ARTICLE Decision-Making Style and Gender Moderation of the Self-efficacy–Condom Use Link Among Adolescents and Young Adults Informing Targeted STI/HIV Prevention Programs David S. Black, MPH; Ping Sun, PhD; Louise A. Rohrbach, PhD; Steve Sussman, PhD Objective: To test the moderating effects of decision- Main Outcome Measure: Condom use during the most making style and gender on the relationship between recent sexual intercourse (termed last sex). condom use self-efficacy (CUSE) and condom use behavior among sexually active adolescents and young Results: Forty-five percent of sexually active participants adults. used condoms at last sex. Decision-making–self-confidence and decision-making–approach significantly moderated the Design: Cross-sectional study. effect of CUSE on condom use. The positive relationship be- tween CUSE and condom use was relatively stronger for males Setting: Twenty-four continuation high schools in Cali- and females reporting high vs low decision-making–self- fornia. confidence. Among females, the relationship between CUSE and condom use at last sex was weaker for those reporting Participants: Data were collected between February 2008 high vs low decision-making–approach. Both of these effects to June 2009 from a sample of 1304 sexually active ado- were observed at high levels of CUSE. lescents and young adults. The mean (SD) age of the par- ticipants
JAMA Pediatrics – American Medical Association
Published: Apr 1, 2011
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