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|a Crosby, Richard
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|a Mena, Leandro
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|a Yarber, William L.
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|a Graham, Cynthia A.
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|a Sanders, Stephanie A.
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|a Milhausen, Robin R.
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|a Condom use errors and problems: comparative study of HIV-positive versus HIV-negative young black men who have sex with men
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|c 2015-11.
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|z Get fulltext
|u https://eprints.soton.ac.uk/382740/1/STDSs%2520FInal%2520gay%2520CUES%25203%2520for%2520eprints.doc
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|a OBJECTIVES: To describe self-reported frequencies of selected condom use errors and problems among young (age, 15-29 years) black men who have sex with men (YBMSM) and to compare the observed prevalence of these errors/problems by HIV serostatus. METHODS: Between September 2012 October 2014, electronic interview data were collected from 369 YBMSM attending a federally supported sexually transmitted infection clinic located in the southern United States. Seventeen condom use errors and problems were assessed. ? Tests were used to detect significant differences in the prevalence of these 17 errors and problems between HIV-negative and HIV-positive men. RESULTS: The recall period was the past 90 days. The overall mean (SD) number of errors/problems was 2.98 (2.29). The mean (SD) for HIV-negative men was 2.91 (2.15), and the mean (SD) for HIV-positive men was 3.18 (2.57). These means were not significantly different (t = 1.02, df = 367, P = 0.31). Only 2 significant differences were observed between HIV-negative and HIV-positive men. Breakage (P = 0.002) and slippage (P = 0.005) were about twice as likely among HIV-positive men. Breakage occurred for nearly 30% of the HIV-positive men compared with approximately 15% among HIV-negative men. Slippage occurred for approximately 16% of the HIV-positive men compared with approximately 9% among HIV-negative men. CONCLUSIONS: A need exists to help YBMSM acquire the skills needed to avert breakage and slippage issues that could lead to HIV transmission. Beyond these 2 exceptions, condom use errors and problems were ubiquitous in this population regardless of HIV serostatus. Clinic-based intervention is warranted for these young men, including education about correct condom use and provision of free condoms and long-lasting lubricants.
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