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. 2011 Aug;42(1):99-110.
doi: 10.1007/s12160-011-9266-0.

An expanded model of the temporal stability of condom use intentions: gender-specific predictors among high-risk adolescents

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An expanded model of the temporal stability of condom use intentions: gender-specific predictors among high-risk adolescents

Michelle R Broaddus et al. Ann Behav Med. 2011 Aug.

Abstract

Background: Adolescents involved with the criminal justice system are at particularly high-risk for the Human Immunodeficiency Virus and sexually transmitted infections.

Purpose: The purpose of this study was to longitudinally examine gender-specific models of condom use, incorporating temporal stability of intentions.

Methods: Adolescents on probation (N=728) were recruited to complete longitudinal surveys including measures of Theory of Planned Behavior and gender-specific constructs, relationship length, and condom use.

Results: Gender-specific models of condom use behavior suggested by previous research were mostly replicated. For young women, the effect of baseline intentions on subsequent condom use behavior was stronger when intentions were either stable or increasing. For young men, more stable, increasing intentions were directly associated with more condom use. There was preliminary evidence to suggest an association between temporal stability of intentions and decreasing condom use in stable relationships.

Conclusions: Intervention efforts should be tailored by gender and aim to forestall decreasing intentions and condom use over time by addressing difficulties in maintaining condom use.

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Conflict of interest statement

Conflicts of Interest None

Figures

Fig. 1
Fig. 1
Hypothesized models of condom use. Male-specific constructs and relationships are represented by dashed lines, female-specific constructs and relationships are represented by dotted lines
Fig. 2
Fig. 2
Estimated model of 12-month condom use for women, controlling for baseline condom use; +p<0.10, *p<0.05, **p<0.01, ***p<0.001
Fig. 3
Fig. 3
Condom use by baseline intentions, temporal stability of intentions, and gender
Fig. 4
Fig. 4
Estimated model of 12-month condom use for men, controlling for baseline condom use; *p<0.05, **p<0.01, ***p<0.001

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