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

Margaret C Snead; Ann M O'Leary; Michele G Mandel; Athena P Kourtis; Jeffrey Wiener; Denise J Jamieson; Lee Warner; C Kevin Malotte; Jeffrey D Klausner; Lydia O'Donnell; Cornelis A Rietmeijer; Andrew D Margolis

doi:10.1136/bmjopen-2014-006093

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

Journal article

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

Margaret C Snead, Ann M O'Leary, Michele G Mandel, Athena P Kourtis, Jeffrey Wiener, Denise J Jamieson, Lee Warner, C Kevin Malotte, Jeffrey D Klausner, Lydia O'Donnell, …

BMJ open, Vol.4(12), pp.e006093-e006093

12/30/2014

DOI: 10.1136/bmjopen-2014-006093

PMCID: PMC4281534

PMID: 25550295

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Abstract

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).

Details

Title: Subtitle: Relationship between social cognitive theory constructs and self-reported condom use: assessment of behaviour in a subgroup of the Safe in the City trial
Creators: Margaret C Snead - National Center for Chronic Disease Prevention and Health Promotion
Ann M O'Leary - National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
Michele G Mandel - Centers for Disease Control and Prevention
Athena P Kourtis - Centers for Disease Control and Prevention
Jeffrey Wiener - Centers for Disease Control and Prevention
Denise J Jamieson - National Center for Chronic Disease Prevention and Health Promotion
Lee Warner - National Center for Chronic Disease Prevention and Health Promotion
C Kevin Malotte - California State University, Long Beach
Jeffrey D Klausner - UCLA David Geffen School of Medicine and Fielding School of Public Health, Los Angeles, California, USA
Lydia O'Donnell - Education Development Center
Cornelis A Rietmeijer - Colorado School of Public Health
Andrew D Margolis - National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
Resource Type: Journal article
Publication Details: BMJ open, Vol.4(12), pp.e006093-e006093
DOI: 10.1136/bmjopen-2014-006093
PMID: 25550295
PMCID: PMC4281534
NLM abbreviation: BMJ Open
ISSN: 2044-6055
eISSN: 2044-6055
Language: English
Date published: 12/30/2014
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446411502771

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