Enhancing condom use among black male youths: A randomized controlled trial

Richard A. Crosby, Richard J. Charnigo, Laura F. Salazar, Ryan Pasternak, Ivy W. Terrell, Ja Nelle Ricks, Rachel V. Smith, Stephanie N. Taylor

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


Objectives. We tested the efficacy of a brief intervention to promote correct and consistent use of condoms among Black male youths attending sexually transmitted infection (STI) clinics in 3 southern US cities. Methods. In 2010 to 2012, we screened (n = 1102) and enrolled (n = 702) youths aged 15 to 23 years who identified as Black and reported recent (past 2 months) sexual activity and randomized them to a private, brief, interactive intervention (n = 349) or an attention-equivalent control condition (n = 353). Assessments occurred at baseline and 2 and 6 months after the intervention. Results. At 6 months, with adjustment for age and pretest nonequivalence of the outcome variable, an estimated odds ratio (EOR) of 1.63 (95% confidence interval [CI] = 1.07, 2.49; P = .02) indicated efficacy for correct condom use. An adjusted generalized estimating equations model with both 2- and 6-month condom use variables produced an EOR of 1.49 (95% CI = 1.06, 2.08; P = .02). We did not observe significant effects on chlamydia and gonorrhea incidence. Conclusions. This brief intervention, delivered as part of STI clinical care, could help alleviate the disproportionate STI-HIV burden among young Black men.

Original languageEnglish
Pages (from-to)2219-2225
Number of pages7
JournalAmerican Journal of Public Health
Issue number11
StatePublished - Nov 1 2014

Bibliographical note

Publisher Copyright:
© 2014, American Public Health Association Inc. All rights reserved.

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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