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- Title
Enhancing Condom Use Among Black Male Youths: A Randomized Controlled Trial.
- Authors
Crosby, Richard A.; Charnigo, Richard J.; Salazar, Laura F.; Pasternak, Ryan; Terrell, Ivy W.; Ricks, JaNelle; Smith, Rachel V.; Taylor, Stephanie 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.
- Subjects
UNITED States; PREVENTION of sexually transmitted diseases; AGE distribution; BLACK people; CHI-squared test; CONDOMS; CONFIDENCE intervals; FISHER exact test; NUCLEIC acid probes; RACE; RESEARCH funding; SELF-evaluation; HUMAN sexuality; SEX distribution; SEX education; SEXUALLY transmitted diseases; URINALYSIS; LOGISTIC regression analysis; RANDOMIZED controlled trials; PRE-tests &; post-tests; DESCRIPTIVE statistics; ODDS ratio
- Publication
American Journal of Public Health, 2014, Vol 104, Issue 11, p2219
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2014.302131