Adolescent Sexual Risk: Factors Predicting Condom Use Across the Stages of Change

Grossman, Cynthia; Hadley, Wendy; Brown, Larry K.; Houck, Christopher D.; Peters, April; Tolou‐Shams, Marina

doi:10.1007/s10461-008-9396-y

Cited by 34 publications

(27 citation statements)

References 28 publications

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“…Self-efficacy was a strong predictor for condom use. We may assume that it is temporally primary to the target behavior, a finding, which is confirmed by the existing literature on self-efficacy (Bandura, 1997) using longitudinal study designs in various populations (Grossman et al, 2008;Kapadia et al, 2009;Zimmerman et al, 2007). A further limitation of this study was the convenience sampling.…”

Section: Discussionsupporting

confidence: 62%

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

et al. 2010

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This study on determinants of sexual protection behavior among HIV-positive gay men used the empirically tested information-motivation-behavioral skills (IMB) model. HIV-specific variables were added to the model to determine factors decisive for condom use with steady and casual partners. Data were collected using an anonymous, standardized self-administered questionnaire. Study participants were recruited at HIV outpatient clinics associated with the Eurosupport Study Group and the Swiss HIV Cohort Study. To identify factors associated with condom use, backward elimination regression analyses were performed. Overall, 838 HIV-infected gay men from 14 European countries were included in this analysis. About 53% of them reported at least one sexual contact with a steady partner; 62.5% had sex with a casual partner during the last 6 months. Forty-three percent always used condoms with steady partners and 44% with casual partners. High self-efficacy and subjective norms in favor of condom-use were associated with increased condom use with casual and steady partners, whereas feeling depressed was associated with decreased condom use with casual partners. Condoms were used less often with HIV-positive partners. Self-efficacy as an important behavioral skill to perform protection behavior was influenced by lower perceived vulnerability, higher subjective norms, and more positive safer sex attitudes. The IMB-model constructs appeared to be valid; however, not all the model predictors could be determined as hypothesized. Besides the original IMB constructs, HIV-specific variables, including sexual partners' serostatus and mental health, explained condom use. Such factors should be considered in clinical interventions to promote "positive prevention."

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Section: Discussionsupporting

confidence: 62%

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

et al. 2010

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“…This seemed to be expressed equally across all groups. That said, the majority of AGBM believed their friends did not use condoms when they have sex, echoing the influence of perceived peer norms and behaviors on condom use among adolescents reported by others 61,69 . It is interesting to note that these three aspects are typically described as motivators for condom use in widely used theories of HIV preventive behaviors.…”

Section: Discussionmentioning

confidence: 93%

A Mixed-Methods Study of Condom Use and Decision Making Among Adolescent Gay and Bisexual Males

Mustanski¹,

DuBois²,

Prescott

et al. 2014

AIDS Behav

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Young men who have sex with men have the highest rates of new HIV infections in the U.S., but they have been understudied relative to other populations. As a formative step for the development of a text messaging HIV prevention intervention, this mixed methods study aimed to understand how adolescent gay and bisexual males (AGBM) make decisions about condom use and factors that may differ based on age, sexual experience, and rural versus urban residency. Four online, asynchronous focus groups were conducted with 75 14–18 year old AGBM across the U.S. Qualitative analyses uncovered themes related to relationship influences on condom use (e.g. marriage, trust), access issues, and attitudes and experiences that both encouraged as well as discouraged condom use. Mixed methods analyses explored differences between groups in endorsement of themes. For example, younger and sexually experienced participants were more likely to report the cost of condoms was prohibitive and sexually experienced and rural youth were more likely to describe being influenced by emotional aspects of the relationship. These data highlight both opportunities for as well as the importance of tailoring HIV prevention programs for sub-groups of AGBM.

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“…En este estudio, tomando como referencia los datos de los análisis de correlación y de regresión lineal, la percepción de autoeficacia y la asertividad sexual se relacionaron de manera significativa con la práctica sexual protegida (con el uso del condón en una relación sexual), lo que coincide con otros estudios previos tanto en contextos no latinoamericanos (Farmer & Meston, 2006;Grossman et al, 2008;Heeren et al, 2009;Leddy et al, 2015;Parent & Moradi, 2015;Schmid et al, 2015;Zhang et al, 2014) latinoamericanos (Álvarez et al, 2014;Matera, 2014;Uribe et al, 2013;Uribe et al, 2015;Valencia & Canaval, 2012). Sin embargo, es importante mencionar que en este estudio tanto hombres como mujeres reportaron que no siempre usan el condón antes de la penetración, es decir, no siempre se usa correctamente, por tanto es importante considerar esta variable en estudios posteriores.…”

Section: Discussionunclassified

“…En estudios recientes en esta línea se ha mostrado que los factores que más se asocian al uso del condón son la comunicación con la pareja, la autoeficacia, la habilidad de uso y la asertividad (Farmer & Meston, 2006;Grossman et al, 2008;Heeren, Jemmott, Mandeya & Tyler, 2009;Parent & Moradi, 2015;Schmid, Leonard, Ritchie & Gwads, 2015;Zhang, Zhang & Chock, 2014). E, incluso, en investigaciones similares se concluye que para contrarrestar las normas masculinas hegemónicas que promueven la toma de riesgos sexuales entre los hombres y la subordinación de las mujeres, la comunicación sexual y la autoeficacia son un punto de apoyo clave para el aumento del uso consistente del preservativo (Leddy, Chakravarty, Dladla, De Bruyn, & Darbes , 2015).…”

Section: Introductionunclassified

Percepción de autoeficacia, asertividad sexual y uso del condón en jóvenes colombianos

Alvarado

Bahamón²,

Ruíz³

et al. 2017

Act.Colom.Psicol.

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El uso correcto y consistente del condón en las relaciones sexuales es un procedimiento altamente eficaz para la prevención del VIH/SIDA, así como para otras infecciones de transmisión sexual (ITS). Algunos estudios reportan que las habilidades psicosociales y de interrelación favorecen el desarrollo de prácticas sexuales protegidas, como con el uso de preservativos. El objetivo del presente estudio fue determinar en qué medida la percepción de autoeficacia y la asertividad sexual predicen el uso del condón en las relaciones sexuales en un grupo de jóvenes. Se realizó un estudio descriptivo correlacional y predictivo con una muestra de 631 jóvenes con edades entre 19 y 26 años que reportaron haber tenido relaciones o ser activos sexualmente. Los resultados muestran que la percepción de autoeficacia y la asertividad sexual fueron fuertes predictores del uso del condón en las relaciones sexuales de las mujeres, mientras que para el caso de los hombres, solo la asertividad sexual predijo su uso. Palabras clave: Uso del condón, autoeficacia, asertividad, jóvenes. Perceived self-efficacy, sexual assertiveness and condom use among colombian young AbstractThe correct and consistent use of condoms during sexual intercourse is a highly effective procedure for the prevention of HIV / AIDS as well as other sexually transmitted infections (STIs). Some studies report that psychosocial skills and interaction promote the development of safe sexual relations by using condoms. The objective of this study was to determine to what extent the perception of self-efficacy and sexual assertiveness predicts condom use in sexual activity in a group of young people. The study was descriptive correlational and predictive.The sample consisted of 645 young people aged between 19 and 26 years who reported having had sex or being sexually active. Results showed that, unlike men, the perception of selfefficacy coupled with sexual assertiveness are strong predictors of condom use in women's sexual relations, whereas for men only sexual assertiveness predicts condom use in sexual relations.

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Adolescent Sexual Risk: Factors Predicting Condom Use Across the Stages of Change

Cited by 34 publications

References 28 publications

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

A Mixed-Methods Study of Condom Use and Decision Making Among Adolescent Gay and Bisexual Males

Percepción de autoeficacia, asertividad sexual y uso del condón en jóvenes colombianos

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