title: Application of the attitude-social influence-efficacy model to condom use among African-American STD clinic patients: implications for tailored health communication.
abstract: The purpose of the current investigation was to apply the attitude-social influence-efficacy (ASE) model to achieve a theory-based understanding of condom use among low income, heterosexually active African-American STD clinic patients. N = 293 participants were recruited from a large, publicly-funded metropolitan STD clinic in the Southeastern United States and surveyed using an ACASI computer program. Results indicated that several ASE variables exhibited meaningful relationships with condom stages of change in univariate analyses, replicating patterns found in previous research. Fewer variables remained significant in multivariate analyses, however. There was also some support for the proposition that early stage movement (e.g., Precontemplation to Contemplation) is based more upon perceptions of condom use (e.g., pros, perceived norms), whereas later stage movement (e.g., Preparation to Action/Maintenance) is based more upon perceived and actual skills acquisition (e.g., condom self-efficacy, negotiation strategies). Results varied with regard to main and casual condom stage of change. Implications for developing tailored HIV prevention interventions with heterosexual African-Americans are discussed.
authors.affiliation: Department of Communication, University of Kentucky, 248 Grehan Building, Lexington, KY 40506-0042, USA. snoar2@uky.edu
authors.forename: Seth M
authors.initials: SM
authors.lastname: Noar
authors.forename: Richard
authors.initials: R
authors.lastname: Crosby
authors.forename: Christina
authors.initials: C
authors.lastname: Benac
authors.forename: Greg
authors.initials: G
authors.lastname: Snow
authors.forename: Adewale
authors.initials: A
authors.lastname: Troutman
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000554:Ambulatory Care Facilities; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D058015:Health Communication; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D020010:Heterosexuality / Q000208:ethnology / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008962:Models, Theoretical; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control* / Q000523:psychology; D012959:Socioeconomic Factors; D015144:Southeastern United States; D011795:Surveys and Questionnaires; D055815:Young Adult