Adolescent condom use and perceptions of risk for sexually transmitted diseases: a prospective study

Sex Transm Dis. 2002 Dec;29(12):756-62. doi: 10.1097/00007435-200212000-00004.


Background: The authors' previous research has shown that in cross-sectional analysis, partner-specific perceptions of risk for gonorrhea and chlamydial and HIV infection correlated with partner-specific intentions to use condoms.

Goal: The goal was to determine whether partner-specific measures of perception of risk for STDs (PRSTD) predict partner-specific condom use 6 months later among high-risk and low-risk youth.

Study design: Youths aged 14 to 19 years were recruited from an STD clinic (n = 236) and an HMO teen clinic (n = 306) and were interviewed at baseline and at 6 months about PRSTD, attitudes about condoms, self-efficacy, normative expectations, and condom use.

Results: PRSTD with a main sex partner was an independent predictor of condom use with a main sex partner in the STD clinic cohort (odds ratio = 2.5; 95% CI = 1.1-6.2). There was no association between PRSTD with a casual sex partner and condom use in this cohort or between PRSTD for main or casual sex partners and condom use in the HMO teen clinic cohort.

Conclusion: Interventions that target high-risk adolescents should focus on PRSTD with a main sex partner.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Adult
  • Condoms / statistics & numerical data*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Prospective Studies
  • Risk-Taking
  • San Francisco
  • Sexual Behavior*
  • Sexual Partners
  • Sexually Transmitted Diseases / prevention & control*
  • Sexually Transmitted Diseases / psychology*
  • Social Perception*