Document Detail

Identification of strategies for promoting condom use: a prospective analysis of high-risk African American female teens.
MedLine Citation:
PMID:  14598998     Owner:  NLM     Status:  MEDLINE    
Condom promotion strategies for adolescents typically include provision of STD/HIV-associated knowledge, fostering favorable attitudes toward condom use, promoting positive peer norms regarding condom use, improving condom-related communication skills and self-efficacy, and overcoming barriers to condom use. The purpose of this study was to identify which of these constructs were prospectively associated with condom use among a high-risk sample of African American adolescent females reporting sexual activity with a steady male partner. Adolescents, 14-18 years old, were recruited from schools and health clinics. Adolescents completed an in-depth survey and interview at baseline and again 6 months later. Analyses were limited to adolescents with steady partners who reported sexual activity between the baseline and 6-month follow-up assessment periods (N = 179). At baseline, five-scale measures and a single-item measure were used to assess predictive constructs. At follow-up, adolescents were asked about their frequency of condom use over various periods of recall. Multivariate models were created to control for the confounding influence of pregnancy status. The findings were remarkably distinct. The evidence strongly supported the predictive role of perceived barriers toward condom use and peer norms. The measure of sexual communication achieved significance for two of the six assessed outcomes. Alternatively, measures of attitudes toward condom use, condom negotiation self-efficacy, and knowledge about STD/HIV-prevention were consistently nonsignificant. The findings suggest that to improve effectiveness of individual-level STD/HIV prevention programs, designed for this population, program emphasis should be on reducing barriers to condom use, teaching partner communication skills, and fostering positive peer norms relevant to condom use.
Richard A Crosby; Ralph J DiClemente; Gina M Wingood; Laura F Salazar; Kathy Harrington; Susan L Davies; M Kim Oh
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Prevention science : the official journal of the Society for Prevention Research     Volume:  4     ISSN:  1389-4986     ISO Abbreviation:  Prev Sci     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-11-05     Completed Date:  2004-03-02     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100894724     Medline TA:  Prev Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  263-70     Citation Subset:  IM    
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Atlanta, Georgia 30322, USA.
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MeSH Terms
Adolescent Behavior / ethnology*
African Americans / psychology*,  statistics & numerical data
Condoms / utilization*
HIV Infections / ethnology,  prevention & control
Health Promotion / methods*
Prospective Studies
Sexual Behavior / ethnology*
Sexual Partners
Sexually Transmitted Diseases / ethnology,  prevention & control
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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