Incorporating Communication into the Theory of Planned Behavior to Predict Condom Use Among African American Women

Mengfei Guan, Valerie B. Coles, Jennifer A. Samp, Jessica Mc Dermott Sales, Ralph DiClemente, Jennifer L. Monahan

Research output: Contribution to journalArticle

Abstract

The present research extends the theory of planned behavior (TPB) to investigate how communication-related variables influence condom use intention and behavior among African American women. According to the TPB, attitudes, subjective norms, and self-efficacy are associated with behavioral intent, which predicts behavior. For women, it was argued that condom negotiation self-efficacy was more important than condom use self-efficacy in predicting consistent condom use. Moreover, an important environmental factor that affects condom use for African American women is fear or worry when negotiating condom use because the sex partners might leave, threaten, or abuse them. Fears associated with negotiating condom use were predicted to be negatively associated with attitudes, subjective norms, and self-efficacy. African American women (N = 560; M age = 20.58) completed assessments of TPB variables at baseline and condom use 3 months later. Condom negotiation self-efficacy was a significant indicator of behavioral intent, while condom use self-efficacy was not. Fear of condom negotiation was negatively associated with all TPB components, which was in turn significantly associated with behavioral intent and condom use. Implications for the TPB, safer sex literature, and sexually transmitted infection prevention intervention design are discussed.

Original languageEnglish (US)
Pages (from-to)1046-1054
Number of pages9
JournalJournal of Health Communication
Volume21
Issue number9
DOIs
StatePublished - Sep 1 2016

Fingerprint

Condoms
African Americans
self-efficacy
Communication
communication
Self Efficacy
Negotiating
anxiety
Fear
American
environmental factors
abuse
Safe Sex
Sexually Transmitted Diseases

ASJC Scopus subject areas

  • Health(social science)
  • Communication
  • Public Health, Environmental and Occupational Health
  • Library and Information Sciences

Cite this

Incorporating Communication into the Theory of Planned Behavior to Predict Condom Use Among African American Women. / Guan, Mengfei; Coles, Valerie B.; Samp, Jennifer A.; Sales, Jessica Mc Dermott; DiClemente, Ralph; Monahan, Jennifer L.

In: Journal of Health Communication, Vol. 21, No. 9, 01.09.2016, p. 1046-1054.

Research output: Contribution to journalArticle

Guan, Mengfei ; Coles, Valerie B. ; Samp, Jennifer A. ; Sales, Jessica Mc Dermott ; DiClemente, Ralph ; Monahan, Jennifer L. / Incorporating Communication into the Theory of Planned Behavior to Predict Condom Use Among African American Women. In: Journal of Health Communication. 2016 ; Vol. 21, No. 9. pp. 1046-1054.
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