Intentions to Use the Female Condom Among African American Adults1

The present study tested whether the theory of reasoned action (TRA) and self‐efficacy for female condom use predicted intentions to use the female condom among African American adults. Participants were 137 men and women, 18 to 35 years of age, who were recruited from a community‐based organization. Results indicate that: (a) the TRA model has predictive utility for women's but not for men's intentions to use the female condom with both main and casual sex partners, and (b) the TRA model was a better predictor of intentions to use the female condom with main than with casual partners. Implications for female condom‐use promotion are discussed.     

Moderation and Mediation of HIV-Prevention Interventions: Relationship Status,Intentions, and Condom Use Among College Students1

This study examined the effects of 2 HIV prevention interventions on condom use and mediators of condom use. College students were randomly assigned to a control condition or an intervention (communication skills or technical skills). Those who received either intervention had greater condom use self-efficacy, more positive condom use attitudes, and stronger intentions to use condoms than did controls. Furthermore, 3-month follow-up data revealed that students in either intervention who were not in a steady dating relationship reported more consistent condom use than did those in the control condition, whereas students who were in either intervention and in a relationship reported somewhat less consistent condom use than did those in the control condition. Analyses suggested that effects of the interventions on condom use were mediated by increased intentions to use condoms.     

When Good Intentions Are Not Enough: Modeling Postdecisional Cognitive Correlates of Condom Use1

Measures of intention usually leave substantial proportions of the variance in behavior unexplained. It has been suggested that improved behavioral prediction could be achieved by identifying postdecisional cognitive processes capable of distinguishing between intenders who do act and those do not act. Condom-related self-report measures of postdecisional cognitive processes were developed and tested in a cross-sectional questionnaire study involving 447 heterosexual students. A discriminant function composed of postdecisional measures was found to significantly distinguish between intenders who reported use and non-use and to correctly classify 80% of intenders. The results indicate that measures of the relative importance of competing intentions, prior planning of specific preparatory actions, and action-specific self-efficacy may enhance the prediction of condom use among intenders.     

Effect of Persuasive Appeals in AIDS PSAs and Condom Commercials on Intentions to Use Condoms1

The study compared the effect of five persuasive appeals used in AIDS PSAs and condom commercials (fear arousal-no sex/condom theme; fear arousal-sex/condom theme; erotic; humorous; factual) on 122 male and 114 female college students' i]ntentions to use and taking of condoms. Results showed that the two fear appeals were more effective than other appeals in increasing intentions to use condoms with a new partner. The fear appeal–no sex/condom theme was more effective than other appeals for increasing intentions to use condoms with a steady partner. Compared to men, women rated commercials as more effective for increasing intentions to use condoms with a new partner. Persuasive appeals had no effect on the taking of free condoms. The best predictor of commercial effectiveness was the degree to which a commercial evoked a high fear of AIDS. Other significant predictors were subjects' a]ttitude toward condom use and commercial qualities of being humorous, romantic, credible, and factual. Implications are that all five types of appeals are potentially effective for use in AIDS PSAs. Recommendations include combining appeals (e.g. fear with erotic) and emphasizing the positive features of condom use.     

Predicting Intentions to Use a Condom From Perceptions of Normative Pressure and Confidence in Those Perceptions1

Two experiments were performed to test the hypothesis that confidence in the correctness of one's perceptions of normative pressure to use a condom influences the correspondence between those perceptions and intentions to actually perform the behavior. In Study 1, confidence in perceptions of normative influence was manipulated in an experimental paradigm using hypothetical scenarios. In Study 2, confidence in subjects' a]ctual perceptions was measured. Results from both experiments indicate that the correspondence between perceptions of normative influence and intentions was greatest when subjects were confident that their perceptions of normative influence were correct.     

Determinants of Mammography Intentions Among Prior Screenees and Nonscreenees1

This study examined whether the factors influencing a woman's intention to get a mammogram differ between women who have had mammograms in the past (prior screenees) and those who have not (nonscreenees). Responses to a survey were used to predict mammography intentions separately for two groups of women: those with no previous mammograms and those with one. Among the prior nonscreenees, the variables we examined accounted for nearly half the variance in intentions; among the prior screenees, only one-sixth of the variance was accounted for. This suggests that interventions that succeed in increasing mammography utilization among prior nonscreenees may not necessarily be successful among prior screenees.     

Social Comparison,the Threat of AIDS,and Adolescent Condom Use1

This study tested hypotheses from social comparison theory about adolescent condom use. Questionnaires were administered to 457 twelfth-grade students (284 sexually active). Three different operationalizations of social comparison were used—comparative ratings, affiliative preferences, and derogation; each produced different results. Low condom users who felt threatened by AIDS made more downward comparative ratings regarding condom use than did unthreatened low users. In contrast, low users preferred upward affiliations with high users. Adolescents with higher self-esteem derogated adolescents with AIDS less as threat increased. Adolescents with lower self-esteem who made downward comparative ratings were more satisfied with their own past condom use. Satisfied low condom users were less likely to intend condom use in the future. The results provide evidence that downward comparison may act indirectly to deter behavioral change.     

Generalizing Behavioral Findings Across Times,Samples, and Measures: A Study of Condom Use1

Data from a Knowledge, Attitude, Belief, and Practices (KABP) Survey, administered to a sample of residents of Saint Vincent and the Grenadines, were used to replicate a previous study (Fishbein, Trafimow, Francis, et al., 1995) that investigated the relative importance, as predictors of condom use, of selected theoretical variables from the theory of reasoned action (Fishbein & Ajzen, 1975), and the theory of planned behavior (Ajzen & Madden, 1986). Besides addressing generalization problems, the study tested a more internally valid formulation of the role of past behavior that supported the argument that past condom use is better viewed as a predictor of current intention than as a criterion variable. Perhaps more important, the influence of past behavior was found to be partially mediated by its effect on attitudes and norms.     

Having Casual Sex: Additive and Interactive Effects of Alcohol and Condom Availability on the Determinants of Intentions

The impact of alcohol, condom availability, and gender on intentions to engage in casual sex and its antecedents was investigated. Students ( N = 384) who were or were not intoxicated with alcohol completed measures based on the theory of planned behavior (TPB) in relation to having casual sex in a scenario. The scenario described sex between 2 individuals not in a relationship and manipulated the consumption of alcohol of the sexual partners and availability of condoms. The data were supportive of the TPB: Intentions were predictable from attitudes, subjective norms, and perceived behavioral control (PBC). Results also support the inclusion of measures of past behavior and anticipated affective reactions, but not self-identity or moral norms as predictors of intentions. Alcohol in the scenario and condom availability increased intentions to have sex. There were also several interaction effects. Implications for using the TPB to understand sexual behaviors under the influence of alcohol are discussed.     

The Accuracy of Self-Reports of Condom Use and Sexual Behavior

In a study of the accuracy of self-reports of sexual behavior and condom use, 285 single, young adults in a large metropolitan area were interviewed once a week for 52 weeks, reporting on their sexual behavior each week. At 1-, 3-, 6-, and 12-month intervals, the individuals also provided self-reports of the number of times they had engaged in sex and the number of times they had used condoms since they began participating in the study. These self-reports were compared with aggregates of the weekly data, which served as a comparison standard for accuracy evaluation. The results indicate a fairly high level of accuracy in self-reports, but with 2% to 5% outliers who are highly inaccurate. The results tend to favor the assessment of sexual behavior over moderate time durations (3 or 6 months) rather than short or long durations (1 month or 12 months) when trying to maximize self-report accuracy. Accuracy was attenuated for individuals who tended to engage in sex frequently, especially at the 12-month time durations.     

Context and Prior Impression Effects on Attention, Judgment Standards, and Ratings: Contrast Effects Revisited

The present study extended research on contrast effects by (a) examining the effect of context performances on ratings of a target performance when a prior impression of the target performer already exists, and (b) clarifying the issue of whether contrast is caused by attention to context-discrepant behavior or shifts in judgment standards. The results demonstrated that the existence of a prior impression mitigates the influence of context performances on ratings. Judgment standards were found to be unstable and dependent on information provided to raters by the experimental manipulations. Regression analyses showed that both attention and standards of judgment mediate the relationship between context and ratings. Implications of these findings for contrast effects, performance ratings, and the importance of reliable judgment standards for real-world performance appraisals are discussed.     

Implicit Hopelessness and Condom Use Frequency: Exploring Nonconscious Predictors of Sexual Risk Behavior1

Current models of affect and health posit that affective disturbance influences health through behavioral pathways. The current research explores this hypothesis in the domain of sexual risk behavior by testing explicit and implicit hopelessness as predictors of condom use. Male and female undergraduates (n = 60) completed implicit and explicit measures of depression, hopelessness, and self‐reported condom use frequency. Findings revealed that implicit hopelessness predicted less condom use. However, this relationship was moderated by gender such that implicit hopelessness predicted less condom use for men, but not for women. The applicability of the findings to broader health theories is discussed.     

Accentuate the Negative: Social Images in the Prediction and Promotion of Condom Use1

Based on the negativity bias in person perception, we argue that behavioral decisions related to condom use are influenced by the social images that an individual has of people who do not use condoms, but that they are not influenced by the social images that an individual has of people who do use condoms. Three studies with college student samples indicated that the negative evaluations of people who do not use condoms predicts willingness to have sex without condoms. In contrast, positive evaluations of people who do use condoms showed no unique predictions. A fourth study demonstrated that a health message emphasizing the negative social consequences of having sex without condoms decreased willingness to have unsafe sex in comparison to a control, whereas a message that emphasized the positive social consequences of using condoms had no such effects on willingness.     

Ambivalence and Unprotected Sex: Failure to Predict Sexual Activity and Decreased Condom Use1

Using a prospective design, we assessed whether ambivalence toward sexual activity is associated with decreased condom use. Undergraduates predicted whether they would have intercourse and use condoms in the next week. A week later, they reported their sexual and contraceptive behavior. Among 65 individuals who had intercourse and planned to use condoms, ambivalence toward sexual activity was negatively associated with condom use. Moreover, whether intercourse was planned mediated the relationship between ambivalence and condom use, such that ambivalence was negatively associated with accuracy in planning sex, and unplanned sex was less likely to be protected. Individuals who are ambivalent about sex may intend to use condoms, but fail to do so because they cannot predict when they will have intercourse.     

Predicting Condom Use in African American STD Patients: The Role of Two Types of Outcome Expectancies1

This study examined the association of two types of condom use outcome expectancies (self-approval and partner reaction) with patterns of safer sexual behavior among predominantly African American patients at a sexually transmitted diseases (STD) clinic. As expected, both individuals' own self-approval outcome expectancies and their partner reaction outcome expectancies predicted consistency of condom use, although partner reaction expectancies predicted condom use above and beyond the effects of self-approval expectancies. Furthermore, individuals who believed that they and their partner shared positive condom use outcome expectancies reported the greatest use of condoms. These findings suggest that HIV prevention programs should address both types of condom use outcome expectancies in order to maximize behavior change.     

The Theory of Reasoned Action and the Role of External Factors on Heterosexual Men's Monogamy and Condom Use1

Although the majority of prevention efforts have focused on women, reduction of heterosexual transmission of STDs also requires interventions for men, necessitating understanding of men's safer sex decision making. In a random sample of 486 heterosexually active men, the theory of reasoned action (TRA) was used to predict intentions to use condoms with casual partners, as well as 2 steady‐partner safer sex behaviors: mutual monogamy and condom use. The basic TRA model fit the data well. Expanded models identified the mediated (via attitudes, social norms, and self‐efficacy) and, for some, direct effects on intentions and behavior of selected intrapersonal, interpersonal, and sociocultural variables. Results suggest that the role of external variables might vary depending on the behaviors in question.     

College Women and Condom Use: Importance of Partner Relationship

Because women who want to use condoms as protection against STDs must gain compliance from their male partners, women's use of condoms was examined within the context of their relationships with their sexual partners. Sexual history, condom attitudes, and relationship information were gathered from a sample of 272 heterosexual college women. For the 121 women with a current sexual partner, logistic regression analyses revealed that both regular condom use and completely consistent condom use were more likely in shorter relationships and for women who perceived lower barriers to use. Regular condom use was also greater in relationships described as high in trust, whereas consistent condom use was greater for women in their first sexual relationships. In addition, many women reported using condoms early in their relationships, but changing to lower levels of use later. Implications of the current findings for safer-sex interventions are discussed.     

The AIDS Risk Reduction Model: Examining Intentions to Use Condoms Among Injection Drug Users1

This paper uses the AIDS Risk Reduction Model (ARRM) to examine psychosocial factors involved in adopting safer sex practices in a sample of Los Angeles injection drug users (IDUs; n= 161) who reported having more than one sex partner in the year preceding the interview. The ARRM hypothesizes that behavior change is a process occurring in three stages: (a) labeling one's behavior as problematic, (b) making a commitment to behavior change, and (c) taking action to accomplish that change. We test the first two stages of the model using a measure of perceived risk of HIV infection (Stage I), and intentions to use condoms always during vaginal or anal sex in the next year (Stage 2). We examine differences in the predictive value of the ARM between IDUs who reported using condoms in the year prior to the interview and those who reported not using them. We identify leverage points in the model-factors which appear to have a major influence on intentions to use condoms and which may be amenable to change through educational or other types of intervention. For both condom users and non-users, susceptibility to AIDS predicted perceived infection risk (Stage I). For condom users, knowledge about AIDS also predicted perceived risk. For both groups, self efficacy, peer norms concerning condom use, and the perceived pleasure of using condoms predicted intentions to use condoms (Stage 2). Our findings do not support either direct or indirect relationships between the Stage 1 and Stage 2 outcome variables for either group.