The development of a new condom use expectancy scale for at-risk adults

Nydegger, Liesl A.; Ames, Susan L.; Stacy, Alan W.

doi:10.1016/j.socscimed.2015.08.053

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…However, it also likely restricted the range of between-person differences. Indeed, in the current sample gender, effortful control, and reactivity were not significantly correlated with oral sex, intercourse, or use of protection at the between persons-level, though research suggests that there are significant correlations between both gender and self-control constructs and sexual behavior outcomes (Hahn et al, 2016; Nydegger, Ames, & Stacy, 2015; Simons et al, 2010). Finally, the study did not assess multiple forms of contraception.…”

Section: Discussioncontrasting

confidence: 69%

Daily associations between alcohol and sexual behavior in young adults.

Simons

Maisto

et al. 2018

Experimental and Clinical Psychopharmacology

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We tested within-person effects of alcohol on sexual behavior among young adults in a longitudinal burst design (N = 213, 6,487 days) using data collected from a previously published parent study. We differentiated effects of alcohol on likelihood of sexual activity versus use of protection against sexually transmitted diseases (STDs) or pregnancy on intercourse occasions by testing a multilevel multinomial model with 4 outcomes (no sex, oral sex without intercourse, protected intercourse, and unprotected intercourse). At the within-person level, effects of alcohol were hypothesized to be conditional upon level of intoxication (i.e., curvilinear effect). We also tested effects of four between-person moderators: gender, typical length of relationship with sexual partners, and two facets of self-control (effortful control and reactivity). Consistent with our hypothesis, low-level intoxication was associated with increased likelihood of engaging in oral sex or protected intercourse (relative to no sex) but was not related to likelihood of unprotected intercourse. The effect of intoxication on unprotected versus protected intercourse was an accelerating curve, significantly increasing likelihood of unprotected intercourse at high levels of intoxication. Between-person factors moderated associations between intoxication and sexual behavior. Effects of intoxication on both protected and unprotected intercourse were diminished for individuals with more familiar sexual partners. Effortful control exhibited a protective effect, reducing the effects of intoxication on likelihood of unprotected intercourse. Hypothesized effects of reactivity were not supported. Intoxication was a stronger predictor of oral sex and protected intercourse (but not unprotected intercourse) for women relative to men. Results highlight the inherent complexities of the alcohol-sexual behavior nexus. (PsycINFO Database Record

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Section: Discussioncontrasting

confidence: 69%

Daily associations between alcohol and sexual behavior in young adults.

Simons

Maisto

et al. 2018

Experimental and Clinical Psychopharmacology

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“…Apart from the regulatory focus in sexuality scale (which was used to categorize participants as pleasure promotion or disease prevention), the data herein reported have not already been published. For the quantitative analyses, we examined regulatory focus differences in the Condom Use Barriers (Crosby et al, 2017) and Condom Use Expectancies scales (Nydegger et al, 2015). As neither of these scales has been used with a Portuguese sample before, we computed an Exploratory Factor Analysis (EFA) with principal axis factoring and promax rotation and examined reliabilities.…”

Section: Methodsmentioning

confidence: 99%

“…In a pre-registered study (OSF), we used different methodologies to tackle the complexities underlying the condom use decision-making process in a sample of Portuguese and Spanish people from a regulatory focus perspective. We used thematic analyses to identify themes and subthemes related to condom use beliefs (Braun & Clarke, 2006) and examined condom use barriers using preexisting instruments (i.e., Condom Use Expectancy and Condom Barriers scales; Crosby et al, 2017;Nydegger et al, 2015). In both analyses, we explored differences by comparing participants more focused on pleasure promotion and those more focused on disease prevention.…”

Section: Current Studymentioning

confidence: 99%

“…We adapted the measure developed by Nydegger et al (2015) to assess different outcomes when using condoms with casual partners. The scale includes positive outcomes (six items; e.g., "Sex feels good"), negative outcomes (five items; e.g., "Sex is uncomfortable"), and safe sex outcomes related to condom use (three items; e.g., "Sex is safe").…”

Section: Condom Use Expectancy Scalementioning

confidence: 99%

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Condom Use Beliefs Differ According to Regulatory Focus in Sexuality: A Multi-Method Study in Portugal and Spain

Rodrigues¹,

Carvalho²,

Prada³

et al. 2022

Preprint

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Reports worldwide have been showing increases in the rates of sexually transmitted infections (STIs) and condomless sex in recent years. Research has identified several individual and situational variables that can determine the decision to use condoms or forgo their use. We argue that such a decision can also be shaped by motives related to pleasure and safety (i.e., regulatory focus in sexuality). Using open-ended questions, we asked 742 Portuguese and Spanish adults to indicate situations and reasons that could inform the decision-making process with casual partners and the functions/attributes related to condoms. Using thematic analyses, we coded the drivers of condomless sex and condom use into themes and subthemes, and computed frequencies. Using quantitative measures, we also asked participants to indicate their condom use expectancies and perceived barriers. Comparing participants according to regulatory focus revealed some differences. Pleasure promotion participants were more likely to consider that condom use decision-making is driven by unexpectedness, pleasure, and intimacy pursuit, attached more pleasure reduction functions to condoms, expected more negative outcomes in condom use, and endorsed more sensation and partner barriers in condom use. In contrast, disease prevention participants were more likely to consider that condom use decision-making is driven by adequate sexual education, responsibility, and behavioral control, and attached more health protective functions to condoms. These differences can inform the development of tailored intervention and awareness campaigns aimed to help people to use condoms more consistently with casual partners and avoid behaviors that put them at risk of STI transmission.

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Validation of the AIDS Prevention Questionnaire: A Brief Self-Report Instrument to Assess Risk of HIV Infection and Guide Behavioral Change

et al. 2018

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This paper describes the process of building and validating the AIDS Prevention Questionnaire (CPS), a brief HIV risk assessment measure. An initial 64-items bank was filled out by 466 young people (192 men and 274 women), aged between 17 and 26 years (M = 20.62; SD = 2.15). The exploratory factor analysis revealed five components: Knowledge about HIV, Condom Attitudes, Intentions of Condom Use, Safe sexual behavior and Stigma and discrimination towards people living with HIV. This structure was confirmed by confirmatory factor analysis. The internal consistency for the different components ranged from .67 to .74. Moreover, CPS has a classification system that allows determining the level of risk. These results support the AIDS Prevention Questionnaire as a valid and reliable measure to detect earlier the risk for HIV infection and to design adjusted preventive interventions.

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The development of a new condom use expectancy scale for at-risk adults

Cited by 6 publications

References 30 publications

Daily associations between alcohol and sexual behavior in young adults.

Daily associations between alcohol and sexual behavior in young adults.

Condom Use Beliefs Differ According to Regulatory Focus in Sexuality: A Multi-Method Study in Portugal and Spain

Validation of the AIDS Prevention Questionnaire: A Brief Self-Report Instrument to Assess Risk of HIV Infection and Guide Behavioral Change

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