Longitudinal test of a multiple domain model of adolescent condom use.
A comprehensive multiple domain model (MDM) to understand condom use in adolescents was proposed and tested using structural equation modeling of data at three time points. The proposed model integrates social psychological theory, demographic and personality factors, social environment, and situational/contextual variables. Adolescents who were sexually active at time 2 (6 months after baseline) and time 3 (1 year after time 2) and completed surveys at all three time points were included in the analyses (N = 511). An iterative process of model testing resulted in a structural equation model that provided a good fit to the data (CFI = .92, RMSEA = .04). Models comparing gender and race as moderators also were calculated and supported the generalizability of the model. Results provide support for an MDM that goes beyond traditional social psychological models for a broader understanding of condom use in adolescents. Implications for further theory testing and safer sexual interventions are discussed.
Zimmerman
Rick S
RS
University of Kentucky, Department of Communication, Lexington 40506-0042, USA. rzimmerman@pire.org
Noar
Seth M
SM
Feist-Price
Sonja
S
Dekthar
Olga
O
Cupp
Pamela K
PK
Anderman
Eric
E
Lock
Sharon
S
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D017280:Condoms / Q000706:statistics & numerical data*; D003268:Contraception Behavior / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D007629:Kentucky; D008137:Longitudinal Studies; D008297:Male; D008960:Models, Psychological; D009820:Ohio; D010379:Peer Group; D020377:Self Efficacy; D012931:Social Environment; D013334:Students / Q000523:psychology*; D011795:Surveys and Questionnaires