title: Theory-based predictors of condom use among university students in the United States and South Africa.
abstract: This study compared the predictive value of the theory of planned behavior in university students in South Africa (N = 251) and the United States (N = 160) who completed an anonymous self-administered questionnaire. Multiple regression analyses revealed that condom use and intention were significantly predicted by positive condom attitude, subjective norm, self-efficacy, and attending university in South Africa. Significant interactions between country and predictors indicated that subjective norm predicted condom use and intention more strongly in the American sample than in the South African sample; attitude predicted intention more strongly in the American sample than in the South African sample; but self-efficacy predicted intention more strongly in the South African sample than in the American sample. The theory of planned behavior may provide a useful framework for interventions to reduce South African students' risk of HIV/and sexuality transmitted diseases. Such interventions should especially focus on building self-efficacy to use condoms.
authors.affiliation: Annenberg Public Policy Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: G Anita
authors.initials: GA
authors.lastname: Heeren
authors.forename: John B
authors.initials: JB
authors.lastname: Jemmott
authors.forename: Andrew
authors.initials: A
authors.lastname: Mandeya
authors.forename: Joanne C
authors.initials: JC
authors.lastname: Tyler
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D035841:Behavioral Research; D017280:Condoms / Q000706:statistics & numerical data*; D003431:Cross-Cultural Comparison; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D040261:Harm Reduction; D006801:Humans; D015994:Incidence; D033182:Intention; D008297:Male; D010414:Pennsylvania / Q000453:epidemiology; D012044:Regression Analysis; D020377:Self Efficacy; D012725:Sexual Behavior / Q000208:ethnology*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control; D012945:Social Values / Q000208:ethnology; D013019:South Africa / Q000453:epidemiology; D013334:Students / Q000523:psychology*; D011795:Surveys and Questionnaires; D014495:Universities