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Application of the Attitude-Social Influence-Efficacy Model to Condom Use Among African-American STD Clinic Patients: Implications for Tailored Health Communication

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Abstract

The purpose of the current investigation was to apply the attitude-social influence-efficacy (ASE) model to achieve a theory-based understanding of condom use among low income, heterosexually active African-American STD clinic patients. N = 293 participants were recruited from a large, publicly-funded metropolitan STD clinic in the Southeastern United States and surveyed using an ACASI computer program. Results indicated that several ASE variables exhibited meaningful relationships with condom stages of change in univariate analyses, replicating patterns found in previous research. Fewer variables remained significant in multivariate analyses, however. There was also some support for the proposition that early stage movement (e.g., Precontemplation to Contemplation) is based more upon perceptions of condom use (e.g., pros, perceived norms), whereas later stage movement (e.g., Preparation to Action/Maintenance) is based more upon perceived and actual skills acquisition (e.g., condom self-efficacy, negotiation strategies). Results varied with regard to main and casual condom stage of change. Implications for developing tailored HIV prevention interventions with heterosexual African-Americans are discussed.

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Acknowledgments

This work was supported by a Research Support Grant from the Office of the Vice President for Research and funds from the College of Communications and Information Studies at the University of Kentucky. The authors thank Deborah Snow for her support of this project and Rick Zimmerman for his contributions to the project.

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Authors and Affiliations

  1. Department of Communication, University of Kentucky, 248 Grehan Building, Lexington, KY, 40506-0042, USA

    Seth M. Noar & Christina Benac

  2. College of Public Health, University of Kentucky, 121 Washington Avenue, Lexington, KY, 40506-0003, USA

    Richard Crosby & Greg Snow

  3. Louisville Metro Department of Health and Wellness, Louisville, KY, USA

    Adewale Troutman

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  1. Seth M. Noar
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  2. Richard Crosby
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  3. Christina Benac
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  4. Greg Snow
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  5. Adewale Troutman
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Correspondence to Seth M. Noar.

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Noar, S.M., Crosby, R., Benac, C. et al. Application of the Attitude-Social Influence-Efficacy Model to Condom Use Among African-American STD Clinic Patients: Implications for Tailored Health Communication. AIDS Behav 15, 1045–1057 (2011). https://doi.org/10.1007/s10461-009-9599-x

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