Sexually transmitted infections (STI), including human immunodeficiency virus (HIV), pose significant health risks. About half of the new HIV infections in the US are among people under age 25 years with the majority infected through sexual behavior. About one in three new diagnoses with HIV/AIDS are attributed to heterosexual transmission. Men who have sex with women play a major role in HIV transmission to women who can also pass it on to offspring. Consistent and correct use of condoms can be a highly effective method of preventing the transmission of HIV and many STIs. Yet, studies show that problems with condom use are common and that these problems pose a barrier to consistent and complete condom use. This project aims to advance our understanding of, among other factors, the role of cognitive and affective processes and condom application skills in explaining problems with condom use in young, heterosexual adult men. A multi-method approach - consisting of two studies and involving questionnaires, observational, and psychophysiological methods - will be used in conjunction with a skill-based intervention. The knowledge gained from the proposed research can be used to inform the development of innovative, more effective, and targeted intervention and education strategies tailored to the needs of individuals who have trouble using condoms effectively.

Public Health Relevance

Sexually transmitted infections (STI), including human immunodeficiency virus (HIV), pose significant health risks. Consistent and correct use of condoms can be a highly effective method of preventing the transmission of HIV and many STIs, yet studies show that problems with condom use are common. This project is one of the first to examine under controlled conditions the role of cognitive and affective factors and condom skills in explaining condom use problems in young, heterosexual adult men.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21HD060447-02
Application #
7851108
Study Section
Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
Program Officer
Newcomer, Susan
Project Start
2009-06-01
Project End
2012-05-31
Budget Start
2010-06-01
Budget End
2012-05-31
Support Year
2
Fiscal Year
2010
Total Cost
$202,145
Indirect Cost
Name
Indiana University Bloomington
Department
Obstetrics & Gynecology
Type
Other Domestic Higher Education
DUNS #
006046700
City
Bloomington
State
IN
Country
United States
Zip Code
47401
Hill, Brandon J; Sanders, Stephanie A; Crosby, Richard A et al. (2015) Condom-associated erection problems: behavioural responses and attributions in young, heterosexual men. Sex Health 12:397-404
Sanders, Stephanie A; Hill, Brandon J; Janssen, Erick et al. (2015) General Erectile Functioning among Young, Heterosexual Men Who Do and Do Not Report Condom-Associated Erection Problems (CAEP). J Sex Med 12:1897-904
Janssen, Erick; Sanders, Stephanie A; Hill, Brandon J et al. (2014) Patterns of sexual arousal in young, heterosexual men who experience condom-associated erection problems (CAEP). J Sex Med 11:2285-91
Hill, Brandon J; Janssen, Erick; Kvam, Peter et al. (2014) The effect of condoms on penile vibrotactile sensitivity thresholds in young, heterosexual men. J Sex Med 11:102-6
Sanders, Stephanie A; Hill, Brandon J; Crosby, Richard A et al. (2014) Correlates of condom-associated erection problems in young, heterosexual men: condom fit, self-efficacy, perceptions, and motivations. AIDS Behav 18:128-34