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. 2016 Sep;21(9):1046-54.
doi: 10.1080/10810730.2016.1204383. Epub 2016 Aug 15.

Incorporating Communication into the Theory of Planned Behavior to Predict Condom Use Among African American Women

Mengfei Guan  1 , Valerie B Coles  1 , Jennifer A Samp  1 , Jessica McDermott Sales  2 , Ralph J DiClemente  2 , Jennifer L Monahan  1
Affiliations

Incorporating Communication into the Theory of Planned Behavior to Predict Condom Use Among African American Women

Mengfei Guan et al. J Health Commun. 2016 Sep.

Abstract

The present research extends the theory of planned behavior (TPB) to investigate how communication-related variables influence condom use intention and behavior among African American women. According to the TPB, attitudes, subjective norms, and self-efficacy are associated with behavioral intent, which predicts behavior. For women, it was argued that condom negotiation self-efficacy was more important than condom use self-efficacy in predicting consistent condom use. Moreover, an important environmental factor that affects condom use for African American women is fear or worry when negotiating condom use because the sex partners might leave, threaten, or abuse them. Fears associated with negotiating condom use were predicted to be negatively associated with attitudes, subjective norms, and self-efficacy. African American women (N = 560; M age = 20.58) completed assessments of TPB variables at baseline and condom use 3 months later. Condom negotiation self-efficacy was a significant indicator of behavioral intent, while condom use self-efficacy was not. Fear of condom negotiation was negatively associated with all TPB components, which was in turn significantly associated with behavioral intent and condom use. Implications for the TPB, safer sex literature, and sexually transmitted infection prevention intervention design are discussed.

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Figures

Figure 1
Figure 1
Hypothesized model.
Figure 2
Figure 2
The original TPB model. χ2 (11) = 18.81, p = .06; CFI = .97; RMSEA = .04, (.00, .06); SRMR = .02. *p < .05, **p < .01, ***p < .001. Proportion of condom use was measured 3 months later.
Figure 3
Figure 3
The revised TPB model. χ2 (11) = 10.48, p = .49; CFI = 1.00; RMSEA = .00, (.00, .04); SRMR = .02. *p < .05, **p < .01, ***p < .001. Proportion of condom use was measured 3 months later.
Figure 4
Figure 4
Fear of Condom Negotiation predicting the revised TPB. χ2 (15) = 12.73, p = .62; CFI = 1.00; RMSEA = .00, (.00, .03); SRMR = .02. *p < .05, **p < .01, ***p < .001. Proportion of condom use was measured 3 months later.
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