Journal of Community Health

, Volume 39, Issue 4, pp 712–718 | Cite as

Predictors of Intention to Use Condoms Among Chinese College Students

  • Ruiling Guo
  • Willis J. McAleese
  • Karen M. Appleby
  • Jianhui Guo
  • Wei Zhang
  • Yi Huang
  • Teri Peterson
Original Paper


China is experiencing one of the fastest growing human immunodeficiency virus (HIV) epidemics in the world. Condom use is consistently low among Chinese college students. The purpose of this study was to identify the predictors that determine the intention to use condoms among Chinese college students applying the theory of planned behavior (TPB). A non-probability convenience sample of 433 participants was drawn from three universities in Central, Eastern, and Southwestern China, respectively. An anonymous written questionnaire was self-administered. Data were collected and analyzed descriptively and statistically using Predictive Analytical Software 19.0. Multiple linear regression was performed to identify the predictors among 402 participants with non-missing data. Eighteen percent (78/433) of the participants reported being sexually active in the past 6 months. The percentage of times these individuals reported using condoms during intercourse was 38.19 %. Intention to use condoms was statistically significantly (R2 = 50.4 %) predicted by attitudes (β = 0.213), subjective norms (β = 0.259), and perceived behavior control (PBC) (β = 0.332). All predictors were statistically significant at the 0.001 level (p < 0.001). PBC was the strongest predictor of intention to use condoms. The study findings indicated that the TPB could be used as a framework to determine the predictors of intention to use condoms among the Chinese college students. It is recommended that the HIV education programs should increase the intention to use condoms through promoting positive attitudes, subjective norms and PBC of condom use in Chinese college students.


Condom use Human immunodeficiency virus Theory of planned behavior Sexual behavior Chinese college students 


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Ruiling Guo
    • 1
  • Willis J. McAleese
    • 2
  • Karen M. Appleby
    • 3
  • Jianhui Guo
    • 4
  • Wei Zhang
    • 5
    • 6
  • Yi Huang
    • 7
  • Teri Peterson
    • 8
  1. 1.Idaho Health Sciences LibraryIdaho State UniversityPocatelloUSA
  2. 2.Kasiska School of Health ProfessionsIdaho State UniversityPocatelloUSA
  3. 3.Department of Sport Science and Physical EducationIdaho State UniversityPocatelloUSA
  4. 4.Department of Physical EducationHenan Institute of EducationZhengzhouChina
  5. 5.Shandong Center for Disease Control and PreventionJinanChina
  6. 6.School of Public HealthShandong UniversityJinanChina
  7. 7.Chengdu University of TechnologyChengduChina
  8. 8.College of BusinessIdaho State UniversityPocatelloUSA

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