Condom refusal and young Black men: the influence of pleasure, sexual partners, and friends

J Urban Health. 2014 Jun;91(3):541-6. doi: 10.1007/s11524-014-9869-4.

Abstract

The study investigated pleasure-related, partner-related, and social normative correlates of recent condom refusal in young Black men (YBM). A cross-sectional study of YBM (N = 561) attending clinics treating sexually transmitted diseases in three cities was conducted. Mean age was 19.6 years (SD = 1.87). Nearly one of every two young men (46.8 %) indicated recent refusal to use a condom after a request from their partner. Significant findings included the following: partner-related beliefs "I feel closer to my partner without a condom" (OR = 2.52, 95 % confidence interval (CI) = 1.65-3.83) and "condoms make sex hurt for the female partner" (OR = 1.69, 95 % CI = 1.14-2.52), a scale measure of pleasure-related beliefs (OR = 2.58, 95 % CI = 1.73-3.84), and a scale measure of negative social beliefs associated with condom usage (OR = 1.05, 95 % CI = 1.00-1.10). Interventions addressing pleasure-related, partner-related, and social normative beliefs as barriers to condom use are warranted for YBM.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Black or African American / psychology*
  • Black or African American / statistics & numerical data
  • Condoms / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Louisiana / epidemiology
  • Male
  • North Carolina / epidemiology
  • Pleasure
  • Sexual Partners* / psychology
  • Sexually Transmitted Diseases / epidemiology
  • Young Adult