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.     

Factors Explaining the Intention to Use Condoms Among Injecting Drug Users Participating in a Needle‐Exchange Program1

This study identified the psychosocial factors related to condom‐use intention, based on Triandis’ (1980) theory of interpersonal behavior, among 261 injection drug users participating in a needle‐exchange program. With regular partners (n= 139), condom‐use intention was explained by normative beliefs, self‐efficacy, length of relationship with last regular sexual partner, and taking oral contraceptives. Condom‐use intention with casual partners (n= 157) was also associated with self‐efficacy and normative beliefs, on top of cognitive dimension with attitudes and lending used needles. Neither the perception of being HIV‐positive, nor the habit of using a condom was associated with intention. It is thus suggested that interventions aimed at promoting condom use among this clientele be oriented toward the reinforcement of personal convictions as well as toward the development of competencies needed to overcome obstacles, since both relate to the intention to adopt this behavior.     

Using the Theory of Planned Behavior to Predict Intention to Use Condoms Among Male and Female Injecting Drug Users

This study tested the utility of the theory of planned behavior (TPB) for understanding and predicting condom use intentions among male and female injecting drug users (IDUs). Interviews were conducted with 405 male and 315 female sexually active IDUs. Participants indicated their intentions to use condoms with main and nonmain sexual partners as well as attitudes, social norms, partner norms, and perceived behavioral control relevant to condom use with each partner type. The TPB accounted for 36 to 48% of the variance in intentions to use condoms. Intentions were related to attitudes, regardless of partner type. Partner norms were related to intentions to use condoms with main partners (men and women) and nonmain partners (men only). Social norms did not predict intentions, regardless of partner type. Perceived behavioral control was related to intentions to use condoms with main partners (men and women) and nonmain partners (women only). The findings are interpreted in light of the roles of cooperation, intimacy, and concern about self-protection.     

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.     

Women,men, and condoms: attitudes and experiences of heterosexual college students

Little is known concerning gender and ethnic differences in attitudes about condoms or about the impact of attitudes on condom use. College students ( N = 393) rated many features of condoms. Overall, students were mildly positive about condoms, believing they offer effective protection but detract from sexual sensation. Both past condom use and future intentions to use condoms were higher among students with more favorable global attitudes toward condoms and more favorable specific beliefs about the interpersonal dynamics of condom use. Future intentions to use condoms were also associated with greater worry about sexually transmitted diseases and fewer previous sexual partners. Women were more favorable toward condoms than men. Gender differences also emerged in the predictors of condom use. Implications for assessing condom attitudes and for increasing condom use among young heterosexuals are discussed.     

Can Computer‐Mediated Interventions Change Theoretical Mediators of Safer Sex? A Meta‐Analysis

The purpose of this study was to conduct a meta‐analysis of computer‐mediated interventions (CMIs) aimed at changing theoretical mediators of safer sex. Meta‐analytic aggregation of effect sizes from k = 20 studies indicated that CMIs significantly improved HIV/AIDS knowledge, d = .276, p < .001, k = 15, N = 6,625; sexual/condom attitudes, d = .161, p < .001, k = 12, N = 5,816; and condom self‐efficacy, d = .186, p < .001, k = 10, N = 3,308. Although assessed in fewer studies, CMIs also significantly increased perceived susceptibility, condom communication, and condom intentions. Effect sizes were found to be of similar magnitude to human‐delivered interventions. Exploratory analysis of moderating influences detected few significant variables. Implications for the development and testing of CMIs are discussed.     

Differential Determinants of Young Adult Substance Use and High‐Risk Sexual Behavior1

This investigation evaluated how personality traits, self‐efficacy, and outcome expectancies differentially relate to young adult substance use and high‐risk sex. Experiments I (N= 481) and 2 (N= 73) report the development of a new questionnaire to assess self‐efficacy for substance use and sexual behavior. Experiment 3 (N= 375) tested self‐efficacy, outcome expectancies, and trait measures of social conformity and sensation seeking as correlates of substance use and high‐risk sex. Using structural equation modeling, cross‐sectional analyses revealed that positive outcome expectancies had the largest association with substance use, whereas self‐efficacy had the largest association with sexual behavior. Further, personality traits were related to substance use and sexual behavior indirectly through outcome expectancies, with social conformity also having a direct effect on behavior. When examined longitudinally, past alcohol and drug use served as the final pathway by which expectancies and personality impacted substance use, whereas past behavior, self‐efficacy, and social conformity all contributed to high‐risk sex. Results support the utility of different models for explaining, and possibly preventing, young adult substance use and high‐risk sex.     

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.     

Factors Influencing Condom Use Among African American Women: Implications for Risk Reduction Interventions

Examined factors associated with condom use in a community-based sample of 423 sexually active African American women. Measures were selected to reflect the components in prevailing models of health behavior. Condom users were higher on AIDS health priority, prevention attitudes, stage of change, behavioral intentions, reported more frequent and comfortable sexual communication with partners, perceived greater partner and peer approval for condom use, and reported that peers also used condoms. Women in exclusive relationships evidenced earlier stage of change, lower intentions to use condoms, fewer peers who engaged in preventive behaviors, perceived themselves to have lower risk, and had lower rates of condom use, higher education, and family income. Women in fluid relationships were at particularly high risk, with lower rates of condom use relative to women not in a relationship and greater sexual risk for HIV. Implications for HIV-risk reduction interventions with African American women are discussed.     

Condom Use Among U.S. Students: The Importance of Confidence in Normative and Attitudinal Perceptions

Abstract

The author performed a study among U.S. undergraduates to test an earlier conclusion (D. Trafimow, 1994) that confidence in the correctness of one's perceptions of normative pressure to use a condom influences the correspondence between those perceptions and the intentions actually to perform the behavior. Consistent with previous findings (Trafimow), the participants' perceptions of normative pressure strongly predicted their intentions to use condoms only under conditions of extreme normative confidence. Otherwise, their attitudes were better predictors of their intentions to use condoms. In addition, 2 other variables (attitudinal confidence and perceived behavioral control) were found to be unimportant predictors of intentions. Results of a 2nd study suggest that behaviors performed by sexual partners and knowing the sexual partners affected the participants' normative confidence.     

Primacy of Affect Over Cognition in Determining Adult Men's Condom–Use Behavior: A Review1

Prior research suggests that failure to use condoms can be understood within the context of condom‐related attitudes. We reviewed quantitative and qualitative literature on adult men's condom‐use attitudes; condom‐related attitudinal beliefs were classified as cognitive (e.g., effectiveness) or affective (e.g., pleasure‐related), and their relationships to behavior were examined. To determine differences in the effects of cognitive and affective beliefs, we conducted a critical qualitative review, a meta‐analysis, and a “vote‐count.” In support of the primacy of affect hypothesis (Zajonc, 1984), cognitive beliefs were weaker predictors of condom use than were affective beliefs. Results suggest that HIV‐prevention interventions will have greater success by addressing negative affective reactions to condom use in addition to promoting the protective value of condoms.     

Negotiating safer sex: A detailed analysis of attitude functions,anticipated emotions,relationship status and gender

Objective : Because interpersonal discussion about condom use can encourage subsequent condom use, this project aims to examine the psychological antecedents of intentions to discuss or request the use of condoms with a sexual partner.

Method : The data were collected from 849 heterosexual college students in the USA through an online survey. The survey contained several measures related to attitude functions (i.e. motivations), efficacy, norms and intentions to discuss condom use with a sexual partner.

Results : Participants’ attitude functions weakly predicted intentions to discuss condom use. Communication efficacy was a more important predictor of intentions for females (vs. males) and for those in other relationships or not in a relationship (vs. long-term monogamous relationships). Anticipated negative emotions were a stronger predictor of intentions for those in long-term monogamous relationships (vs. other relationships or not in a relationship).

Implications : Future research needs to consider more detailed attitude functions and anticipated emotions. Furthermore, background variables (e.g. gender and relationship status) can be moderators in addition to being distal predictors.     

Explaining Gender‐Based Language Use: Effects of Gender Identity Salience on References to Emotion and Tentative Language in Intra‐ and Intergroup Contexts

An experiment tested hypotheses derived from self‐categorization theory’s explanation for gender‐based language use. Under high or low conditions of gender salience, men and women sent e‐mail to an ostensible male or female recipient yielding either an intra‐ or an intergroup setting. Gender salience was manipulated so that the stereotypically feminine characteristic of supportiveness was the sole attribute that defined the prototype of intergender relations. Messages were examined for references to emotion and tentative language. Women referenced emotion significantly more than men in the high gender salience condition, but this gender difference was reduced when salience was low. Moreover, women with high gender salience in an intergroup context referenced emotion more than women with high salience in an intragroup setting or men with high salience in either an intra‐ or an intergroup context. Tentative language use, however, was similar across all conditions as anticipated.     

Belief in a Just World and Condom Use in a Sample of Gay and Bisexual Men1

Research has shown that, under certain conditions, people with a strong belief in a just world (BJW) perceive themselves to be less at risk for serious negative events (e.g., contracting AIDS). We extended this work by investigating the relation between BJW and high‐risk sexual behavior Gay and bisexual men (N= 102) responded to a questionnaire that measured individual differences in BJW, personality characteristics related to perceived relationship threat (e.g., interpersonal control), and frequency of condom use and anal intercourse. Results generally supported predictions. For example, among respondents low in interpersonal control, a strong BJW was associated with less frequent condom use. These results have implications for research on BJW, as well as research on the predictors of high‐risk sexual behavior.     

Individual Differences in Applicant Reactions: A Job‐Search Perspective

This study used three variables from a self‐regulatory job‐search framework to investigate individual differences in the relationship between applicants' perceived procedural fairness of selection tests and job‐pursuit intentions. Employment commitment, job‐search self‐efficacy, and motivational control were hypothesized to moderate the procedural fairness – job‐pursuit intentions relationship while controlling for pretest attitudes and perceived performance. Applicants (N=291) for entry‐level clerical jobs with large federal agencies completed pretest and posttest surveys. Results suggested that only job‐search self‐efficacy and motivational control moderated the relationship between perceived procedural fairness and job‐pursuit intentions. The relationship was stronger for applicants with higher levels of job‐search self‐efficacy and lower levels of motivational control.     

Associations of a Sexually Transmitted Disease Diagnosis During a Relationship with Condom Use and Psychosocial Outcomes: (Short) Windows of Opportunity

Few studies have examined whether and how receiving an sexually transmitted disease (STD) diagnosis while in a romantic relationship relates to condom use and psychosocial sexual outcomes. Using dyadic data, we examined associations of a personal or a partner’s STD diagnosis during a relationship with condom use, monogamy intentions, condom intentions and attitudes, and STD susceptibility and communication. Because beliefs about how the STD was acquired may shape associations with behavior and cognitions, gender and suspecting that one’s partner had other sexual partners (i.e., partner concurrency) were examined as moderators. Participants were 592 individuals in 296 couples expecting a baby; 108 individuals had been diagnosed with an STD during the relationship. Personal STD diagnosis was unrelated to outcomes or was associated with increased risk. A partner’s diagnosis related to more positive condom intentions and attitudes. Among men who suspected concurrency, both a personal and a partner’s STD diagnosis were associated with less condom use. Receiving the STD diagnosis during pregnancy was associated with greater susceptibility and marginally greater condom use. Results suggest potential benefits of enhancing communication and encouraging joint risk reduction counseling among couples, engaging men more fully in preventive efforts, and capitalizing on the short window during which risk reduction occurs.     

Application of the Theory of Planned Behavior to Adolescents’ Condom Use: A Panel Study1

The authors report a longitudinal study of factors determining use of condoms with new sexual partners in a representative sample of 650 German youth. Measures derived from the theory of planned behavior (Ajzen, 1985) were obtained in 2 waves separated by 1 year. Consistent with the theory, intentions to use condoms could be predicted from attitudes, subjective norms, and perceived behavioral control with respect to this behavior; and actual condom use was strongly related to intentions and perceptions of control assessed in Wave 2. Due to changes in beliefs and attitudes over time, only about 10% of the variance in reported condom use was accounted for by intentions and perceived control assessed 1 year earlier. Reported condom use was found to exert a direct effect on later intentions, unmediated by their hypothesized antecedents. Theoretical and practical implications of these findings are discussed.     

Intention, Context, and Safe Sex: Australian Adolescents' Responses to AIDS

This study examined the applicability to condom use of Ajzen and Madden's (1986) theory of planned behavior by examining the predictors of intention to use a condom and actual condom use in a specific sexual situation. In a sample of 144 sexually active heterosexual males and females, limited support was found for the model. Intentions to use a condom immediately before a particular sexual encounter, and those assessed some time prior to this encounter were found to have direct and positive effects on condom use. In addition, perceptions of the disadvantages of condoms (a measure of attitudes to condoms in general) had direct negative effects on condom use and, together with perceptions of the advantage of condoms, also had indirect effects on condom use via prior intention. A number of the postulated predictors of safe sexual practice related neither to intentions nor behavior. The contextual variables of sexual arousal, condom availability, and degree of communication with a sexual partner all influenced condom use. Discussion centered on first, differences in the predictive ability of the model when compared to other studies of planned behavior, and second, the factors limiting the relationship between intention and behavior when the behavior in question is not under complete, volitional control.     

Barriers to Condom Use and Safer Sex Talk among College Dating Couples

Using an open-ended questionnaire response format, this study examined self-generated barriers to condom use and safer sex talk among 119 heterosexual college dating couples at the University of New Mexico (total N=238). Data were collected from both members of these dyads. Reasons for abstaining from intercourse were also elicited. Several general response categories emerged including no perceived risk; spontaneity; deliberate choice; negative attitudes; and a lack of perceived self-efficacy for enacting condom use and safer sex discussion. Explanations for abstinence included religious/moral prohibitions; lack of readiness for intercourse; and a fear of being emotionally hurt. Few differences emerged across gender, ethnicity (Caucasian vs Hispanic), and prior sexual experience (participant had intercourse prior to current relationship vs did not). Selected reasons for not using a condom and/or discussing safer sex (e.g. partner is monogamous) were cross-validated with the self-reported behavior of the respondent's dating partner. In general, participants reasons for perceived non-risk were not supported by their partner's reported behavior. Implications of these findings for sexual risk reduction programs include: establishing realistic goals for safer sex behavior and talk within committed relationships, acknowledging the impact of passion on safer sex, and addressing knowledge gaps in risk perception.