TABLE 2.
Condom use At Last Sex* Among Adolescent Sexual Minority Males by Study Year, Age, and Race/Ethnicity
| YRBS-National | YRBS-Trends | AMIS | |
|---|---|---|---|
| Overall | 51.8% (41.3–62.3%) | 37.9% (32.7–42.3%) | 47.3% (44.6–49.9%) |
| Study year | |||
| 2011 | — | 42.4% (35.4–49.4%) | |
| 2013 | — | 34.8% (26.2–43.4%) | — |
| 2014 | — | — | 47.9% (38.7–57.2%) |
| 2015 | 51.6% (38.9–64.3%) | 37.9% (26.1–49.6%) | 49.7% (44.4–55.1%) |
| 2016 | — | — | 49.3% (44.3–54.2%) |
| 2017 | 52.0% (33.7–70.3%) | 36.3% (26.5–46.1%) | 43.7% (39.3–48.2%) |
| P† | 0.971 | 0.368 | 0.126 |
| Age | |||
| ≤ 12 | — | 11.8% (0.0–25.1%) | — |
| 13–15‡ | 35.4% (14.0–56.7%) | 31.8% (21.2–42.4%) | 54.8% (43.5–65.7%) |
| 16–17 | 61.8% (49.2–74.5%) | 37.8% (31.0–44.7%) | 44.8% (40.6–49.0%) |
| 18 | 52.1% (33.0–71.1%) | 46.6% (34.3–58.8%) | 48.3% (44.6–51.9%) |
| P§ | <0.0001 | 0.032 | 0.919 |
| Race/ethnicity | |||
| Hispanic/Latinx | 28.7% (13.8–43.7%) | 32.6% (23.4–41.7%) | 46.2% (41.0–51.5%) |
| Non-Hispanic Black | 69.6% (46.8–92.3%) | 49.6% (35.7–63.5%) | 41.5% (29.4–54.4%) |
| Non-Hispanic White | 53.7% (37.6–69.9%) | 35.6% (27.8–43.4%) | 48.3% (44.8–51.8%) |
| Other | 60.1% (27.2–92.9%) | 45.3% (31.4–59.3%) | 46.6% (38.8–54.6%) |
| P∥ | 0.047 | 0.099 | 0.707 |
For YRBS-National and YRBS-Trends, analyses are weighted using SAS survey procedures to account for complex sample design.34s
*YRBS and AMIS assessed condom use at last sex differently as follows: YRBS assessed condom use at last sexual intercourse among those with ≥1 partner in the last 3 months. It did not define “sexual intercourse” or specify the sex of partner at last sexual intercourse. The denominator included ASMM who reported ever having had sexual intercourse, who separately reported sexual intercourse with ≥1 partner in the past 3 months (“currently sexually active”), and who provided data regarding condom use.12,34s AMIS assessed condom use at last anal sex among those reporting anal sex with their most recent male partner in the last year. The denominator included all ASMM who reported anal sex with men in the past 12 months, who reported anal sex at last sex with their most recent male sex partner, and who provided data about condom use at last anal sex with this partner.
†P values from analyses of linear temporal trends in condom use from logistic regression models in YRBS and Mantel-Haenszel test for trend in AMIS.
‡AMIS only recruited participants ages 15 years and older. As a result, the 13- to 15-year-old category includes only 15–year-old ASMM. In YRBS, 15-year-olds represented 86% and 84% of this category in the National and Trends data sets, respectively.
§P values from analyses of the association between age as an ordinal variable and condom use from logistic regression models in YRBS and Mantel-Haenszel test for trend in AMIS.
∥P values from analyses of the association between race/ethnicity and condom use from Rao-Scott design-adjusted χ2 tests in YRBS and Pearson χ2 test in AMIS.