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Young African American Men Having Sex With Multiple Partners Are More Likely to Use Condoms Incorrectly: A Clinic-Based Study

College of Public Health, University of Kentucky, crosby{at}uky.edu, Department of Applied Health Science, Indiana University, Rural Center for AIDS/STD Prevention, Indiana University Rollins School of Public Health, Emory University; Emory Center for AIDS Research

Ralph J. DiClemente, PhD

Department of Pediatrics, Division of Infectious Diseases, Epidemiology, and Immunology, and Department of Medicine (Infectious Diseases), Emory University School of Medicine, Atlanta, Georgia

William L. Yarber

Rural Center for AIDS/STD Prevention, Indiana University Rollins School of Public Health, Emory University; Emory Center for AIDS Research, Department of Applied Health Science, Indiana University

Gregory Snow

College of Public Health, University of Kentucky

Adewale Troutman, MD

Louisville Metropolitan Health Department, Louisville, Kentucky

This study tested the research hypothesis that men's errors using condoms would be associated with having multiple sex partners. Specifically, men engaging in sex with three or more women were compared with those having sex with two or fewer women. Recruitment (N = 271) occurred in a publicly funded sexually transmitted disease (STD) clinic located in a metropolitan area of the Southern United States. All men were clinically diagnosed with an STD. They completed a self-reported questionnaire (using a 3-month recall period). Those reporting sex with men were excluded from the analysis. About one half of the men (48.5%) reported penetrative sex with three or more women. The authors found that among young African American men, newly diagnosed with an STD, reporting recent (past 3 months) sex with multiple partners may be emblematic of condom errors. These men may benefit from clinic-based, targeted counseling and education designed to foster improved quality of condom use.

Key Words: African American • men • sexual behavior • HIV • STD

This version was published on December 1, 2008

American Journal of Men's Health, Vol. 2, No. 4, 340-343 (2008)
DOI: 10.1177/1557988308321320


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