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. 1992 Feb;82(2):284–287. doi: 10.2105/ajph.82.2.284

Condom use in multi-ethnic neighborhoods of San Francisco: the population-based AMEN (AIDS in Multi-Ethnic Neighborhoods) Study.

J A Catania 1, T J Coates 1, S Kegeles 1, M T Fullilove 1, J Peterson 1, B Marin 1, D Siegel 1, S Hulley 1
PMCID: PMC1694283  PMID: 1739167

Abstract

We examined the prevalence and correlates of condom use in a community-based sample of unmarried heterosexual and gay/bisexual Whites, Blacks, and Hispanics (aged 20 to 44 years) in San Francisco (n = 1229). Only 9% of heterosexual males reported always using condoms, and fewer of those with multiple sexual partners (6%) reported always using condoms compared with those in monogamous relationships (12%). Much higher proportions of gay/bisexual men reported always using condoms (48%). Racial differences in condom use were observed only among women. Sexual communication and the sexual enjoyment value of condoms were consistent correlates of condom use across gender and sexual orientation, while other condom-related beliefs were significant predictors of condom use only for men. In general, condom promotion programs should build sexual communication skills, teach people how to enhance enjoyment with condoms, and reduce psychological barriers to condom acquisition and use.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Catania J. A., Kegeles S. M., Coates T. J. Psychosocial predictors of people who fail to return for their HIV test results. AIDS. 1990 Mar;4(3):261–262. [PubMed] [Google Scholar]
  2. Coates T. J. Strategies for modifying sexual behavior for primary and secondary prevention of HIV disease. J Consult Clin Psychol. 1990 Feb;58(1):57–69. doi: 10.1037//0022-006x.58.1.57. [DOI] [PubMed] [Google Scholar]
  3. Detels R., English P., Visscher B. R., Jacobson L., Kingsley L. A., Chmiel J. S., Dudley J. P., Eldred L. J., Ginzburg H. M. Seroconversion, sexual activity, and condom use among 2915 HIV seronegative men followed for up to 2 years. J Acquir Immune Defic Syndr. 1989;2(1):77–83. [PubMed] [Google Scholar]
  4. Kelly J. A., St Lawrence J. S., Hood H. V., Brasfield T. L. Behavioral intervention to reduce AIDS risk activities. J Consult Clin Psychol. 1989 Feb;57(1):60–67. doi: 10.1037//0022-006x.57.1.60. [DOI] [PubMed] [Google Scholar]
  5. MacDonald N. E., Wells G. A., Fisher W. A., Warren W. K., King M. A., Doherty J. A., Bowie W. R. High-risk STD/HIV behavior among college students. JAMA. 1990 Jun 20;263(23):3155–3159. [PubMed] [Google Scholar]
  6. Perlman J. A., Kelaghan J., Wolf P. H., Baldwin W., Coulson A., Novello A. HIV risk difference between condom users and nonusers among U.S. heterosexual women. J Acquir Immune Defic Syndr. 1990;3(2):155–165. [PubMed] [Google Scholar]
  7. Pindyck J. Transfusion-associated HIV infection: epidemiology, prevention and public policy. AIDS. 1988 Aug;2(4):239–248. [PubMed] [Google Scholar]
  8. Polit-O'Hara D., Kahn J. R. Communication and contraceptive practices in adolescent couples. Adolescence. 1985 Spring;20(77):33–43. [PubMed] [Google Scholar]
  9. Rickert V. I., Jay M. S., Gottlieb A., Bridges C. Adolescents and AIDS. Female's attitudes and behaviors toward condom purchase and use. J Adolesc Health Care. 1989 Jul;10(4):313–316. doi: 10.1016/0197-0070(89)90064-8. [DOI] [PubMed] [Google Scholar]
  10. Schinke S. P., Gilchrist L. D., Small R. W. Preventing unwanted adolescent pregnancy: a cognitive-behavioral approach. Am J Orthopsychiatry. 1979 Jan;49(1):81–88. doi: 10.1111/j.1939-0025.1979.tb02588.x. [DOI] [PubMed] [Google Scholar]
  11. Solomon M. Z., DeJong W. Recent sexually transmitted disease prevention efforts and their implications for AIDS health education. Health Educ Q. 1986 Winter;13(4):301–316. doi: 10.1177/109019818601300403. [DOI] [PubMed] [Google Scholar]
  12. Tullman G. M., Gilner F. H., Kolodny R. C., Dornbush R. L., Tullman G. D. The pre- and post-therapy measurement of communication skills of couples undergoing sex therapy at the Masters & Johnson Institute. Arch Sex Behav. 1981 Apr;10(2):95–109. doi: 10.1007/BF01542170. [DOI] [PubMed] [Google Scholar]
  13. Worth D. Sexual decision-making and AIDS: why condom promotion among vulnerable women is likely to fail. Stud Fam Plann. 1989 Nov-Dec;20(6 Pt 1):297–307. [PubMed] [Google Scholar]

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