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  • Title: Urban, low-income, African-American and Hispanic youths' negative experiences with condoms. Implications for nursing intervention.
    Author: Norris AE, Ford K.
    Journal: Nurse Pract; 1993 May; 18(5):40, 43-8. PubMed ID: 8355899.
    Abstract:
    Research suggests that the rate of HIV infection is increasing dramatically in African-American and Hispanic youths who live in low-income, urban areas. Nurses need information about these youths' negative experiences with condoms to intervene effectively in the spread of acquired immune deficiency syndrome. This article discusses negative experiences with using condoms that were reported by a subsample of condom users (n = 975) from a household probability sample of low-income, urban, African-American and Hispanic youths. Condom users were asked about 12 different negative experiences with condoms. Results from this household survey highlight a need for nurses to provide clients with specific directions about how to use condoms correctly and to encourage clients to practice putting on condoms. The rate of HIV infection is increasing rapidly and significantly among African-American and Hispanic youths in low income urban areas. This article reports finding from a study of negative experiences with using condoms reported by a subsample of 975 condom users from a household probability sample of low-income urban African-American and Hispanic youths in Detroit. Participants reported using a condom at least once over the preceding year. 568 were African-American and 407 were Hispanic, they were of mean age 19.7 years, and they were almost equally represented by male and female respondents. An 85% response rate was realized in interviews for both ethnic groups over the period February 1991 to July 1991. 40% reported condom breakage, 73% reported either condom breakage or slippage, 84% reported being always aware that the condom was on, 45% reported reduced sensation when using condoms, and 29% reported that a condom was too small or too tight. A mean number of 4 negative experience was reported. These findings therefore point to the difficulty encountered by these youths in effectively using condoms. These difficulties combined with the host of negative experiences may discourage the future use of condoms in this population. To minimize the extent to which current condom users move away from use, all effort must be made to reach out and encourage condom use among youths in clinic, hospital, and school settings. Specific directions should be provided or how to use condoms correctly and sexually active individuals should be encouraged to practice putting them on.
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