Document 0379
 DOCN  M9550379
 TI    Condom use relative to knowledge of sexually transmitted disease
       prevention, method of birth control, and past or present infection.
 DT    9505
 AU    Fleisher JM; Senie RT; Minkoff H; Jaccard J; SUNY Health Science Center
       at Brooklyn, Department of Preventive; Medicine & Community Health,
       Brooklyn 11203.
 SO    J Community Health. 1994 Dec;19(6):395-407. Unique Identifier : AIDSLINE
       MED/95146653
 AB    The purpose of this study was to assess knowledge regarding STD spread
       and prevention, and to assess motivational and behavioral factors that
       influence the use of condoms to prevent STD acquisition among inner-city
       women at high risk for STD infection. In addition, the effect of past
       and/or current STD infection on a woman's knowledge of the mechanism of
       STD acquisition and subsequent use of a condom to prevent STD infection
       was explored. We utilized three inner-city clinics offering family
       planning or gynecologic care located in Brooklyn, New York. Our study
       linked clinical findings regarding current infection with chlamydia or
       Trichomonas vaginalis. One thousand four hundred and four sexually
       active black and Hispanic women participated in the study. A past
       history of STD (37%) or current infection (29%) was recorded for 54% of
       the study population (12% were positive for both past and current
       infection). On average, only 60% of women who reported prior treatment
       for STD infection reported receiving any information regarding
       prevention of re-infection during the course of treatment. Depending on
       the specific STD, from 6.8% to 42.9% of women reporting prior treatment
       for an STD did not know the disease they were being treated for was
       sexually transmitted. Condom use for disease prevention was more
       frequently reported by women who had previously been treated for an STD
       (OR = 1.62, 95% CI 1.23-2.13). However, condom use for contraception was
       a stronger predictor of use for STD prevention. Women who relied on
       condoms for contraception were almost 10 times more likely to also
       report condom use for STD prevention relative to women who did not use
       condoms for contraceptive purposes (OR = 9.71, 95% CI 7.0-13.5). In
       addition, condom use was associated with the perceived attitude of their
       sexual partner toward such use. Condom use to prevent STD acquisition
       was more than twice as frequently reported when a favorable attitude was
       perceived by a male sexual partner (OR = 2.30, 95% CI 1.54-3.43). Our
       findings suggest that prevention of unplanned pregnancy was a stronger
       motivator for condom use than disease prevention among the women
       comprising our study group. The findings also indicate the need for more
       extensive information regarding STD prevention among women at high risk
       for STD acquisition.(ABSTRACT TRUNCATED AT 400 WORDS)
 DE    Adult  Blacks  Chlamydia Infections/EPIDEMIOLOGY  Condoms/*UTILIZATION
       *Contraception Behavior  Female  Hispanic Americans  Human  HIV
       Infections/PREVENTION & CONTROL/TRANSMISSION  *Knowledge, Attitudes,
       Practice  Logistic Models  New York City/EPIDEMIOLOGY  Poverty Areas
       Sexually Transmitted Diseases/EPIDEMIOLOGY/*PREVENTION & CONTROL
       Socioeconomic Factors  Support, U.S. Gov't, P.H.S.  Trichomonas
       Vaginitis/EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).