Self-concept and adolescents' refusal of unprotected sex: A test of mediating mechanisms among African American girls

Laura F. Salazar, Ralph DiClemente, Gina M. Wingood, Richard A. Crosby, Kathy Harrington, Susan Davies, Edward W. Hook, M. Kim Oh

Research output: Contribution to journalArticle

Abstract

During adolescence, girls form self-concepts that facilitate the transition to adulthood. This process may entail engaging in risky sexual behaviors resulting in STD infection and pregnancy. This study assessed the relation between self-concept and unwanted, unprotected sex refusal among 335 African American adolescent girls. The second aim was to determine whether attributes of partner communication about sex would act as a mediating mechanism on this hypothesized relationship. These assessments were made within the context of several theoretical models (social cognitive theory and theory of gender and power). Self-concept was composed of self-esteem, ethnic identity, and body image, whereas attributes of partner communication about sex was conceptualized as frequency of communication, fear of condom use negotiation, and self-efficacy of condom use negotiation. Structural equation modeling was used to analyze data. The results showed that self-concept was associated with partner communication attributes about sex, which in turn, was associated with frequency of unprotected sex refusal. The hypothesized mediating role of partner communication was also supported. STD-HIV preventive interventions for this population may be more effective if they target self-concept as opposed to only self-esteem, incorporate an Afrocentric approach, and focus on enhancing several attributes of partner communication about sex.

Original languageEnglish (US)
Pages (from-to)137-149
Number of pages13
JournalPrevention Science
Volume5
Issue number3
DOIs
StatePublished - Sep 1 2004

Fingerprint

Unsafe Sex
Self Concept
African Americans
Interpersonal Relations
Negotiating
Condoms
Sexually Transmitted Diseases
Body Image
Self Efficacy
Sexual Behavior
Fear
Theoretical Models
Communication
HIV
Pregnancy
Infection

Keywords

  • African American females
  • pregnancy
  • self-concept
  • sexual behavior
  • STDs

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Self-concept and adolescents' refusal of unprotected sex : A test of mediating mechanisms among African American girls. / Salazar, Laura F.; DiClemente, Ralph; Wingood, Gina M.; Crosby, Richard A.; Harrington, Kathy; Davies, Susan; Hook, Edward W.; Oh, M. Kim.

In: Prevention Science, Vol. 5, No. 3, 01.09.2004, p. 137-149.

Research output: Contribution to journalArticle

Salazar, Laura F. ; DiClemente, Ralph ; Wingood, Gina M. ; Crosby, Richard A. ; Harrington, Kathy ; Davies, Susan ; Hook, Edward W. ; Oh, M. Kim. / Self-concept and adolescents' refusal of unprotected sex : A test of mediating mechanisms among African American girls. In: Prevention Science. 2004 ; Vol. 5, No. 3. pp. 137-149.
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