The relative role of perceived partner risks in promoting condom use in a three-city sample of high-risk, low-income women
Ober, A.J.; Iguchi, M.Y.; Weiss, R.E.; Gorbach, P.M.; Heimer, R.; Ouellet, L.J.; Shoptaw, S.; Anglin, M.D.; Zule, W.A.
Aids and Behavior 15(7): 1347-1358
2011
ISSN/ISBN: 1573-3254 PMID: 20976538 DOI: 10.1007/s10461-010-9840-7Document Number: 213317
We examined the effect of women's perceptions of sexual partner risks on condom use. Women from three US cities (n = 1,967) were recruited to provide data on HIV risks. In univariate models, increased odds of condom use were associated with perceiving that partners had concurrent partners and being unaware of partners': (a) HIV status, (b) bisexuality, (c) concurrency; and/or (d) injection drug use. In multivariate models, neither being unaware of the four partner risk factors nor perceiving a partner as being high risk was associated with condom use. Contextual factors associated with decreased odds of condom use were having sex with a main partner, homelessness in the past year, alcohol use during sex, and crack use in the past 30 days. Awareness of a partner's risks may not be sufficient for increasing condom use. Contextual factors, sex with a main partner in particular, decrease condom use despite awareness of partner risk factors.
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