American Journal of Community Psychology

, Volume 26, Issue 1, pp 7-28

First online:

Factors Influencing Condom Use Among African American Women: Implications for Risk Reduction Interventions

  • Janet S. St. LawrenceAffiliated withCenters for Disease Control and PreventionJackson State University
  • , Gloria D. EldridgeAffiliated withJackson State University
  • , David ReitmanAffiliated withJackson State University
  • , Connie E. LittleAffiliated withJackson State University
  • , Millicent C. ShelbyAffiliated withJackson State University
  • , Ted L. BrasfieldAffiliated withJackson State University

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Examined factors associated with condom use in a community-based sample of 423 sexually active African American women. Measures were selected to reflect the components in prevailing models of health behavior. Condom users were higher on AIDS health priority, prevention attitudes, stage of change, behavioral intentions, reported more frequent and comfortable sexual communication with partners, perceived greater partner and peer approval for condom use, and reported that peers also used condoms. Women in exclusive relationships evidenced earlier stage of change, lower intentions to use condoms, fewer peers who engaged in preventive behaviors, perceived themselves to have lower risk, and had lower rates of condom use, higher education, and family income. Women in fluid relationships were at particularly high risk, with lower rates of condom use relative to women not in a relationship and greater sexual risk for HIV. Implications for HIV-risk reduction interventions with African American women are discussed.

African American women condoms risk reduction HIV/AIDS