title: Body dissatisfaction and condom use self-efficacy: a meta-analysis.
abstract: The consistent use of condoms is the most effective behavior for reducing the acquisition of sexually transmitted infections (STIs), and condom use self-efficacy has been shown to be a key construct related to condom use. However, the examination of modifiable psychosocial and behavioral correlates of condom use self-efficacy is lacking. Recent investigations have highlighted the association of body dissatisfaction with condom use self-efficacy, and the current study conducted a meta-analysis on all available data addressing this relationship. Eleven individual effect-size parameters from nine studies yielded a total sample of 2495 men and women participants. A random-effects model revealed an average effect-size of r=-.25, Cohen's d=-0.52, which is moderate in strength. As body dissatisfaction increases, ones' self-efficacy regarding the use of condoms diminishes. Integrating interventions to decrease body dissatisfaction and sexual risk behaviors may prove to be an effective strategy to decrease STIs.
authors.affiliation: Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States. Electronic address: ablashill@mgh.harvard.edu.
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Blashill
authors.affiliation: Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States.
authors.forename: Steven A
authors.initials: SA
authors.lastname: Safren
mesh_terms: D001828:Body Image / Q000523:psychology*; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D012309:Risk-Taking; D020377:Self Efficacy; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*
keywords: Body dissatisfaction; Body image; Condom use self-efficacy; Meta-analysis; Sexual risk behaviors