Condom negotiation strategy use and effectiveness among college students.

College students may engage in risky sexual behaviors, such as inconsistent condom use, which increase their risk of sexually transmitted infections. This study examined the association between six condom influence strategies (CIS) and reported condom use among a diverse group of college students. Differences in CIS and condom use were examined by gender, race or ethnicity, and relationship status (casual, monogamous, or no current relationship). The study also used a cluster analysis to investigate how the CIS were used relative to one another, and how patterns of CIS use were related to condom use. Results showed interesting differences in CIS use by gender, race or ethnicity, and relationship status. Four patterns of CIS usage emerged, and results suggested that using all CIS frequently and using more assertive CIS may be particularly important for increased condom use. Men reported more condom use than women overall, but results indicated that using CIS were especially vital for increasing condom use for women. Surprisingly, there were no differences in condom use found for race or ethnicity and relationship type. Programs aimed at increasing students' condom use could benefit from promoting and practicing CIS, and recognizing potential differences among demographic groups.