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Perception of Peer Condom Use Buffers the Associations Between HIV Knowledge, Self-efficacy, and Condom-Use Intention Among Adolescents: a Moderated Mediation Model

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Abstract

A better understanding of the complex relationships between HIV knowledge, self-efficacy, perception of peer condom use, and condom-use intention is needed for improving HIV prevention among adolescents. The study analyzed survey data collected from high school students (N = 1970) in the Bahamas. Mediation and moderated mediation modeling analyses were used for data analysis. Results showed that self-efficacy mediated the association between HIV knowledge and condom-use intention. Perception of peer condom use moderated the mediation model by modifying the HIV knowledge-self-efficacy and self-efficacy-condom-use intention associations among males, but not for females. Findings of the study suggest the significant impact of perception of peer condom use in competition with HIV knowledge and self-efficacy in promoting condom use. Effective intervention program may consider targeting the modification of adolescents’ perception of peer condom use to promote condom use among adolescents.

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Funding

This study was supported by the National Institute of Health through grant project (R01 MH069229).

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Correspondence to Bin Yu.

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This study was approved by the Institutional Review Board at the University of Florida. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments of comparable ethical standards.

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Informed consent was obtained from parents or guardians of all participants included in the study.

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The authors declare that they have no conflict of interest.

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Yu, B., Wang, Y. & Chen, X. Perception of Peer Condom Use Buffers the Associations Between HIV Knowledge, Self-efficacy, and Condom-Use Intention Among Adolescents: a Moderated Mediation Model. Prev Sci 23, 879–888 (2022). https://doi.org/10.1007/s11121-021-01324-6

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  • DOI: https://doi.org/10.1007/s11121-021-01324-6

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