African-American adolescents residing in high-risk urban environments do use condoms: Correlates and predictors of condom use among adolescents in public housing developments

摘要: During May-December 1992 in San Francisco California 264 African-American youth 12-21 years old living the Bayview-Hunters Point (an inner city economically disadvantaged area) were interviewed as part of a study demographic psychosocial and behavioral correlates condom use among young African-Americans public housing developments an HIV epicenter (i.e. Francisco). Six months later researchers able to reinterview 81 sexually active then evaluated stability significant cross-sectional variables identified earlier predict consistent use. At baseline 56% had ever vaginal intercourse 78.3% whom been last 6 months. Median age first was 13 years. 15% boys 3% girls anal intercourse. 41.4% claimed have used condoms every time they sexual The multivariate logistic regression analysis found that at there use: high assertive self-efficacy demand (odds ratio [OR] = 10.95; p 0.0002) perception supportive peer norms (OR 4.25; 0.02) greater impulse control 3.7; 0.04) 12-16 4.7; 0.01) male 2.9; less than 10 acts 0.13; 0.001). prospective revealed only level emerged predictor follow-up (p 0.0004). In fact users 7.4 times likely still be later. Over more significantly become infrequent (33.3% vs. 20.6%; OR 1.6; These results indicate prevention programs should implemented early before risk behaviors are established difficult change.