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Psychosocial Factors Associated With Self-reported Male Condom Use Among Women Attending Public Health Clinics

POSNER, SAMUEL F. PhD*; PULLEY, LEAVONNE PhD; ARTZ, LYNN MD,MPH; CABRAL, REBECCA PhD*; MACALUSO, MAURIZIO MD,PhD

Sexually Transmitted Diseases: July 2001 - Volume 28 - Issue 7 - p 387-393
Articles

Background Previousresearch has identified factors associated with condom use. However, lessinformation exists on the impact that a history of sexually transmitteddisease (STD) has on condomuse.

Goal Toidentify factors associated with self-reported male condom use that relate toa history of STD.

StudyDesign Women attending STD clinics completed a survey thatassessed sexual behavior, STD history, and psychosocial characteristics.Binomial regression was used to estimate the association between these factorsand condomuse.

Results Ofthe 12 factors included in the regression model, 11 were significant for allwomen. When the analysis was stratified by STD history, high condom useself-efficacy, high convenience of condom use, and high frequency of condomuse requests were significantly associated with increased condom use amongwomen with or without a history of STD. Factors such as greater perceivedcondom use norms, higher perceived level of risk, and greater need for condomuse in long-term relationships were significantly associated with increasedcondom use among women with a history of STD. Factors such as shorter durationof a relationship, less violence in the relationship, and lifetime drug usewere associated with increased condom use among women with no history ofSTD.

Conclusions Thepattern of psychosocial factors determining condom use is modified by apositive history of STD. These findings suggest that a history of STD could bean important factor in targeting condom useinterventions.

Fromthe *Division of Reproductive Health, National Center for Chronic DiseasePrevention and Health Promotion, Centers for Disease Control and Prevention,Atlanta, Georgia; and the Department ofHealth Behavior, and the Department ofEpidemiology and International Health, School of Public Health, University ofAlabama at Birmingham, Birmingham,Alabama

Thisproject was carried out in part under a cooperative agreement with the Centersfor Disease Control and Prevention (U48/CCU409679–02, SIP 10), and inpart under a contract with the National Institute of Child Health and HumanDevelopment (Contract N01-HD-1–3135). The content of this publicationdoes not necessarily reflect the views or policies of the Department of Healthand Human Services, nor does the mention of trade names, commercial products,or organizations imply endorsement by the USgovernment.

Correspondence:Division of Reproductive Health, National Center for Chronic DiseasePrevention and Health Promotion, Centers for Disease Control and Prevention,1600 Clifton Road, Atlanta, GA30333.

Received forpublication September 13, 2000, revised December 15, 2000,and accepted December 18,2000.

© Copyright 2001 American Sexually Transmitted Diseases Association