Personal Control, Self-Efficacy in Sexual Negotiation, and Contraceptive Risk among Adolescents: The Role of Gender

Adolescents’ sexual decision making is shaped by normative ideas about “appropriate” sexual roles for women and men; consequently, the motivation and ability to engage in safer sex may be different for adolescent girls and boys. The aim of this study was to explore how social–psychological resources influence the behavior of girls and boys within the highly gendered and inequitable domain of sexual relationships. I used data from the National Longitudinal Study of Adolescent Health (Add Health) to examine whether personal control and self-efficacy in sexual negotiation are associated with contraceptive risk (engaging in sexual intercourse or not using condoms) among adolescents and whether these associations differ for adolescent boys and girls. Results indicate that personal control and self-efficacy in sexual negotiation are significantly associated with safer sex behavior, and are often more important for girls than for boys in predicting contraceptive risk.     

Family planning of Portuguese immigrants and integration in Belgium

A substantial immigration of Portuguese and other foreign nationals to Belgium due to a favorable immigration policy guides this investigation to focus on this group in order to study the influence of the acculturation experience on birth-control practices. Choosing a sample of 100 married women within a group of 998 Portuguese immigrants in an urban municipality in Brussels, the study sets out specifically to investigate whether these immigrants adopt attitude patterns of the receiving social group or if they preserve the customs of their original community. The hypothesis held by the study was that the better the woman's integration into Belgian society, the larger her knowledge and acceptance of contraceptives would be. The study found that the majority of interviewed immigrants remained poorly integrated into the Belgian society, and that the transition from a traditional to an industrial society had not included great changes in attitudinal behavior which would facilitate social and cultural integration into the new society. In terms of attitudes toward contraception, negative behavior was observed to be linked not to levels of acculturation, but rather to lack of information. Though the majority of respondents expressed desires for controlled fecundity even when still in Portugal, those who came to Belgium with no previous knowledge or desires admitted to having felt the need for contraceptive practice. The crucial factor in acceptance of modern contraceptive practices is singled out as one of communication. Access to information about contraception is readily available in the Belgian society. The information actually obtained by the women, however, depended on their access to informational channels, the circumstances through which they got in touch with such sources, and their problems with a language barrier when relying on the media through which contraceptive knowledge was made available.     

Oral contraceptive use among African American adolescents: Individual and community influences

Side effects of oral contraceptives are a noteworthy problem, particularly among low-income young women who reside in inner-city communities. The problem may be compounded by inadequate family planning services, particularly when such services are provided by general medical practices with high volumes of clients. This study examined the prevalence and correlates of pill-related side effects, with particular attention to the role of clinic characteristics. Participants were 177 pregnant and parenting African American adolescents and young women (average age=18.34). The experience of a pill-related side effect was the most frequently cited barrier to birth control use, and it was significantly related to contraceptive behavior. Finally, although participants attending comprehensive clinics experienced more barriers to medical service use than those attending neighborhood clinics, they reported fewer problems with pill-related side effects and better psychological functioning. Implications for future research and policy are discussed. This study was completed with the assistance of grants from the Illinois Department of Alcoholism and Substance Abuse, the National Institute of Child Health and Human Development, and the Office of Research on Women's Health to Jean Rhodes. Portions of this paper were presented at the 1993 Biennial Meeting of the Society for Community Research and Action, Williamsburg, Virginia. The authors gratefully acknowledge the assistance of Julian Rappaport, Joel Meyers, Hope Landrine, Lori Ebert, the Reverend Annette Collins, Margaret Daniels, Khya Lawrence, and the professionals and participants at the service settings.     

Relationships Between Contraceptive Behavior and Love Attitudes,Sex Attitudes,and Self-Esteem

The current research took into account two previously developed models of effective contraceptive behavior, a model emphasizing interpersonal variables and a model emphasizing intrapersonal variables. The purpose was to identify variables related to contraception that could be addressed during contraceptive counseling and to aid persons in deciding the most effective contraceptive method within the context of an intimate relationship. The research used questionnaire responses from 350 male and female college undergraduates. Results indicated some support for aspects of both models, with modest relationships between contraceptive behavior and attitudes toward both love and sex, and self-esteem. The difficulties of developing a comprehensive model of contraceptive behavior are discussed, as are some practical implications of this research.     

Psychosocial Factors Associated With Stage of Change for Contraceptive Use Among Women at Increased Risk for HIV and STDs

This study assessed the psychosocial factors associated with contraceptive use among inner-city women at risk for HIV/STDs by using the transtheoretical model of behavior change. The five-city study group of women aged 15 to 34 years was recruited from neighborhoods, social service agencies and shelters ( n = 998). We measured stages of change for contraceptive use and assessed theoretically proposed factors associated with being at a higher stage. Variables such as perceived advantages of contraceptive use and normative support for use were very important at early stages, but less important in later stages. However, self-efficacy was important in both early (OR =1.5) and later (OR = 1.6) stages, suggesting that women's confidence in their ability to initiate and sustain contraceptive use is crucial.     

Divorced women's sexual and contraceptive issues

This work attempts to answer the question: could divorce create a feeling of alienation in women which causes one to feel vulnerable and detached and thus making sexual decision-making and planning difficult? When a women is married her sexuality is taken for granted because she is expected to have children; however, after a divorce, she must face many of the conflicts she felt as a young single woman. Guilt, planning contraceptive use, and coming to terms with her sexual behavior all present themselves again. 1 factor that must be considered is that contraceptive use is always assumed to be the function of the married women. Very little research has gone into the contraceptive use habits of unmarried women. This is primarily due to the societal assumption that unmarried woman don't have sex. This work contains the clinical observation of the author in which 28% of 459 prenatal patients were interviewed specifically because they were divorced. The conclusion is that divorced women are being neglected by the health care profession and are in great need of contraceptive counseling. This work primarily discusses a study done to expand and examine the conclusions of the clinical research. The study consisted of 101 sexually active, legally divorced, single women between the ages of 18-44 and physiologically capable of becoming pregnant. 53 of these women had experienced post-divorce pregnancies. Each woman was interviewed and given 3 standard tests: the Rosenberg Self-Acceptance Scale, the Snyder's Self-Monitoring Scale and Beckham's Coping Strategies Scale. The conclusion of the author is that divorce and its associated psychological problems may temporarily or permanently affect one's thoughts, feelings, and life course. Sexual and contraceptive use decision-making are both directly both directly affected by these changes. Some divorced women may be experiencing inadequate self-esteem, identity, and self-awareness.     

Effects of Prolonged Exposure to Gratuitous Media Violence on Provoked and Unprovoked Hostile Behavior1

On 4 consecutive days, respondents were exposed to gratuitously violent or nonviolent intact feature films. They rated the entertainment value of these films. One day after exposure to the last film of the series, respondents participated in ostensibly unrelated research on emotion recognition. As they performed a test, they were neutrally or abusively treated by a research assistant. Thereafter, they were put in a position to harm this assistant. Both provocation and exposure to violent films were found to foster markedly increased hostile behavior. These effects were noninteractive. Moreover, these effects were uniform for respondent gender. Compared to men, women exhibited less hostility overall, however. The findings thus show that prolonged exposure to gratuitously violent films is capable (a) of escalating hostile behavior in provoked men and women, and (b) perhaps more importantly, of instigating such behavior in unprovoked men and women.     

Parental Gender Expectations by Socioeconomic Status and Nativity: Implications for Contraceptive Use

Parental gender expectations, which may be egalitarian or not, could vary by nativity and socioeconomic status. Parental gender expectations provide a model for children’s gender role attitudes and could also have effects on reproductive health over the life course, including women’s contraceptive choices. Yet, parental gender expectations are not often studied quantitatively. Using the National Longitudinal Study of Adolescent to Adult Health, we examine how parental gender expectations in the United States vary by immigrant generation and socioeconomic status, whether parental gender expectations in adolescence are associated with young women’s contraceptive use, and if nativity moderates that relationship. Results show that parental gender expectations vary significantly by immigrant generation and parental socioeconomic status. Both first and second generation women are significantly less likely to have lived in households with equal gender expectations compared to the third generation. Higher socioeconomic status is associated with equal gender expectations. Among participants from households with equal gender expectations, the second generation is more likely than the third generation is to use a male-controlled contraceptive method versus no method. Using a nationally representative sample, our study demonstrates that parental gender expectations vary by nativity and by the socioeconomic context of the family in which they are embedded as well as have a unique effect on the contraceptive behavior of second generation women.     

Nonparametric Estimation of Item and Respondent Locations from Unfolding-type Items

Unlike their monotone counterparts, nonparametric unfolding response models, which assume the item response function is unimodal, have seen little attention in the psychometric literature. This paper studies the nonparametric behavior of unfolding models by building on the work of Post (1992). The paper provides rigorous justification for a class of nonparametric estimators of respondents’ latent attitudes by proving that the estimators consistently rank order the respondents. The paper also suggests an algorithm for the rank ordering of items along the attitudes scale. Finally, the methods are evaluated using simulated data. This research was supported in part by an Educational Testing Service Gulliksen Fellowship, and by the National Science Foundation, Grant DMS-97.05032. The author would like to thank Brian Junker for his help and support on this paper and Paul Holland, Steve Fienberg, and Jay Kadane for their helpful comments.     

Matching the message to the process: the relative ordering of knowledge,attitudes, and practices in behavior change research

The authors empirically investigated the relative ordering of knowledge, attitudes, and practices in behavior change models and its relation to communicating health-related information. Considerable research has been conducted in the area of behavior change to identify and measure the presence of knowledge, attitudinal, and practice levels for many behaviors. The literature is reviewed. The authors' investigation consisted of interviewing 1680 men and women in Lima, Cusco, Huaraz, Puno, and Chimbote--5 large Peruvian cities--in 3 urban probability household surveys conducted in August 1994, January 1995, and January 1996. Six possible knowledge, attitude, and practice permutations are developed with regard to contraception in Peru. People may use contraceptive methods before they become fully knowledgeable about their chosen methods. In so doing, these users may become misinformed about contraceptive practice and become dissatisfied contraceptive users who discontinue contraceptive use. Media campaigns designed to inform the public can help produce a more satisfied and sustainable contraceptive user base. The informed choice approach can be the basis for effective communication strategies.     

Religion, Contraception, and Method Choice of Married Women in Ghana

Using pooled data from the 1998 and 2003 Demographic and Health Surveys, this paper investigates the association between religion and contraceptive behavior of married women in Ghana. Guided by the particularized theology and characteristics hypotheses, multinomial logit and complementary log-log models are used to explore denominational differences in contraceptive adoption among currently married women and assess whether the differences could be explained through other characteristics. We found that while there were no differences between women of different Christian faiths, non-Christian women (Muslim and Traditional) were significantly more likely to have never used contraception compared with Christian women. Similar observations were made on current use of contraception, although the differences were greatly reduced in the multivariate models.     

Anticipated Regret and Precautionary Sexual Behavior1

This study investigated the impact of anticipated regret on precautionary sexual behavior. Results show that anticipated regret predicts a significant and independent proportion of variance in expectations about future contraceptive behavior. A simple model combining attitudes, subjective norms, perceived behavioral control, and anticipated regret explained 65% of the variance in behavioral expectations. Behavioral expectations explained 34% of the variance in contraceptive behavior of respondents who had casual sex in the 4 weeks following the first session of the study. Implications for our understanding of precautionary sexual behavior and for campaigns aiming to increase safer sexual practices are discussed.     

Why is cross-sex-role behavior more approved for girls than for boys? A status characteristic approach

Previous research has found that cross-sex-role behavior is less approved for boys than for girls in contemporary American culture. The investigation reported in this paper developed a general theory of the effects of status variables on evaluation of role behavior performance. Several propositions in the specific area of sex roles were tested empirically and all were confirmed. Subjects were 169 college students who responded to either a measure of disapproval of cross-sex-role behavior or a measure of disapproval of appropriate sex-role behavior. The results indicated that male-role behavior was more approved for both male and female actors, but that this difference was greater for boys than for girls. In addition, the results indicated that the cost in disapproval is greater for males who engage in cross-sex-role behavior than for females. Finally, the difference by sex of actor in approval-disapproval of female-role behaviors was larger than that for male-role behaviors. These results were discussed within the context of sex as a status variable. The general applicability of the propositions developed in the study was discussed. Also found were sex differences among subjects in response to cross-sex-role behavior and appropriate sex-role behavior.The author would like to thank Irv Gray, Barbara Wylie, and Gene Adams for their help in data processing and analysis. The comments received from those who read the earlier work of this author are greatly appreciated. Address correspondence to the author at Department of Sociology, University of Wyoming, Box 3293, University Station, Laramie, Wyoming 82071.     

The Integral Place of Religion in the Lives of Rural African–American Women Who Use Cocaine

To understand the culture of rural African–American women who use cocaine, ethnographic research was conducted in rural North Central Florida using in-depth interviews and participant observations with 30 respondents. Fourteen major themes emerged from the data; however, this paper focuses on one theme, that of religion. Nine sub-themes about religion and spirituality emerged. Religion was viewed as a personal relationship with God, which is not dependent on socializing with other church members, but was helpful in sustaining the respondents. While religiosity was a stable and consistent place in the respondents’ lives and some relied on their faith in God to replace their addiction, faith was not uniformly utilized by all respondents in this manner. Religiosity among African–American women who use cocaine cannot solely overcome the lack of drug treatment or treatment options and the stigma associated with drug use although it maybe a resiliency factor, which warrant promoting.Dr. Emma J. Brown, Ph.D., A.P.R.N., B.C., F.A.A.N., is an associate professor at the University of Central Florida in the School of Nursing. Dr. Brown’s primary area of research is STD/HIV prevention intervention among rural adolescents, women of color, and individuals who ab(use) illegal drugs. Dr. Brown’s secondary area of research is drug ab(use) prevention interventions among rural populations.     

Predicting contraceptive behavior from attitudes: a comparison of within- versus across-subjects procedures

Within- versus across-subjects procedures for predicting behavior from attitudes were contrasted. Each procedure requires a comparison among attitudes in order to generate a prediction; the comparison is either among the same attitudes held by different people (across subjects) or among different attitudes held by the same person (within subject). It was hypothesized that the within-subject model provides a more adequate explanation of behavior from attitudinal constructs and, hence, more accurate prediction of behavior from attitudes than does the across-subjects model. To test this view, a sample of 349 married couples was administered a questionnaire containing measures of three attitudinal components--affect, cognition, and conation--toward each of four contraceptive methods--oral contraceptives, IUD, diaphragm, and condoms. Contraceptive behavior was assessed 1 year later. In support of the hypothesis, the within-subject predictions bore a significantly stronger relation to the behavioral criteria than did the across-subjects predictions. This effect was consistent for each of the three components of attitude, for the prediction of behavior and behavioral intention, for male and female respondents, and for a variety of contraceptive behaviors. In addition, both the within- and the across-subjects analyses demonstrated a clear rank ordering in the predictive validity of the three attitudinal components: Conation was a better predictor of behavior than was affect, which, in turn, was better than cognition.     

Patterns of sex-role identification in alcoholic women

Thirty alcoholic women were compared with their nonalcoholic biological sisters on several measures of sex-role identification. Contrary to an earlier finding that alcoholic women are more masculine than nonalcoholic women in unconscious identification (Wilsnack, 1973), the present study found no significant differences between alcoholics and sister controls on any of the measures utilized. Both groups were more masculine in unconscious identification than the female norm, but control subjects evidenced more internal consistency between actual behavior and expressed attitudes than did alcoholic subjects. It was concluded that an unconscious masculine identification is neither a necessary nor sufficient condition of alcoholism in women. While it is possible that alcoholic women may have experienced more conflict about their masculine identification, this question awaits further study.The present research is part of a larger study of women and alcohol funded by the National Institute of Mental Health, National Institute of Alcohol Abuse and Alcoholism (AA380). This paper is based on one portion of a doctoral thesis submitted to the Graduate School of Social Work, Rutgers University. The author is grateful to Harriet Fink and Drs. Eileen M. Corrigan, Elaine Norman, and Sharon C. Wilsnack for their generous assistance in all phases of this research.     

Perceived Contraceptive Attributes and Method Choice1

This research investigated the relationship of perceived contraceptive attributes to contraceptive choice. More specifically, the study a) examined what attributes women perceive as important in their choice of a contraceptive method; b) compared women who use the vaginal sponge with women who use oral contraceptives or the diaphragm on perceived importance of attributes; and c) compared sponge users with pill users and diaphragm users on perceived characteristics of three contraceptive methods. Data were collected in telephone interviews from a national sample of 330 current sponge users and 330 women who use other forms of female contraception. Those attributes that were rated highest concerned effectiveness and safety, whereas those that were rated lowest focused on convenience of use and interference with sexual activity. Women differed somewhat by user status on the attributes they believe are important in contraceptive choice, with each group emphasizing those attributes characterizing their own method. Moreover. each user group perceived their own method more favorably than did users of other methods. Perceptions of specific contraceptive methods. particularly the sponge. were more predictive of user status than were general importance ratings.