title: Correlates of Condom-use Self-efficacy on the EPPM-based Integrated Model among Chinese College Students.
abstract: OBJECTIVE
  To explore the predictors of condom-use self-efficacy in Chinese college students according to the extended parallel process model (EPPM)-based integrated model.
  
  
  METHODS
  A total of 3,081 college students were anonymously surveyed through self-administered questionnaires in Guangzhou and Harbin, China. A structural equation model was applied to assess the integrated model.
  
  
  RESULTS
  Among the participants, 1,387 (46.7%) were male, 1,586 (53.3%) were female, and the average age was 18.6 years. The final integrated model was acceptable. Apart from the direct effect (r = 0.23), perceived severity had two indirect effects on condom-use self-efficacy through the attitude to HIV education (r = 0.40) and intention to engage in premarital sex (r = -0.16), respectively. However, the perceived susceptibility mediated through the intention to engage in premarital sex (intent-to-premarital-sex) had a poor indirect impact on condom-use self-efficacy (total effect was -0.06). Furthermore, attitude toward HIV health education (r = 0.49) and intent-to-premarital-sex (r = -0.31) had a strong direct effect on condom-use self-efficacy. In addition, male students perceived higher susceptibility, stronger intent-to-premarital-sex, and lower condom-use self-efficacy than female students.
  
  
  CONCLUSIONS
  The integrated model may be used to assess the determinants of condom-use self-efficacy among Chinese college students. Future research should focus on raising the severity perception, HIV-risk-reduction motivation, and the premarital abstinence intention among college students. Furthermore, considering the gender differences observed in the present survey, single-sex HIV education is required in school-based HIV/sex intervention.
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Shan Shan
authors.initials: SS
authors.lastname: Jin
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Kai
authors.initials: K
authors.lastname: Bu
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Fang Fang
authors.initials: FF
authors.lastname: Chen
authors.affiliation: Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, Guangdong, China.
authors.forename: Hui Fang
authors.initials: HF
authors.lastname: Xu
authors.affiliation: Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, Heilongjiang, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Li
authors.affiliation: Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, Heilongjiang, China.
authors.forename: Dong Hui
authors.initials: DH
authors.lastname: Zhao
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China; Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.
authors.forename: Fang
authors.initials: F
authors.lastname: Xu
authors.affiliation: Lingnan Partners Community Support Center, Guangzhou 510000, Guangdong, China.
authors.forename: Jing Yan
authors.initials: JY
authors.lastname: Li
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Meng Jie
authors.initials: MJ
authors.lastname: Han
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Ning
authors.initials: N
authors.lastname: Wang
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D044466:Asian People; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008962:Models, Theoretical; D012307:Risk Factors; D020377:Self Efficacy; D012725:Sexual Behavior; D013334:Students; D014495:Universities; D055815:Young Adult
keywords: Chinese college students; Condom-use self-efficacy; HIV infection