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  • Title: Associations between condom experiences and beliefs, intentions, and use in a sample of urban, low-income, African-American and Hispanic youth.
    Author: Norris AE, Ford K.
    Journal: AIDS Educ Prev; 1994 Feb; 6(1):27-39. PubMed ID: 8024941.
    Abstract:
    This paper discusses negative experiences with using condoms reported by the condom user subsample of (n = 975) of a household probability sample of low income, urban, African-American and Hispanic youth. Condom users were asked about 12 specific experiences with condoms. Although the pattern of the association varied with the particular belief and experience, it appeared that, overall, having had a negative experience increased the likelihood that the user would agree with a negative belief about condoms (p < or = .005). In addition, users who had experienced a condom making it hard to move in and out of the vagina or anus were less likely both to intend to use a condom and to have used a condom at last intercourse (p < or = .005). Condom use was also less likely if the user had experienced condoms interrupting love-making or reducing feeling or sensation. Recent data suggests that the rate of HIV infection is increasing rapidly among African-American and Hispanic youths who live in low-income, urban areas; consistent use of condoms and condom use at last intercourse remain low. The authors describe and discuss negative experiences with using condoms reported by 568 African-Americans and 407 Hispanics aged 14-25 years (mean age 19.5-19.9 years). These 975 subjects comprise the 68% subsample which reported having used a condom at least once of a total 1435 interviews completed in the household probability study of low-income, urban, African-American and Hispanic youths. The average response rate was 85% in this sample of 45.6% males and 54.4% females. Participants were asked during February through July 1991 to describe 12 experiences in using condoms. Patterns of association varied with beliefs and experiences, but it seemed overall that having had negative experiences increased the likelihood that users would agree with a negative belief about condoms. Users having experienced difficulty in achieving and maintaining normal coital motion without undue obstruction when using a condom were less likely both to intend to use a condom and to have used a condom at last intercourse. Condom use was also less likely if the user had experienced condoms interrupting lovemaking or reducing feeling or sensation.
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