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Predicting Condom Use in South Africa: A Test of Two Integrative Models

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Abstract

This study tested two integrative socio-cognitive models, namely the information–motivation–behavioral skills model (IMB) and the I-Change model (ICM), to assess their hypothesized motivational pathways for the prediction of condom use during last sexual intercourse. Students (N = 1066) from Cape Town, South Africa, filled out questionnaires at three different time points. Structural equation modeling demonstrated that self-efficacy did not predict behavior directly but indirectly via intention. Knowledge of how to use a condom and how STIs are transmitted directly predicted behavior when modeled as hypothesized by the IMB model, but indirectly when the factors attitude, subjective norms and self-efficacy were included as mediators, as hypothesized by the ICM. It is concluded that the ICM and IMB are similar in terms of model fit and explained variance, but that the ICM had a higher proportion of significant pathways.

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Acknowledgments

We would like to thank all partners involved in the SATZ project. The full title of the project is:”Promoting sexual and reproductive health. School-based HIV/AIDS prevention in sub-Saharan Africa”. The SATZ study was funded by the EC-INCO research programme (Fifth Framework Programme-Contract number ICA4-CT-2002-10038). The partners and principal investigators included: University of Cape Town (Alan J. Flisher), Muhimbili University College of Health Sciences (Sylvia Kaaya), University of the North (Hans Onya), Karolinska institute (Minou Fuglesang), University of Maastricht (Herman Schaalma), University of Oslo (Knut-Inge Klepp), World Population Foundation & Youth Incentives (Jo Reinders) and the University of Bergen (Leif Edvard Aarø–coordinator).

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Authors and Affiliations

  1. Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands

    Sander M. Eggers & Hein de Vries

  2. Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway

    Leif E. Aarø

  3. Department of Health Promotion and Development, University of Bergen, Bergen, Norway

    Leif E. Aarø

  4. School of Psychology, Open University, Heerlen, The Netherlands

    Arjan E. R. Bos

  5. Health System Research Unit, South African Medical Research Council, Cape Town, South Africa

    Catherine Mathews

  6. School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa

    Catherine Mathews

  7. Adolescent Health Research Unit, Department of Psychology and Mental Health, University of Cape Town, Cape Town, South Africa

    Catherine Mathews

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  1. Sander M. Eggers
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  2. Leif E. Aarø
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  3. Arjan E. R. Bos
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  4. Catherine Mathews
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  5. Hein de Vries
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Correspondence to Sander M. Eggers.

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Eggers, S.M., Aarø, L.E., Bos, A.E.R. et al. Predicting Condom Use in South Africa: A Test of Two Integrative Models. AIDS Behav 18, 135–145 (2014). https://doi.org/10.1007/s10461-013-0423-2

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