title: Condom use among young women: modeling the theory of gender and power.
abstract: OBJECTIVE
  This study sought to articulate pathways between constructs from the theory of gender and power and their associations with sexual behavior.
  
  
  METHODS
  The data were collected preintervention during a randomized controlled HIV prevention trial. Participants were 701 sexually active, unmarried African American females, aged 14-20, who were not pregnant, and were recruited from three health clinics in a southeastern US city. Structural equation modeling was used for the analyses.
  
  
  METHODS
  Self-reported condom use.
  
  
  RESULTS
  Theoretical associations yielded a well-fitting structural model across initial and cross-validation samples. A significant amount of variance was explained for the variables of condom use (R2 = .31, .18), partner communication (R2 = .30, .26), substance use during sex (R2 = .32, .51), and negative personal affect (R2 = .36, .48). Partner communication (.35, .38) was the strongest predictor of condom use, negative personal affect (-.41, -.37) was the strongest predictor of partner communication, and physical risk (.54, .54) was the strongest predictor of negative personal affect.
  
  
  CONCLUSIONS
  This model provides evidence to support both direct and indirect associations between social and behavioral risk factors and condom use. Associations between theory of gender and power constructs and condom use can facilitate future development and analyses of interventions based on this theory.
authors.affiliation: Department of Behavioral Sciences and Health Education.
authors.forename: Lara
authors.initials: L
authors.lastname: DePadilla
authors.forename: Michael
authors.initials: M
authors.lastname: Windle
authors.forename: Gina
authors.initials: G
authors.lastname: Wingood
authors.forename: Hannah
authors.initials: H
authors.lastname: Cooper
authors.forename: Ralph
authors.initials: R
authors.lastname: DiClemente
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology; D000367:Age Factors; D017280:Condoms / Q000706:statistics & numerical data*; D003863:Depression / Q000523:psychology; D005260:Female; D005845:Georgia; D006801:Humans; D008960:Models, Psychological; D011209:Power, Psychological; D012649:Self Concept; D012725:Sexual Behavior / Q000523:psychology; D055815:Young Adult