Negative perceptions about condom use in a clinic population: Comparisons by gender, race and age

R. Crosby, L. A. Shrier, R. Charnigo, S. A. Sanders, C. A. Graham, R. Milhausen, W. L. Yarber

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


We sought to elucidate the associations of 13 items assessing negative perceptions about condom use with gender, age and race in a sample of clinic attendees. Patients from four clinics, in three US cities, were recruited (N = 928). Data were collected using audio-computer-assisted self-interviewing. The primary measure was a 13-item adapted version of the Condom Barriers Scale. Logistic regression and chi-square tests were employed to relate the 13 items to gender, age and race. Gender, race and age all had significant associations with negative perceptions of condoms and their use. A primary finding was a large number of significant differences between men and women, with negative perceptions more common among women than among men. For African Americans, especially women, negative perceptions were more common among older participants than among younger participants. In conclusion, important demographic differences regarding negative perceptions may inform the tailoring of intervention efforts that seek to rectify negative perceptions about condoms and thus promote condom use among individuals at risk for sexually transmitted infections (STIs) in the USA. On the other hand, our findings also suggest that the majority of STI clinic attendees may hold positive perceptions about condoms and their use; maintaining and building upon these positive perceptions via education, counselling, and access is also important.

Original languageEnglish
Pages (from-to)100-105
Number of pages6
JournalInternational Journal of STD and AIDS
Issue number2
StatePublished - Feb 2013


  • African American
  • Condoms
  • Men
  • Sexual behaviour
  • Sexually transmitted infections
  • Women

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases


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