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Enhancing condom use among black male youths: A randomized controlled trial

Author

Listed:
  • Crosby, R.A.
  • Charnigo, R.J.
  • Salazar, L.F.
  • Pasternak, R.
  • Terrell, I.W.
  • Ricks, J.
  • Smith, R.V.
  • Taylor, S.N.

Abstract

Objectives. 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. © 2014, American Public Health Association Inc. All rights reserved.

Suggested Citation

  • Crosby, R.A. & Charnigo, R.J. & Salazar, L.F. & Pasternak, R. & Terrell, I.W. & Ricks, J. & Smith, R.V. & Taylor, S.N., 2014. "Enhancing condom use among black male youths: A randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 104(11), pages 2219-2225.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302131_4
    DOI: 10.2105/AJPH.2014.302131
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