Journal of ET nursing : official publication, International Association for Enterostomal Therapy·1993
High knowledge of acquired immune deficiency syndrome (AIDS) did not correlate with condom use among STD clinic patients. Perceived benefits like pregnancy prevention, not AIDS prevention, drove condom use decisions.
Area of Science:
Public Health
Behavioral Science
Epidemiology
Background:
Sexually transmitted diseases (STDs) and acquired immune deficiency syndrome (AIDS) remain significant public health concerns.
Understanding patient knowledge and attitudes is crucial for effective prevention strategies.
Purpose of the Study:
To assess knowledge of AIDS and attitudes toward condom use among patients at an urban STD clinic.
To identify factors influencing condom use behavior.
Main Methods:
A survey was conducted with 71 patients from an urban STD clinic.
Data collected included AIDS knowledge (28-item true-false questionnaire) and attitudes toward condom use via open-ended questions.
Patients demonstrated high AIDS knowledge (mean score 22/28).
No significant association was found between AIDS knowledge scores and condom use.
Primary reasons for condom use were STD and pregnancy prevention, not AIDS prevention.
Negative beliefs about condoms (e.g., decreased pleasure, discomfort) were common.
Mothers influenced younger subjects, while sexual partners influenced older subjects' condom use decisions, with partners often holding unfavorable attitudes.
Conclusions:
High AIDS knowledge alone is insufficient to drive consistent condom use.
Interventions must address perceived barriers and normative beliefs, particularly those influenced by sexual partners.
Future strategies should integrate attitudinal and social influence components to improve condom use behavior.