Factors Associated With Condom Use in a High-Risk Heterosexual Population

Weinstock, Hillard; Lindan, Christina; Bolan, Gail; Kegeles, Susan M.; Hearst, Norman

doi:10.1097/00007435-199301000-00004

Cited by 89 publications

(64 citation statements)

References 31 publications

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“…One explanation for this finding may be the way in which self-efficacy was measured for this study. For example, in one study which found a strong association between self-efficacy and condom use in women attending a STD clinic, self-efficacy was measured as women's ability to exert control over condom use (Weinstock, Lindan, Bolan, Kegeles & Hearst, 1993). In other words, women's selfefficacy to affect the interpersonal aspects of condom use was measured: When examining the factor structure of the Condom Use Self-Efficacy Scale, Brien, Thombs, Mahoney, and Wallnau (1994) found four factors: mechanical, partner disapproval, assertiveness, and intoxicants.…”

Section: Discussionmentioning

confidence: 99%

Women's Self-Reported Condom Use: Intra and Interpersonal Factors

Je¹,

DiIorio²,

Wn³

1998

Women & Health

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Abstract:In the past several years, the greatest proportionate increase in AIDS diagnoses has occurred among women. Yet, while the risk of HIV infection increases, female college students continue to report inconsistent HIV prevention behaviors. Past research on condom use among college women has focused on intrapersonal aspects of the behavior, and little is known about the influence of interpersonal factors on women's condom use. In this study we examined the relative salience of both intra and interpersonal factors on African American and white women's use of condoms. We found that interpersonal variables were particularly salient predictors of condom use. There were no ethnic differences in the effects of interpersonal variables; however, there were differences in the effects of self-efficacy on condom use. Article:INTRODUCTION AIDS is the third leading cause of death among all women age 25 to 44 in the United States. For African American women in this age group, AIDS is the leading cause of death (CDC, 1996). Over the past several years, the greatest proportionate increase in AIDS diagnoses has occurred among women (CDC, 1995). In 1997, women accounted for 15 percent of adult and adolescent cases of AIDS, compared to 7% in 1985(CDC, 1997. With 60-90% of college women sexually experienced (Belcastro, 1985;Jadack, Hyde & Keller, 1995;MacDonald et al., 1990;Reinisch, Sanders, Hill & Ziemba-Davis, 1992) and 54% of the AIDS cases in women under the age of 25 contracted through heterosexual contact (CDC, 1997), female college students are increasingly at risk for contracting HIV through unsafe sexual practices. Yet, while the risk of HIV infection increases, female college students continue to report inconsistent HlV prevention behaviors such as abstinence (DiIorio et al., 1996), limiting partners (Joffe et al., 1992;Reinisch et al., 1992;Sawyer & Moss, 1993), and condom use (MacDonald et al., 1990;Wulfert & Wan, 1993).1 Thus, there is a critical need to increase our understanding of the complex psychosocial attitudes and behaviors that lead to safer sex behaviors among college women.To date, much of the research on safer sex has focused on identifying intrapersonal predictors of men's condom use. These intrapersonal factors typically have been derived from theories such as the health belief model, theory of reasoned action or social cognitive theory and have been used to explore internal processes which affect sexual behavior. For example, Kelly, Lawrence, Hood, Brasfield, Lemke, Amidei, and Roffman (1990) found that health locus of control, peer norms, prevention knowledge and high personal risk were significant predictors of condom use in gay

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Section: Discussionmentioning

confidence: 99%

Women's Self-Reported Condom Use: Intra and Interpersonal Factors

Je¹,

DiIorio²,

Wn³

1998

Women & Health

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“…1,[7][8][9] This is the ''power of pleasure'' . Since condoms are generally perceived to reduce sexual pleasure, [10][11][12] it is vital for public health campaigns to address how to increase sexual pleasure when promoting condoms. There are many reasons why people choose not to use condoms, and instead practice riskier sex.…”

Section: 4mentioning

confidence: 99%

Pleasure and Prevention: When Good Sex Is Safer Sex

Philpott¹,

Knerr²,

Boydell

2006

Reproductive Health Matters

126

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“…Several studies have found that substance use (including alcohol or other drugs) at the time of a sexual encounter is not significantly associated with condom use in that encounter in such varied samples as drug users (Rosengard et al, 2006;Watkins et al, 1993), teenagers (Palen et al, 2006;Rosenthal, Smith, and deVisser, 1997), college students (Senf and Price, 1994;Freimuth et al, 1992), young adults (Santelli et al, 1997;Leonard and Ross, 1997), and female clients at a sexually transmitted diseases (STD) clinic (Weinstock et al, 1993). However, substance use was associated with nonuse of condoms in several male samples, including a national sample of young men (Ku, Sonenstein, and Pleck 1993) and male clients of an STD clinic (Weinstock et al, 1993). In a study of men who have sex with men (MSM), substance use was associated with unprotected receptive anal intercourse with a nonmain partner, but not with penetrative intercourse or with unprotected sex with a main partner (Stueve et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Alcohol, drugs, and condom use among drug offenders: An event-based analysis

Leigh

Ames

Stacy

2008

Drug and Alcohol Dependence

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Background-Studies of the association between substance use and condom use in specific sexual encounters often do not separate the effects of alcohol and different types of drugs. Because the pharmacological effects and social settings of various substances differ, their effects on unprotected intercourse may vary as well.Goal-This study examined the relationship between alcohol and drug use and the use of condoms in sexual encounters with casual partners in a high-risk population of drug offenders Design-Participants in court-ordered drug diversion programs (n=536; 26% female) completed a questionnaire in which they reported on the circumstances of their most recent sexual encounter with a casual partner.Results-In multivariate logistic models, alcohol use in conjunction with sex was not related to decreased condom use in either men or women. Amphetamines (smoked or injected) were associated with decreased condom use, while cocaine, marijuana, and orally-administered amphetamines were not significantly associated with condom use.Conclusions-In this high-risk sample, links between substance use and unprotected sex differ with type of drug used.

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Factors Associated With Condom Use in a High-Risk Heterosexual Population

Cited by 89 publications

References 31 publications

Women's Self-Reported Condom Use: Intra and Interpersonal Factors

Women's Self-Reported Condom Use: Intra and Interpersonal Factors

Pleasure and Prevention: When Good Sex Is Safer Sex

Alcohol, drugs, and condom use among drug offenders: An event-based analysis

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