Predictors of condom use among Mexican adolescents.
Mexican adolescents continue to be at increased risk for HIV infection due to inconsistent condom use. The purpose of this study was to identify predictors of condom use intentions and condom use among Mexican adolescents who participated in a randomized control trial designed to test a sexual-risk reduction intervention. Data from sexually active adolescents 17 to 21 years (n = 157) of age who were assigned to the control group were analyzed 48 months post intervention. Regression analysis showed that positive attitudes toward condoms, subjective norms, and control beliefs significantly explained intention to use condoms (R2 = .75, p < .001). Attitudes toward condoms (beta = .67, p <.001), technical skills (beta = .13, p = .01), and condom use self-efficacy (beta = .24, p < .001) were significant predictors of condom use intention. Compared to those who inconsistently used condoms, adolescents who used condoms consistently had greater intention to use condoms and greater impulse control. Findings suggest that attitudes and control beliefs should be further explored with Mexican adolescents in order to support consistent condom use.
University of Michigan School of Nursing, Ann Arbor, MI 48109, USA. alvarezc@umich.edu
Carmen
C
Alvarez
Antonia M
AM
Villarruel
Yan
Y
Zhou
Esther
E
Gallegos
D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology*; D001294:Attitude to Health / Q000208:ethnology*; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008297:Male; D008800:Mexico / Q000453:epidemiology; D000297:Psychology, Adolescent; D016032:Randomized Controlled Trials as Topic; D012044:Regression Analysis; D040242:Risk Reduction Behavior; D021841:Safe Sex / Q000208:ethnology* / Q000706:statistics & numerical data; D012572:School Health Services; D011795:Surveys and Questionnaires