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AIDS and Behavior

, Volume 12, Issue 3, pp 412–418 | Cite as

A Theory-Based Approach to Understanding Condom Errors and Problems Reported by Men Attending an STI Clinic

  • Richard A. CrosbyEmail author
  • Laura F. Salazar
  • William L. Yarber
  • Stephanie A. Sanders
  • Cynthia A. Graham
  • Sara Head
  • Janet N. Arno
Original Paper

Abstract

We employed the information–motivation–behavioral skills (IMB) model to guide an investigation of correlates for correct condom use among 278 adult (18–35 years old) male clients attending a sexually transmitted infection (STI) clinic. An anonymous questionnaire aided by a CD-recording of the questions was administered. Linear Structural Relations Program was used to conduct path analyses of the hypothesized IMB model. Parameter estimates showed that while information did not directly affect behavioral skills, it did have a direct (negative) effect on condom use errors. Motivation had a significant direct (positive) effect on behavioral skills and a significant indirect (positive) effect on condom use errors through behavioral skills. Behavioral skills had a direct (negative) effect on condom use errors. Among men attending a public STI clinic, these findings suggest brief, clinic-based, safer sex programs for men who have sex with women should incorporate activities to convey correct condom use information, instill motivation to use condoms correctly, and directly enhance men’s behavioral skills for correct use of condoms.

Keywords

Condoms Men Sexually transmitted diseases Prevention Sexual behavior 

Notes

Acknowledgments

We gratefully acknowledge the support of the Rural Center for AIDS/STD Prevention, a joint project of Indiana University, University of Colorado, and the University of Kentucky. Support was also received from the Office of the Associate Dean for Research of the School of Health, Physical Education and Recreation, at Indiana University. We gratefully acknowledge the assistance of the research staff. The corresponding author had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Richard A. Crosby
    • 1
    • 2
    • 3
    Email author
  • Laura F. Salazar
    • 4
  • William L. Yarber
    • 2
    • 3
    • 5
    • 6
  • Stephanie A. Sanders
    • 2
    • 3
    • 6
  • Cynthia A. Graham
    • 2
    • 3
  • Sara Head
    • 1
  • Janet N. Arno
    • 2
    • 7
  1. 1.College of Public HealthUniversity of KentuckyLexingtonUSA
  2. 2.Rural Center for AIDS/STD PreventionIndiana UniversityBloomingtonUSA
  3. 3.The Kinsey Institute for Research in Sex, Gender, and ReproductionIndiana UniversityBloomingtonUSA
  4. 4.Department of Behavioral Sciences and Health Education, Rollins School of Public HealthEmory UniversityAtlantaUSA
  5. 5.Department of Applied Health ScienceIndiana UniversityBloomingtonUSA
  6. 6.Department of Gender StudiesIndiana UniversityBloomingtonUSA
  7. 7.Department of Infectious DiseasesIndiana University School of MedicineIndianapolisUSA

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