This exploratory study examines the performance of 295 South African women—who recently traded sex for goods or had unprotected sex—on a male condom use mastery index. Bivariate and multivariate logistic regression analyses were conducted to determine whether age, marital status, highest education obtained, male condom use at first penetrative sex, receiving prior demonstration of male condom use, recent sexually transmitted infection (STI) symptoms, and recently trading sex were significantly associated with index scores. Adjusted odds ratios indicated that age and STI symptoms were negatively associated with condom skills; women who were older and had a higher number of recent STI symptoms were more likely to have lower scores. Furthermore, participants executed, on average, approximately one-third of condom use steps correctly. These findings suggest a need for increased behavioral skills training for women engaging in sexual risk behaviors because many lack the skills required to use a male condom properly
