One Measure, Two Motives. Prediction of Condom Use and Interaction Between Two Prevention Goals Among Heterosexual Young Adults: Preventing Pregnancy and/or Sexually Transmitted Diseases

Hoefnagels, Cees; Hospers, Harm J.; Hosman, Clemens; Schouten, Leo J.; Schaalma, H.P.

doi:10.1007/s11121-006-0048-z

Cited by 16 publications

(11 citation statements)

References 28 publications

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“…condom) [18, 26, 27]. Among our participants, rates of condom use with last paying and non-paying partners were around 60% which is comparable with studies in various international settings [14–20].…”

Section: Discussionsupporting

confidence: 83%

Lifetime Abortion of Female Sex Workers in Iran: Findings of a National Bio-Behavioural Survey In 2010

et al. 2016

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IntroductionUnintended pregnancies and abortion may be considered as occupational hazards for female sex workers (FSWs). As our understanding of contraceptive and abortion practices of Iranian FSWs is very limited, this study tries to assess the dynamics of contraception and abortion among this sub-population.MethodsThis survey was conducted in 2010, by recruiting 872 FSWs through facility-based sampling from 21 sites in 14 cities in Iran. Data were collected through face-to-face interviews using a pilot-tested standardized risk assessment questionnaire. We applied the logistic regression model to investigate the correlates of induced abortion among FSWs.ResultsOf the 863 participants with valid responses to the abortion variable, 35.3% (95% CI: 32.1–38.6) acknowledged ever induced abortion and the annual rate of abortion was estimated at 20.7 per 1000 women. Around 31.2% of FSWs reported no usual contraceptive use, 32.6% barrier method, 23.6% non-barrier modern contraception methods, and 12.5% dual protection. In our multivariable model, older age (Adjusted Odds Ratio (AOR) = 1.74, 95% Confidence Interval (CI): 1.02, 2.96), group sex (AOR = 1.92, 95% CI: 1.10, 3.35), history of travel for sex work (AOR = 1.55, 95% CI: 1.09, 2.20), sexual violence (AOR = 1.77, 95% CI: 1.25, 2.50), STIs in last year (AOR = 1.53, 95% CI: 1.09, 2.14), and accessing family planning services (AOR = 1.76, 95% CI: 1.24, 2.49) were significant predictors of lifetime abortion.ConclusionsThe reproductive health needs of Iranian FSWs are unmet and around one-third of FSWs reported induced abortion. Scaling-up comprehensive family planning services and empowering FSWs to have safer sex practices may help them to prevent unintended pregnancies and further risk of HIV transmission.

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Section: Discussionsupporting

confidence: 83%

Lifetime Abortion of Female Sex Workers in Iran: Findings of a National Bio-Behavioural Survey In 2010

et al. 2016

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“…If – as frequently occurs – the relationship is perceived to be monogamous but is not (Drumright, Gorbach, & Holmes, 2004), the perception itself may yet substantially decrease the likelihood of condom use. Evidence suggests that men use condoms more often for intercourse with casual and non-relationship partners; when intercourse is infrequent; or early in a relationship before female-controlled methods, such as birth control pills or intrauterine devices, are adopted (Gebhardt, Kuyper, & Greunsven, 2003; Hoefnagels, Hospers, Hosman, Schouten, & Schaalma, 2006). …”

Section: Partner-related Contexts Of Sexual Safety Patternsmentioning

confidence: 99%

Condoms and Contexts: Profiles of Sexual Risk and Safety Among Young Heterosexually Active Men

Masters

Casey

Beadnell

et al. 2014

The Journal of Sex Research

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Heterosexual men’s sexual safety behavior is important to controlling the U.S. epidemic of sexually transmitted infections (STIs), including HIV. While sexual safety is often treated as a single behavior, such as condom use, it can also be conceptualized as resulting from multiple factors. Doing so can help us achieve more nuanced understandings of sexual risk and safety within partner-related contexts. We used Latent Class Analysis with data collected online from 18-25 year old heterosexually active U.S. men (n = 432) to empirically derive a typology of the patterns of sexual safety strategies they employ. Indicators were sexual risk reduction strategies used in the past year with the most recent female sex partner: Condom use, discussing sexual histories, STI testing, agreeing to be monogamous, and discussing birth control. We identified four subgroups: Risk Takers (12%), Condom Reliers (25%), Multistrategists (28%), and Relationship Reliers (35%). Partner-related context factors – number of past-year sex partners, relationship commitment, and sexual concurrency – predicted subgroup membership. Findings support tailoring STI prevention to men’s sexual risk-safety subgroups. Interventions should certainly continue to encourage condom use, but should also include information on how partner-related context factors and alternate sexual safety strategies can help men reduce risk for themselves and their partners.

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“…The participant is asked to imagine him or herself in each situation and subsequently estimate difficulty, intent, or likelihood of condom use based on the information provided. Several studies have used vignettes to conduct experimental research on high-risk sexual behavior (Castaneda & Collins, 1998; Davis, Hendershot, George, Norris, & Heiman, 2007; Finkelstein & Brannick, 1997, 2000; Hoefnagels, Hospers, Hosman, Schouten, & Schaalma, 2006; Stoner et al, 2008; Stoner, George, Peters, & Norris, 2007; Woolf & Maisto, 2008); however, this research is mostly characterized by samples of White, undergraduate college students and, to our knowledge, there is no published research on the use of experimental vignettes with samples of exclusively African American adults.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Alcohol, Relationship Power, and Partner Type on Perceived Difficulty Implementing Condom Use Among African American Adults: An Experimental Study

Woolf‐King

Maisto

2014

Arch Sex Behav

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African American adults are disproportionately affected by HIV in the United States, underscoring the need for additional research on barriers to condom use. Guided by the theory of gender and power, this experimental study used a series of vignettes to test causal hypotheses regarding the influence of event-level alcohol use (present and absent), partner type (serious and casual), and relationship power (low and equal) on perceived difficulty implementing condom use. A total of 299 (151 women and 148 men) heterosexual African American adults indicated how “difficult” it would be to use a condom after reading 8 hypothetical sexual encounters, presented in a random order. A 2 x 2 x 2 x 2 repeated measures analysis of covariance (ANCOVA) with one between subjects factor (gender) and one covariate (condom use self-efficacy) was used to estimate the effects of these variables on an index of perceived difficultly. The women in the study reported significantly higher ratings of difficulty implementing condom use in vignettes characterized by low relationship power (p < .001) and presence of alcohol use (p < .001); the manipulated independent variables did not produce any main effects for men. Both men and women’s ratings of perceived difficulty decreased as condom use self-efficacy increased (p < .001). This is the first study to use an experimental methodology to test hypotheses about barriers to condom use among a community-based sample of African American adults. These data can be used to enhance existing HIV prevention interventions.

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One Measure, Two Motives. Prediction of Condom Use and Interaction Between Two Prevention Goals Among Heterosexual Young Adults: Preventing Pregnancy and/or Sexually Transmitted Diseases

Cited by 16 publications

References 28 publications

Lifetime Abortion of Female Sex Workers in Iran: Findings of a National Bio-Behavioural Survey In 2010

Lifetime Abortion of Female Sex Workers in Iran: Findings of a National Bio-Behavioural Survey In 2010

Condoms and Contexts: Profiles of Sexual Risk and Safety Among Young Heterosexually Active Men

The Effects of Alcohol, Relationship Power, and Partner Type on Perceived Difficulty Implementing Condom Use Among African American Adults: An Experimental Study

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