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Effectiveness of a brief condom promotion program in reducing risky sexual behaviours among African American men

Authors


Stephen B. Kennedy Pacific Institute for Research & Evaluation (PIRE) Louisville Center 1300 South Fourth Street, Suite 300 Louisville, KY 40208 USA. E-mail: kennedy@pire.org

Abstract

Rationale  The prevention of human immunodeficiency virus/sexually transmitted diseases remains a significant global public health issue, especially among vulnerable populations.

Aims and objectives  To promote condom use skills among young urban African American men.

Methods  As a pilot study, a randomized controlled trial was conducted among 136 African American men aged 18–24 years recruited from urban communities in Chicago. Participants assigned to the intervention received 45–60 minutes of a one-on-one single-session condom promotion program delivered by trained facilitators while those assigned to the attention-matched comparison condition received a general health program. Longitudinally, 115 (85%) and 120 (88%) participants completed the 3-month and 6-month follow-up surveys, respectively.

Results  Overall, the study results indicate that positive effects were observed from baseline to 6-month follow-up for intervention participants relative to comparison condition participants for prior condom use (1.23–1.82 versus 1.34–0.97); condom use intention (2.51–3.19 versus 2.69–2.21); perceived condom availability (3.44–3.72 versus 3.42–3.38); positive reasons to use condoms (2.82–3.08 versus 2.95–1.99); favourable condom use attitude (2.41–2.69 versus 2.49–1.95); barriers to condom use (1.33–0.79 versus 1.25–1.85); and negative condom use attitude (1.45–0.66 versus 1.33–1.39), respectively.

Conclusions  We conclude that a brief single-session condom promotion program is effective in preventing high-risk sexual behaviours among urban young adult African American men.

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