Condom Use and STD Prevention Amongst Males in NSFG Survey 2006-2008 Open Access

Abstract

Abstract

Objective: Using the National Survey of Family Growth we examine the associations of formal
education related to sexually transmitted diseases to condom usage outcomes at first sex, and of
STD testing to the condom use outcome at last sex and at condom use consistency in the past 12
months for a population of male participants aged 15-44.
Methods: The data source used was a cross-sectional survey design and statistical analyses were
conducted using SAS. Survey procedures were used to adjust for the complex sample design of
the NSFG dataset. Models with bivariate outcomes for condom use at first sex, condom use at last
sex, and condom use consistency for the last 12 months, were analyzed using chi-square tests and
logistic modeling. The predictor variables of interest were STD education before first sex for
condom use at first sex, and having been tested for STDs in the past 12 months, for condom use
at last sex and condom use consistency.
Results: Age at interview, and sexual experiences such as age at last sex, relationships to partners,
number of partners, HIV/AIDS education and recent STD advice were significant. The variables
that were non-significant across all three condom outcomes were formal instruction about STDs
before 18, grade when received instruction on STDs, recent genital warts, and had recent sex with
an HIV-positive female.
The models for condom use at first sex and condom use consistency were not significant.
Condom use at last sex yielded a final model where having been tested for STDs in the past
month was significant (p<.0001) when controlling for receiving recent STD advice (p=0.749),
relationship to partner at last sex (p=0.0003), reason for condom use at last sex (p<.0001),
condom use attitudes (p=0.1382), age at interview (p<.0001), and race (p<.0001).
Conclusion: The findings from this study draw associations between condom usage and STD
education and experience, as well as the influence of relationships and condom use attitudes.
These results are useful in creating effective strategies to increase condom use behavior by
identifying populations at risk, and time periods for intervention and education to control for the
spread of STDs.

Table of Contents

TABLE OF CONTENTS
I. Background/Literature Review…………………………………………………… page 1
II. Methods……………………………………………………………………………. page 6
III. Results…………………………………………………………………………….. page 12
IV. Discussion………………………………………………………………………….page 16
V. References…………………………………………………………………………. page 23
VI. Tables……………………………………………………………………………... page 26
VII. Appendix……………………………………………………………………….... pages 38

About this Master's Thesis

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• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Epidemiology
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Health Sciences, Epidemiology
Keyword	STD condom usage sexual health
Committee Chair / Thesis Advisor	Kramer, Michael, Emory
Partnering Agencies	Does not apply (no collaborating organization)

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