The Impact of Sex Ratio Perceptions on Condom Use Attitudes and Behaviors among Black Women in the United States.

Objective: Explore how perceptions of the sex ratio in Black communities' impact heterosexual Black women's confidence in negotiating condom use with sex partners and condom use at last sex. Methods: Using log-binomial regression models, we estimated the association between perception of the sex ratio and condom negotiation self-efficacy and condom use at last sex. Results: Perception of the sex ratio among Black women surveyed was not significantly associated with condom negotiation self-efficacy and condom use at last sex. Conclusion: Overall, the results do not demonstrate an association between perception of the sex ratio and condom negotiation self-efficacy and condom use at last sex.