{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T04:55:14Z","timestamp":1779944114473,"version":"3.53.1"},"reference-count":13,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2020,10,17]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Condom use behaviours are proximal to recent STI increases in the USA, yet it remains unclear whether the use of condoms has changed over time among unmarried, non-cohabiting young men who have sex with women (MSW) and how this variability is influenced by STI risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To examine condom use over time among MSW aged 15\u201329, we used three cross-sectional surveys from the 2002, 2006\u20132010 and 2011\u20132017 National Survey of Family Growth. We estimated weighted percentages, adjusted prevalence ratios (APRs) and 95% confidence intervals (CI) to assess changes in condom use, stratified by whether MSW reported any STI risk factors in the past 12 months (ie, perceived partner non-monogamy, male-to-male sex, sex in exchange for money or drugs, sex partner who injects illicit drugs, or an HIV-positive sex partner).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We observed a divergence in trends in condom use at last sex between men aged 15 \u201329 with STI risk factors in the past 12 months and those without such history. We saw significant declines in condom use from 2002 to 2011\u20132017 among men with STI risk factors (APR=0.80, 95% CI 0.68 to 0.95), specifically among those aged 15\u201319 (APR=0.73, 95%\u2009CI 0.57 to 0.94) or non-Hispanic white (APR=0.71, 95%\u2009CI 0.54 to 0.93). In contrast, trends in condom use among men with no STI factors remained stable or increased. Across all time periods, the most prevalent STI risk factor reported was perception of a non-monogamous female partner (23.0%\u201326.9%). Post-hoc analyses examined whether condom use trends changed once this variable was removed from analyses, but no different patterns were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While STIs have been increasing, men aged 15\u201329 with STI risk factors reported a decline in condom use. Rising STI rates may be sensitive to behavioural shifts in condom use among young MSW with STI risk factors.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2020-054642","type":"journal-article","created":{"date-parts":[[2020,11,10]],"date-time":"2020-11-10T22:29:22Z","timestamp":1605047362000},"page":"50-52","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Diverging trends in US male-female condom use by STI risk factors: a nationally representative study"],"prefix":"10.1136","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8354-0464","authenticated-orcid":false,"given":"Casey E","family":"Copen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia J","family":"Dittus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jami S","family":"Leichliter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevgi O","family":"Aral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,11,10]]},"reference":[{"key":"2024092104001267000_98.1.50.1","unstructured":"Centers for Disease Control and Prevention . Sexually transmitted disease surveillance 2018. Atlanta: U.S.: Department of Health and Human Services, 2019."},{"key":"2024092104001267000_98.1.50.2","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2019-054045"},{"key":"2024092104001267000_98.1.50.3","doi-asserted-by":"publisher","DOI":"10.1007\/s11908-010-0087-2"},{"key":"2024092104001267000_98.1.50.4","unstructured":"Centers for Disease Control and Prevention . Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015;64(No. RR-3): 1-137. Available: https:\/\/www.cdc.gov\/std\/tg2015\/tg-2015-print.pdf [Accessed 29 Sep 2020]."},{"key":"2024092104001267000_98.1.50.5","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/j.jsxm.2017.02.015","article-title":"Factors associated with condom use among sexually active us adults, national survey of family growth, 2006-2010 and 2011-2013","volume":"14","author":"Nasrullah","year":"2017","journal-title":"J Sex Med"},{"key":"2024092104001267000_98.1.50.6","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1097\/00126334-200106010-00013","article-title":"National trends in condom use among at-risk heterosexuals in the United States","volume":"27","author":"Catania","year":"2001","journal-title":"J Acquir Immune Defic Syndr"},{"key":"2024092104001267000_98.1.50.7","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2018.5957","article-title":"Association of timing of sexual partnerships and perceptions of partners' Concurrency with reporting of sexually transmitted infection diagnosis","volume":"1","author":"Mercer","year":"2018","journal-title":"JAMA Netw Open"},{"key":"2024092104001267000_98.1.50.8","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318247925e"},{"key":"2024092104001267000_98.1.50.9","unstructured":"National Survey of Family Growth (NSFG) . Summary of design and data collection methods. NSFG website, 2015-2017. Available: https:\/\/www.cdc.gov\/nchs\/data\/nsfg\/PUF3-NSFG-2015-2017-Summary-of-DesignDataCollection_02Oct2019.pdf [Accessed 29 Sep 2020]."},{"key":"2024092104001267000_98.1.50.10","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.jadohealth.2019.11.310","article-title":"Adolescent sexual activity, contraceptive use, and pregnancy in Britain and the U.S.: a Multidecade comparison","volume":"66","author":"Scott","year":"2020","journal-title":"J Adolesc Health"},{"key":"2024092104001267000_98.1.50.11","doi-asserted-by":"crossref","first-page":"S36","DOI":"10.1016\/j.jadohealth.2019.11.073","article-title":"70. Differences in adolescent condom use trends by global region","volume":"66","author":"Koumans","year":"2020","journal-title":"J Adolesc Health"},{"key":"2024092104001267000_98.1.50.12","doi-asserted-by":"crossref","DOI":"10.1002\/jia2.25344","article-title":"Similar, but different: drivers of the disproportionate HIV and sexually transmitted infection burden of key populations","volume":"22","author":"Mayer","year":"2019","journal-title":"J Int AIDS Soc"},{"key":"2024092104001267000_98.1.50.13","unstructured":"European Centre for Disease Prevention and Control . Gonorrhoea. in: ECDC. annual epidemiological report for 2017. Stockholm: ECDC, 2019. Available: https:\/\/ecdc.europa.eu\/sites\/portal\/files\/documents\/gonorrhoea-annual-epidemiological-report-2017.pdf [Accessed 29 Sept 2020]."}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2020-054642","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T11:00:31Z","timestamp":1726916431000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2020-054642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,10]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,1,17]]},"published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1136\/sextrans-2020-054642"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2020-054642","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,10]]}}}