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. 2011 Apr;165(4):320-5.
doi: 10.1001/archpediatrics.2011.17.

Decision-making style and gender moderation of the self-efficacy-condom use link among adolescents and young adults: informing targeted STI/HIV prevention programs

David S Black  1 , Ping Sun, Louise A Rohrbach, Steve Sussman
Affiliations

Decision-making style and gender moderation of the self-efficacy-condom use link among adolescents and young adults: informing targeted STI/HIV prevention programs

David S Black et al. Arch Pediatr Adolesc Med. 2011 Apr.

Abstract

Objective: To test the moderating effects of decision-making style and gender on the relationship between condom use self-efficacy (CUSE) and condom use behavior among sexually active adolescents and young adults.

Design: Cross-sectional study.

Setting: Twenty-four continuation high schools in California.

Participants: Data were collected between February 2008 to June 2009 from a sample of 1304 sexually active adolescents and young adults. The mean (SD) age of the participants was 16.8 (0.9) years, 41% were female, and the ethnicity frequencies were Hispanic, 65%; mixed, 13%; white, 11%; black, 6%; and other, 5%.

Main exposures: The tools used were CUSE, decision-making-self-confidence, and decision-making-approach.

Main outcome measure: Condom use during the most recent sexual intercourse (termed last sex).

Results: Forty-five percent of sexually active participants used condoms at last sex. Decision-making-self-confidence and decision-making-approach significantly moderated the effect of CUSE on condom use. The positive relationship between CUSE and condom use was relatively stronger for males and females reporting high vs low decision-making-self-confidence. Among females, the relationship between CUSE and condom use at last sex was weaker for those reporting high vs low decision-making-approach. Both of these effects were observed at high levels of CUSE.

Conclusion: Programs for sexually transmitted infection/human immunodeficiency virus prevention including CUSE content may increase adolescent and young adult condom use by targeting interventions to decision-making style and gender.

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