Relationship between social cognitive theory constructs and self-reported condom use: assessment of behaviour in a subgroup of the Safe in the City trial

Details

• Alternative Title:
  BMJ Open
• Personal Author:
  Snead, Margaret C. ; O'Leary, Ann M. ; Mandel, Michele G. ; Kourtis, Athena P. ; Wiener, Jeffrey ; Jamieson, Denise J. ; Warner, Lee ; Malotte, C. Kevin ; Klausner, Jeffrey D. ; O'Donnell, Lydia ; Rietmeijer, Cornelis A. ; Margolis, Andrew D.
• Description:
  Objectives
  
  Previous studies have found social cognitive theory (SCT)-framed interventions are successful for improving condom use and reducing sexually transmitted infections (STIs). We conducted a secondary analysis of behavioural data from the Safe in the City intervention trial (2003–2005) to investigate the influence of SCT constructs on study participants’ self-reported use of condoms at last intercourse.
  
  Methods
  
  The main trial was conducted from 2003 to 2005 at three public US STI clinics. Patients (n=38 635) were either shown a ‘safer sex’ video in the waiting room, or received the standard waiting room experience, based on their visit date. A nested behavioural assessment was administered to a subsample of study participants following their index clinic visit and again at 3 months follow-up. We used multivariable modified Poisson regression models to examine the relationships among SCT constructs (sexual self-efficacy, self-control self-efficacy, self-efficacy with most recent partner, hedonistic outcome expectancies and partner expected outcomes) and self-reported condom use at last sex act at the 3-month follow-up study visit.
  
  Results
  
  Of 1252 participants included in analysis, 39% reported using a condom at last sex act. Male gender, homosexual orientation and single status were significant correlates of condom use. Both unadjusted and adjusted models indicate that sexual self-efficacy (adjusted relative risk (RRa)=1.50, 95% CI 1.23 to 1.84), self-control self-efficacy (RRa=1.67, 95% CI 1.37 to 2.04), self-efficacy with most recent partner (RRa=2.56, 95% CI 2.01 to 3.27), more favourable hedonistic outcome expectancies (RRa=1.83, 95% CI 1.54 to 2.17) and more favourable partner expected outcomes (RRa=9.74, 95% CI 3.21 to 29.57) were significantly associated with condom use at last sex act.
  
  Conclusions
  
  Social cognitive skills, such as self-efficacy and partner expected outcomes, are an important aspect of condom use behaviour.
  
  Trial registration number
  
  clinicaltrials.gov (#NCT00137370).
  
  
• Subjects:
  Adult Cognition Condoms Female Follow-Up Studies Health Knowledge, Attitudes, Practice Humans Male Marital Status Psychological Theory Safe Sex Self Efficacy Self Report Sex Factors Sexual Behavior Sexuality Sexually Transmitted Diseases Sexual Partners Social Control, Informal Young Adult

  More +
• Source:
  BMJ Open. 2014; 4(12).
• Document Type:
  Journal Article
• Volume:
  4
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:cebdd3d1c0fd72f525400e3319a911e7ff1a1484dce7916015b934be1de9bb9b6167ecd88ebb7e8b4d2b52bf2e61e72bd5fcbc78c291ddbf611248615001cd53
• Download URL:
  https://stacks.cdc.gov/view/cdc/26746/cdc_26746_DS1.pdf
• File Type:
  [PDF - 598.25 KB ]