Relationship-Specific Condom Attitudes Predict Condom Use Among STD Clinic Patients with both Primary and Non-primary Partners

Senn, Theresa E.; Scott-Sheldon, Lori A. J.; Carey, Michael P.

doi:10.1007/s10461-014-0726-y

Cited by 23 publications

(18 citation statements)

References 39 publications

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“…As female actor number of lifetime sex partners increased, intentions to use condoms decreased. Considered alongside the finding that increased number of partners also related to intentions to remain monogamous, this might indicate unwillingness to use condoms in a committed relationship (Macaluso et al, 2000; Senn et al, 2014). This is concerning, given that females with more lifetime sex partners also tended to be with males reporting more partners, which could put them at higher risk for HIV and other STIs, as well as repeat pregnancy (Meade & Ickovics, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…For perception of partner behavior, control variables included relationship length and partner age. For condom use and monogamy intentions, control variables included relationship length and actor age, given that age may reflect more opportunity to engage in unsafe behaviors, and relationship length could impact knowledge of partner behaviors and commitment to the relationship, a known predictor of condom use (Macaluso et al, 2000; Senn, et al, 2014). …”

Section: Methodsmentioning

confidence: 99%

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Perception of partner sexual history: Effects on safe-sex intentions.

Cornelius¹,

Kershaw²

2017

Health Psychology

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Objective Sexual intercourse is a dyadic activity, and intentions to engage in safe sex vary across partners. Because pregnant and newly parenting adolescents and young adults are at high risk for sexually transmitted infections (STIs), it is important to understand sexual decision-making in this population. Methods This cross-sectional study examined how participants’ own risk behavior and their partners’ risk behavior influence perceptions of partner risk, and the impact of risk perceptions on condom use intentions and monogamy intentions in 296 pregnant adolescent and young adult couples (MAgeFemale = 18.71; MAgeMale = 21.33). Results Participants’ behavior and their partners’ behavior both related to increased perceptions of partner risk. Male participants’ perceptions were more strongly influenced by female partners’ behavior than participants’ own behavior. Perceiving a partner as having a history of more risk behaviors trended towards a negative relationship with condom use intentions and monogamy intentions. For females, more previous sex partners related negatively to condom use intentions and positively to monogamy intentions. Having a male partner with more previous sex partners related positively to condom use intentions and monogamy intentions. Conclusions Perceptions of partner risk did not significantly relate to condom use intentions and monogamy intentions, however, trends suggest that risk perception could reflect similarity bias and ongoing risk engagement. Differences in the partner perception by gender suggest females may communicate more openly about risks. Interventions to reduce STI transmission in couples should work to interrupt trajectories of risky behavior and enhance risk communication.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Perception of partner sexual history: Effects on safe-sex intentions.

Cornelius¹,

Kershaw²

2017

Health Psychology

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“…A person, whose cognitive self-evaluation or judgement of their capabilities is high, will tend to use a condom with greater confidence. Empirical evidence has demonstrated that people with high levels of condom use self-efficacy make successful decisions regarding sexual health, both ability to use condoms as ability to reject sexual risk behaviors [22,23,[26][27][28][29]67]. Self-efficacy is not a static characteristic, it can be altered by internal personal factors in the form of cognitive and affective events.…”

Section: Discussionmentioning

confidence: 99%

“…The study shows that the behavior was related to behavioral intention (.45); behavioral intention was related to attitudes (.58) and the subjective norm (.39); attitudes were associated with behavioral beliefs (.56); norms were associated with normative beliefs (.46); and perception of control was associated with the behavioral intention (.45) and condom use (.25). In the implementation model it has been observed that the intention to use condoms predicts significantly its use during sex; the perception of control and attitudes are the best predictors preventive behavior; the subjective norm has more influence on the formation of intent to action on specific groups, such as adolescents [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

2016

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Heterosexual transmission represents 26 % of newly diagnosed infection in Spanish youth. Behavioral change models have emphasized the influence of multiple variables to predict condom use behavior. The aim of this study is to examine how those variables are organized and which theory explains the condom use behavior better. A sample of 424 young heterosexuals (M age = 20.62; SD = 2.16) filled out a battery of self-report questionnaires for assessing AIDS-related variables, personality traits and clinical variables (general, sexuality-related and health-related). A structural model was specified that included perceived pleasure and condom use self-efficacy as predictive variables. Depression and sexual compulsivity indirectly influence behavior. The final model accounted for 65.9 % of the variance in behavior. These results highlight the importance of cognitive and emotional variables as predictors of behavior (ex. expectations of pleasure and self-efficacy beliefs). This is important information for designing effective psychological interventions.Resumen La transmisión heterosexual representa el 26 % de los nuevos diagnósticos de VIH en los jóvenes españoles. Los modelos de cambio de comportamiento han enfatizado la influencia de múltiples variables para predecir el uso del preservativo. El objetivo del presente estudio es examinar cómo se organizan estas variables y qué teoría explica mejor esta conducta. Una muestra de 424 jóvenes heterosexuales (x edad = 20.62; SD = 2.16) completó una batería de cuestionarios sobre Sida, rasgos de personalidad y variables clínicas (generales, sexuales y de salud). Los resultados obtenidos utilizando modelos de ecuaciones estructurales apoyan una relación directa entre uso del preservativo y autoeficacia y placer percibido. Las variables depresión y compulsividad sexual influyen indirectamente sobre la conducta. El modelo explica el 65.9 % de la varianza. Estos resultados destacan la importancia de las variables cognitivas y emocionales como predictoras del comportamiento. Esta información es importante para el diseño de intervenciones psicológicas eficaces.

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“…[23] The association of sexual satisfaction and condom use may reflect influence of higher levels of coital frequency in dyads with high levels of sexual satisfaction, with consequent rapid decline in condom use. [24] Alternatively, common perceptions that condoms interfere with pleasure and sexual function may lead dyads to abandon condoms in order to preserve high levels of sexual satisfaction. [25, 26]…”

Section: Discussionmentioning

confidence: 99%

Condom Use as a Function of Number of Coital Events in New Relationships

He¹,

Hensel

Harezlak

et al. 2016

Sexually Transmitted Diseases

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Study Objective Assess condom use as a function of number of coital events in newly formed sexual relationships. Methods Participants who reported at least one new partner during the 12-week study interval (N=115; ages 18–29 years; 48% women; 90% African American) completed weekly sexually transmitted infections testing and three-times daily electronic diary collection assessing individual and partner-specific affect, daily activities, sexual behavior and condom use. We analyzed event-level condom use percentage and subject-level behavior response effects. Generalized Additive Mixed Models (GAMMs) were used to estimate condom use probability accounting for within-partner and within-subject correlations via random effects. Results The average condom use probability at the first coital event in new relationships was 55% for men and 36% for women. Analyses showed that smooth shapes of estimated condom use probabilities were similar for both sexes and were fitted using GAMMs. Relatively higher condom use percentage was followed by a sharp decline during the first 9 coital events decreasing to 16% for men and 8% for women. More rapid decline in condom use among women was highly associated with higher levels of relationship and sexual satisfaction. Conclusions The likelihood of condom use declines sharply for both men and women after the early accrual experience with a partner. Relationship and sexual satisfaction also influence declines in condom use, especially among women.

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Relationship-Specific Condom Attitudes Predict Condom Use Among STD Clinic Patients with both Primary and Non-primary Partners

Cited by 23 publications

References 39 publications

Perception of partner sexual history: Effects on safe-sex intentions.

Perception of partner sexual history: Effects on safe-sex intentions.

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

Condom Use as a Function of Number of Coital Events in New Relationships

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