A multitude of factors influence condom use self-efficacy, including age, gender, ethnicity, condom use attitudes and barriers, sexual experience, and partner characteristics. The current study integrated past research by evaluating these factors in a large, ethnically diverse university sample of women and men (N=665). The role of gender on condom use and sexuality variables was assessed across ethnic groups. Hierarchical linear regressions were then calculated to explain levels of condom use self-efficacy using the hypothesized sexual predictors in nonvirgin, sexually active, and recent condom use subsamples. Predictors explained 18–45% of variance in condom use self-efficacy. Findings suggest that a few key variables accounted for the majority of variance in condom use self-efficacy: condom use attitudes, condom use barriers, satisfaction with sexual communication, anticipated number of sexual partners, one-time sexual encounters, and ethnic identity. Significant gender differences emerged in condom use self-efficacy, condom use attitudes, and condom use behaviors. Ethnic differences were found in range of sexual experience and sexual partner characteristics. It is recommended that future studies examining sexual risk behavior incorporate the diverse sexual factors that affect condom use self-efficacy.
Similar content being viewed by others
REFERENCES
Abraham, C., Sheeran, P., Norman, P., Conner, M., de Vries, N., & Otten, W. (1999). When good intentions are not enough: Modeling postdecisional cognitive correlates of condom use. Journal of Applied Social Psychology, 29, 2591–2612.
Allen, M., Emmers-Sommer, T. M., & Crowell, T. L. (2002). Couples negotiating safer sex behaviors: A meta-analysis of the impact of conversation and gender. In M. Allen, R. W. Priess, B. M. Gayle, & N. Burrell (Eds.), Interpersonal communication research: Advances through meta-analysis (pp. 263–279). Mahwah, NJ: Erlbaum.
Baele, J., Dusseldorp, E., & Maes, S. (2001). Condom use self-efficacy: Effect on intended and actual condom use in adolescents. Journal of Adolescent Health, 28, 421–431.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood, NJ: Prentice-Hall.
Basen-Engquist, K., Edmundson, E. W., & Parcel, G. S. (1996). Structure of health risk behavior among high school students. Journal of Consulting and Clinical Psychology, 64, 764–775.
Basen-Engquist, K., Masse, L. C., Coyle, K., Kirby, D., Parcel, G. S., Banspach, S., et al. (1999). Validity of scales measuring the psychosocial determinants of HIV/STI-related risk behavior in adolescents. Health Education Research, 14, 25–38.
Basen-Engquist, K., & Parcel, G. S. (1992). Attitudes, norms, and self-efficacy: A model of adolscents’ HIV-related sexual risk behavior. Health Education Quarterly, 19, 263–277.
Bryan, A. D., Aiken, L. S., & West, S. G. (1997). Young women’s condom use: The influence of acceptance of sexuality, control over the sexual encounter, and perceived susceptibility to common STIs. Health Psychology, 16, 468–479.
Carroll, L. (1991). Gender, knowledge about AIDS, reported behavioral change, and the sexual behavior of college students. College Health, 40, 5–12.
Carter, J. A., McNair, L. D., Corbin, W. R., & Williams, M. (1999). Gender differences related to heterosexual condom use: The influence of negotiation styles. Journal of Sex and Marital Therapy, 25, 217–225.
Cecil, H., & Pinkerton, S. D. (2001). Magnitude: An important dimension of self-efficacy. Journal of Applied Social Psychology, 30, 1243–1267.
Crosby, R., DiClemente, R. J., Wingood, G. M., Sionean, C., Cobb, B. K., Harrington, K., et al. (2001). Correct condom application among African-American adolescent females: The relationship to perceived self-efficacy and the association to confirmed STDs. Journal of Adolescent Health, 29, 194–199.
Dekin, B. (1996). Gender differences in HIV-related self-reported knowledge, attitudes, and behaviors among college students. American Journal of Preventative Medicine, 12, 61–66.
Derogatis, L. R. (1976). The DSFI: A multidimensional measure of sexual functioning. Journal of Sex and Marital Therapy, 5, 244–281.
de Visser, R. O., & Smith, A. M. A. (2001). Inconsistent users of condoms: A challenge to traditional models of health behaviour. Psychology and Health Medicine, 6, 41–46.
Faryna, E. L., & Morales, E. (2000). Self-efficacy and HIV-related risk behaviors among multiethnic adolescents. Cultural Diversity and Ethnic Minority Psychology, 6, 42–56.
Fernandez-Esquer, M. E., Atkinson, J., Diamond, P., Useche, B., & Mendiola, R. (2004). Condom use self-efficacy among U.S.- and foreign-born Latinos in Texas. Journal of Sex Research, 41, 390–399.
Fisher, J. L. (1996). Gender issues with condom use self-efficacy beliefs (Immune deficiency). Dissertation Abstracts International, 56(10), 5754.
Gerteisen, G. M. (1998). HIV/AIDS risk perceptions, health beliefs, perceived self-efficacy and sexual issues related to young women’s condom use behavior. Dissertation Abstracts International, 58(11-B), 5913.
Glaser, A. L. (1997). AIDS health locus of control and condom use self-efficacy as predictors of condom use in college students. Dissertation Abstracts International, 57(9), 5901.
Goldstein, A. B. (1997). Predictors of condom use self-efficacy in women at risk for HIV/AIDS. Dissertation Abstracts International, 58(5), 2660.
Gomez, C. A., & Marin, B. V. O. (1996). Gender, culture, and power: Barriers to HIV-prevention strategies for women. Journal of Sex Research, 33, 355–362.
Green, J., Fulop, N., & Kocsis, A. (2000). Determinants of unsafe sex in women. International Journal of STI and AIDS, 11, 777–783.
Hale, P. J., & Trumbetta, S. L. (1996). Women’s self-efficacy and sexually transmitted disease preventative behaviors. Research in Nursing & Health, 19, 101–110.
Heinrich, L. B. (1993). Contraceptive self-efficacy in college women. Journal of Adolescent Health, 14, 269–276.
Hofstede, G. H. (1991). Cultures and organizations: Software of the mind. London: McGraw-Hill.
Hynie, M., Schuller, R. A., & Couperthwaite, L. (2003). Perceptions of sexual intent: The impact of condom possession. Psychology of Women Quarterly, 27, 75–79.
Juran, S. (1995). The 90’s: Gender differences in AIDS-related sexual concerns and behaviors, condom use and subjective condom experiences. Journal of Psychology and Human Sexuality, 7, 39–60.
Langer, L. M., Zimmerman, R. S., & Cabral, R. J. (1994). Perceived versus actual condom skills among clients at sexually transmitted disease clinics. Public Health Reports, 109, 683–687.
Lauby, J. L., Semaan, S., O’Connell, A., Person, B., & Vogel, A. (2001). Factors related to self-efficacy for use of condoms and birth control among women at risk for HIV infection. Women and Health, 34, 71–91.
Luszczynska, A., Gutierrez-Dona, B., & Schwarzer, R. (in press). General self-efficacy in various domains of human functioning: Evidence from five countries. International Journal of Psychology.
Magoun, M., & Alison, M. (2000). The impact of security of attachment to mothers, communication with mothers, and contraceptive self-efficacy upon female college students’ contraceptive use. Dissertation Abstracts International, 61(3), 1642.
Maibach, E., & Murphy, D. A. (1995). Self-efficacy in health promotion research and practice: Conceptualization and measurement. Health Education Research, 10, 37–50.
Mays, V., & Cochran, S. (1988). Issues in the perception of AIDS risk and risk reduction activities by Black and Hispanic/Latina women. American Psychologist, 43, 949–957.
Meston, C. M., & Trapnell, P. D. (2005). Development and validation of a five factor sexual satisfaction and distress scale: The Sexual Satisfaction Scale for Women (SSS-W). Journal of Sexual Medicine, 2, 66–81.
Meston, C. M., Trapnell, P. D., & Gorzalka, B. B. (1996). Ethnic and gender differences in sexuality: Variations in sexual behavior between Asian and non-Asian university students. Archives of Sexual Behavior, 25, 33–71.
Meston, C. M., Trapnell, P. D., & Gorzalka, B. B. (1998). Ethnic, gender, and length-of-residency influences on sexual knowledge and attitudes. Journal of Sex Research, 35, 176–188.
Mize, S. J. S., Robinson, B. E., Bockting, W. O., & Scheltema, K. E. (2002). Meta-analysis of the effectiveness of HIV prevention interventions for women. AIDS Care, 14, 163–180.
Murphy, C. A. (1999). Condom use and qualities of women’s dating and family relationships: HIV and pregnancy prevention. Dissertation Abstracts International, 59(9), 5101.
Murphy, D. A., Stein, J. A., Schlenger, W., Maibach, E., & The National Institute of Mental Health Multisite HIV Prevention Trial Group. (2001). Conceptualizing the multidimensional nature of self-efficacy: Assessment of situational context and level of behavioral challenge to maintain safer sex. Health Psychology, 20, 281–290.
O’Leary, A., Goodhart, F., Jemmott, S., & Boccher-Lattimore, D. (1992). Predictors of safer sex on the college campus: A social cognitive theory analysis. Journal of American College Health, 40, 254–263.
O’Leary, A., Maibach, E., Ambrose, T. K., Jemmott, J. B., & Celentano, D. D. (2000). Social cognitive predictors of sexual risk behavior change among STI clinic patients. AIDS and Behavior, 4, 309–316.
Orbell, S., Hodgkins, S., & Sheeran, P. (1997). Implementation intentions and the theory of planned behavior. Personality and Social Psychology Bulletin, 23, 945–954.
Parsons, J. T., Halkitis, P. N., Bimbi, D., & Borkowski, T. (2000). Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students. Journal of Adolescence, 23, 377–391.
Quatrella, L. A. (2000). Predictors of condom use self-efficacy and perceptions of responsibilities of safer sex behaviors among college students. Dissertation Abstracts International, 61(4), 2275.
Raj, A., & Pollack, R. H. (1995). Factors predicting high-risk sexual behavior in heterosexual college females. Journal of Sex and Marital Therapy, 21, 213–224.
Ransom, J. E. (1998). Factors related to safer sex behaviors in young college students. Dissertation Abstracts International, 59(5), 2126.
Redding, C. A., & Rossi, J. S. (1999). Testing a model of situational self-efficacy for safer sex among college students: State and gender-based differences. Psychology and Health, 14, 467–486.
Reis, J., & Stephens, Y. D. (1998). A discriminant analysis of young adults’ knowledge of the human papillomavirus and self-efficacy of condom use. Journal of Psychology and Human Sexuality, 10, 71–91.
Richard, R., & van der Pligt, J. (1991). Factors affecting condom use among adolescents. Journal of Community & Applied Social Psychology, 1, 105–116.
Salina, D. D., Razzano, L., & Lesondak, L. (2000). Influence of health beliefs, attitudes and concern about HIV/AIDS on condom use in college women. Journal of Prevention and Intervention in the Community, 19, 41–53.
Simpson, J. A., & Gangestad, S. W. (1991). Individual differences in sociosexuality: Evidence for convergent and discriminant validity. Journal of Personality and Social Psychology, 60, 870–883.
Soet, J. E., Dilorio, C., & Dudley, W. N. (1998). Women’s self-reported condom use: Intra and interpersonal factors. Women & Health, 27, 19–32.
Sterk, C. E., Klein, H., & Elifson, K. W. (2003). Perceived condom use self-efficacy among at-risk women. AIDS and Behavior, 7, 175–182.
Svenson, G. R., Oestergren, P., Merlo, J., & Rastam, L. (2002). Action control and situational risks in the prevention of HIV and STIs: Individual, dyadic, and social influences on consistent condom use in a university population. AIDS Education and Prevention, 14, 515–531.
Trafimow, D. (2000). Habit as both a direct cause of intention to use a condom and as a moderator of the attitude-intention and subjective norm-intention relations. Psychology and Health, 15, 383–393.
Treise, D., & Weigold, M. F. (2001). AIDS public service announcements: Effects of fear and repetition on predictors of condom use. Health Marketing Quarterly, 18, 39–61.
Uddin, M. (1996). College women’s sexuality in an era of AIDS. Journal of American College Health, 44, 252–261.
Wulfert, E., & Wan, C. K. (1993). Condom use: A self-efficacy model. Health Psychology, 12, 346–353.
Yzer, M. C., Siero, F. W., & Buunk, B. P. (2001). Bringing up condom use and using condoms with new sexual partners: Intentional or habitual? Psychology and Health, 16, 409–421.
ACKNOWLEDGMENTS
This publication was made possible by Grant # 5 RO1 AT00224-02 from the National Center for Complementary and Alternative Medicine to the second author. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Center for Complementary and Alternative Medicine.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Farmer, M.A., Meston, C.M. Predictors of Condom Use Self-Efficacy in an Ethnically Diverse University Sample. Arch Sex Behav 35, 313–326 (2006). https://doi.org/10.1007/s10508-006-9027-5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10508-006-9027-5