarL. F.CrosbyR. A. (2005). A programmatic and methodological review and synthesis of clinic-based risk reduction interventions for sexually transmitted infections: Research and practice implications. Seminars in Pediatric Infectious Diseases, 16, 199-218.
15.
DiClementeR. J.SalazarL. F.CrosbyR. A. (2007). STD/HIV preventive interventions for adolescents: Sustaining effects using an ecological approach. Journal of Pediatric Psychology, 32, 888-906.
16.
GeterA.CrosbyR. A. (2014). Condom refusal and young Black men: The influence of pleasure, sexual partners, and friends. Journal of Urban Health, 91, 541-546.
17.
IssacsC. (2013). He says, she says: A dyadic approach to understanding safer sex behavior in intimate heterosexual relationships. Electronic Thesis and Dissertation Repository. 1432. Retrieved from https://ir.lib.uwo.ca/etd/1432
18.
KannL.O’Malley OlsenE.KinchenS.MorrisE.WolitskuR. J. (2016). HIV-related risk behaviors among male high school students who had sexual contact with males: 17 large urban school districts, United States, 2009-2013. Morbidity and Mortality Weekly Report, 65, 106-109.
19.
KelleyC. F.KahleE.SieglerA.SanchezT.Del RioC.SullivanP. S.RosenbergE. S. (2015). Applying a PrEP continuum of care for men who have sex with men in Atlanta, Georgia. Clinical Infectious Diseases, 61, 1590-1597.
20.
KirbyD. (2007). Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy.
21.
MagnusM.KuoI.PhillipsG.ShelleyK.RawisA.MontanezL.. . . GreenbergA. E. (2010). Elevated HIV prevalence despite lower rates of sexual risk behaviors among Black men in the District of Columbia who have sex with men. AIDS Patient Care and STDs, 24, 615-622.
22.
MayerK. H.KrakowerD. S. (2015). Editorial commentary: Scaling up antiretroviral preexposure prophylaxis: Moving from trials to implementation. Clinical Infectious Diseases, 61, 1598-1600. doi:10.1093/cid/civ665
23.
MugaveroM. J.AmicoK. R.HornT.ThompsonM. A. (2013). The state of engagement in HIV care in the United States: From cascade to continuum to control. Clinical Infectious Diseases, 57, 1164-1171.
24.
NoarS. M.CarlyeK.ColeC. (2006). Why communication is crucial: Meta-analysis of the relationship between safer sexual communication and condom use. Journal of Health Communication, 11, 365-390.
25.
NoarS. M.MorokoffP. J.HarlowL. L. (2002). Condom negotiation in heterosexually active men and women: Development and validation of a condom influence strategy questionnaire. Psychology & Health, 17, 711-735.
OrrD. P.LangefeldC. D. (1993). Factors associated with condom use by sexually active male adolescents at risk for sexually transmitted disease. Pediatrics, 91, 873-879.
28.
ReifS.PenceB.W.HallI.HuX.WhettenK.WilsonE. (2014). HIV diagnoses, prevalence and outcomes in nine southern States. Journal of Community Health, 40, 642-651.
29.
RhodesS. D.AlonzoJ.MannL.SongE. Y.TannerA. E.. . . PainterT. M. (2017). Small-group randomized controlled trial to increase condom use and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men. American Journal of Public Health, 107, 969-976.
30.
RobinL.DittusP.WhitakerD.CrosbyR. A.EthierK.MexoffJ.. . . Pappas-DelucaK. (2004). Behavioral interventions to reduce incidence of HIV, STD, and pregnancy among adolescents: A decade in review. Journal of Adolescent Health, 34, 3-26.
31.
SalazarL. F.CrosbyR. A.SantelliJ.DiClementeR. J. (2009). Sexually transmitted diseases and pregnancy among adolescents. In DiClementeR. J.SantelliJ. S.CrosbyR. A. (Eds.), Adolescent health: Understanding and preventing risk (pp. 275-302). San Francisco, CA: Jossey-Bass.
32.
SatterwhiteC. L.TorroneE.MeitesE.DunneE. F.MahajanR.OcfemiaM. C.. . . WeinstockH. (2008). Sexually transmitted infections among US women and men: Prevalence and incidence estimates. Sexually Transmitted Diseases, 40, 187-93.
33.
ShoopD. M.DavidsonP. M. (1994). AIDS and adolescents: The relation of parent and partner communication to adolescent condom use. Journal of Adolescent Health, 17, 137-148.
34.
Skakoon-SparlingS.CramerK. M.ShuperP. A. (2016). The impact of sexual arousal on male and female sexual risk-taking and decision-making. Archives of Sexual Behavior, 45, 33-42.
35.
van EmpelemP.KokG. (2006). Condom use in steady and casual sexual relationships: Planning, preparation and willingness to take risks among adolescents. Psychological Health, 21, 165-181.
36.
WeinstockH.BermanS.CatesW.Jr. (2004). Sexually transmitted diseases among American youth: Incidence and prevalence estimates, 2000. Perspectives on Sexual and Reproductive Health, 36, 6-10.
37.
WhitakerD. J.MillerK. S.MayD. C.LevinM. L. (1999). Teenage partner’s communication about sexual risk and condom use: The importance of parent-teenager discussion. Family Planning Perspectives, 31, 117-121.
38.
WidmanL.WelshD. P.McNuttyJ. K.LittleK. C. (2006). Sexual communication and contraceptive use in adolescent dating couples. Journal of Adolescent Health, 39, 893-899.
