Exploring the Role of Sex and Sexual Experience in Predicting American Indian Adolescent Condom Use Intention Using Protection Motivation Theory

Abstract

Introduction: American Indian (AI) youth experience poor sexual health outcomes. Research indicates the Protection Motivation Theory (PMT) is a robust model for understanding how sexual risk and protective behaviors are associated with condom use intention (CUI). Studies indicate the constructs of the PMT which influence CUI vary by sex and sexual experience. This analysis explores associations between PMT constructs and CUI by sex and sexual experience among AI youth who participated in the Respecting the Circle of Life (RCL) trial, a sexual and reproductive health intervention.Methods: We analyzed baseline data from the sample of 267 AIs, ages 13–19, who participated in the evaluation. We examined CUI and PMT construct scores by sex and sexual experience utilizing generalized estimated equations and multiple regression models to test which PMT constructs were associated with CUI across sex and sexual experience.Results: Twenty-two percentage of participants were sexually experienced; 56.8% reported CUI at baseline. We found several differences in scores in PMT constructs by sex and sexual experience including self-efficacy, response efficacy, vulnerability, severity, and extrinsic rewards. We also found constructs varied that were associated with CUI varied across sex and sexual experience. No PMT constructs were associated with CUI among sexually experienced youth.Conclusion: Results provide support for developing, selecting and delivering sexual health programs by sex and sexual experience in American Indian communities. Girls programs should focus on internal satisfaction and self-worth while boys should focus on negative impacts of not using condoms. Programs for youth who are not sexually active should focus on negative impacts of not using condoms. Programs for sexually inactive youth should work to change peer norms around condom use and improve knowledge about the efficacy of condom use.

Protection Motivation Theory and Rabies Protective Behaviors Among School Students in Chonburi Province, Thailand

“…Notably, media platform preferences and gender were found to be significantly associated with PV. According to the findings of a study by Rogers and Prentice-Dunn [ 39 ], a higher quantity of information can increase respondents’ PV scores, and Chambers et al [ 21 ] found that low vulnerability may be tied to a lack of knowledge about rabies risks factors and the inability to recognize one’s personal risk of rabies. Since YouTube is a popular media platform among students, it can be used to disseminate targeted informative videos according to their level of risk.…”

Conversation, Condoms, and Contraception: How Does Communication With Sexual Partners Affect Safer Sexual Behaviors Among American Indian Youth?

“…Using an ecological model (McLeroy et al, 1988) to frame sexual health influences, there are significant opportunities to intervene and promote healthy sexual behavior. Previous research supports a myriad of influences on American Indian adolescents’ sexual risk behaviors across levels of the social–ecological model including parent–adolescent communication and relationships (Saftner, 2016), peer norms (Chambers et al, 2018; Saftner, Martyn, Momper, Loveland-Cherry, & Low, 2015), perceived impact of risky sexual behavior (Chambers et al, 2018), intention to have sex (Tingey et al, 2018), and condom use self-efficacy (Tingey et al, 2018).…”

Structural equation modeling test of the pre-intentional phase of the health action process approach (HAPA) model on condom use intention among senior high school students in Tianjin, China

“…In recent years, research on condom use intention of young people has caused more concern. [ 35 , 36 ]…”

“…[ 35 ] However, another study indicated no association of condom use self-efficacy and condom use intention. [ 36 ] The contradiction was possibly caused by the different study populations and different theories of health behavior.…”

“…And in the previous study which including 22% participants were sexually experienced point out that programs for sexually inactive youth should focus on the preventive role of condoms and improve knowledge about the efficacy of condom use. [ 36 ]…”