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Condom use with steady and casual partners in inner city African-American
communities.
Sex Transm Inf 2006; 82:238-242.
Chatterjee N, Hosain GMM, Williams S.
Abstract
OBJECTIVES: This study examined rates of and factors associated with consistent
condom use with steady partner and with casual partners in inner city African-American
communities with high sexually transmitted infection (STI) prevalence. METHODS:
Structured interviews were conducted using street intercept methods and venue
based sampling with 997 African-American residents of inner city neighbourhoods
in Houston and Dallas, Texas; of which data were analysed for the 736 that
reported having sex in past 2 months. Condom use was measured as a proportion
of use in last five sex acts with steady and casual partners. RESULTS: Reported
rates of consistent condom use were high-31.4% with steady partner and 29.5%
with casual partner. Multivariate logistic models differed by type of partner.
Married people and those with history of STI were less likely to use condoms
with the main partner, while older people were less likely and males, and
those visiting a doctor more likely to use condoms with casual partners.
CONCLUSIONS: The proportion of condom use with both partner types was relatively
high reflecting a general trend towards increased condom use in the United
States. The finding of lower reported rates with casual partners has been
discussed. Factors associated with condom use differ according to type of
partner. Precise measurement of actual condom use continues to be an elusive
task but is required for the design of appropriate messages and evaluation
of STI programmes.