Barriers against safer sex as predictors of condom negotiation self-efficacy among Mozambican Women

Abstract Background Negotiation self-efficacy is one of the main predictors of effective condom use. Therefore, it is essential to identify the factors that influence condom use negotiation self-efficacy in vulnerable women. The aim of this paper is to examine whether socio-demographic and marital factors, and perceived barriers against safer sex are associated with condom use negotiation self-efficacy among Mozambican women at sexual risk. Methods 173 women, patients at a Mozambican public Hospital and at risk for HIV infection, completed measures of sociodemographic and marital characteristics, perceived barriers against safer sex, and condom use negotiation self-efficacy. Measures included the Mozambican version of the “Women's Health Study Questionnaire”, which presented good psychometric properties in this sample. Results Demographic variables (age and education) explained 20% of the variance (ΔF(2, 170)=20.92, p<.001) in condom use negotiation self-efficacy, and the marital variables, “marital status” and “talking about AIDS with partner”, explained 30% of the variance in the outcome (ΔF(2, 168)=50.06, p<.001). Barriers against safer sex explained 6.5% of unique variance in condom use negotiation self-efficacy (ΔF(1, 167)= 24.68, p<.001). The overall model explained 55% of the variance in condom use negotiation self-efficacy. Conclusions These results support an exploratory predictive model of condom use negotiation self-efficacy that can inform interventions directed at behavioral change among Mozambican women at sexual risk. Key messages Women who were younger, had a higher level of education, were single, and talked about AIDS, had higher levels of condom use negotiation self-efficacy. Women who had lower levels of perceived barriers, had higher levels of condom use negotiation self-efficacy.

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Condom negotiation self-efficacy and preparatory behaviors among Mozambican women at sexual risk

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.355 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A L Patrão ◽

T McIntyre

Keyword(s):

At Risk ◽

Sexual Risk ◽

Behavioral Change ◽

Self Efficacy ◽

Public Hospital ◽

Demographic Variables ◽

African Women ◽

Final Model ◽

Condom Negotiation ◽

Additional Variance

Abstract Background Preparatory behaviors (intention to use and buy/get condoms) are extremely important for sexual protection among African women, because the intentions to use and get condoms are the best predictors of effective condom use in some African contexts. However, these preventive behaviors are not as successful as desired, because they are often associated with negative meanings in the context of the sexual relationship. This study aims to identify whether condom negotiation self-efficacy is associated with sexual preparatory behaviors among Mozambican women at risk for HIV/AIDS infection. Methods Women (173), patients at a public Hospital and at risk for HIV infection, completed measures of sociodemographic and marital characteristics, condom negotiation self-efficacy, and sexual preparatory behaviors. Results Socio-demographic variables (age and education) explained 16.1% of variance (ΔF(2, 170)=16.30, p <.001), and marital variables, “marital status” and “talking about AIDS with partner” explained 22.3% of additional variance (ΔF(2, 168)=30.36, p <.001) in preparatory behaviors. The final model with condom negotiation self-efficacy explained 11.7% of additional variance (ΔF(1, 167)= 39.14, p <.001), this being the most important correlate in the model (β = .48). We observed that higher condom negotiation self-efficacy is associated with higher levels of preparatory behaviors. The overall model explained 48.6% of variance in sexual preparatory behaviors. Conclusions These results seem to support an exploratory predictive model of sexual preparatory behaviors that can inform interventions directed at behavioral change among Mozambican women at sexual risk. Key messages Women who were younger, had a higher level of education, were single, and talked about AIDS, had higher levels of preparatory behaviors. Women who had a higher level of condom negotiation self-efficacy, had higher levels of preparatory behaviors.

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Psychological Effects of Abuse, Partner Pressure, and Alcohol: The Roles of in-the-Moment Condom Negotiation Efficacy and Condom-Decision Abdication on Women’s Intentions to Engage in Condomless Sex

Journal of Interpersonal Violence ◽

10.1177/0886260519857160 ◽

2019 ◽

pp. 088626051985716 ◽

Cited By ~ 2

Author(s):

Elizabeth C. Neilson ◽

Amanda K. Gilmore ◽

Cynthia A. Stappenbeck ◽

Natasha K. Gulati ◽

Erin Neilon ◽

...

Keyword(s):

Condom Use ◽

Self Efficacy ◽

Low Pressure ◽

Psychological Effects ◽

Pressure Condition ◽

Women’S Experiences ◽

Condomless Sex ◽

Condom Negotiation ◽

Women's Experiences ◽

The Moment

Women’s experiences of intimate partner violence (IPV) from their male partners can include psychological, physical, and sexual control and abuse. The psychological effects of abuse (PEA) include terror, shame, and loss of power and control in relationships. While women’s experiences of IPV are associated with decreased condom use, limited research has examined the impact of PEA on women’s condom use. Intoxicated (breath alcohol content [BrAC] = .10%) versus sober women were evaluated to test the hypothesis that PEA would interact with intoxication and scenario-context partner pressure to forgo condom use and be associated with intentions to engage in condomless sex. After beverage administration, community women ( N = 405) projected themselves into a computerized scenario depicting a male partner exerting high or low pressure for condomless sex. In-the-moment condom negotiation self-efficacy and condom-decision abdication—letting the man decide on condom use—were assessed. Path analysis examined the direct and indirect effects of PEA, alcohol, and partner pressure conditions on condomless sex intentions. PEA increased condomless sex intentions indirectly through decreased condom negotiation self-efficacy. Intoxication increased condomless sex intentions indirectly through decreased condom negotiation self-efficacy and increased condom-decision abdication. Intoxicated women in the low pressure condition were more likely to abdicate the condom decision than women in the high pressure condition. Women who have experienced greater PEA may benefit from interventions focusing on how condom negotiation self-efficacy, condom-decision abdication, and intoxication influence sexual decision-making.

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Condom Negotiation Strategies as a Mediator of the Relationship between Self-Efficacy and Condom Use

The Journal of Sex Research ◽

10.1080/00224499.2011.626907 ◽

2013 ◽

Vol 50 (1) ◽

pp. 48-59 ◽

Cited By ~ 22

Author(s):

Sabine Elizabeth French ◽

Kathryn J. Holland

Keyword(s):

Condom Use ◽

Self Efficacy ◽

Negotiation Strategies ◽

Condom Negotiation ◽

The Relationship

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Association between condom use and perceived barriers to and self-efficacy of safe sex among young women in Japan

Nursing and Health Sciences ◽

10.1111/j.1442-2018.2007.00338.x ◽

2007 ◽

Vol 9 (4) ◽

pp. 284-289 ◽

Cited By ~ 13

Author(s):

Noriyo Kaneko

Keyword(s):

Condom Use ◽

Young Women ◽

Self Efficacy ◽

Safe Sex ◽

Perceived Barriers

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DISCLOSURE INTENTIONS AND SELF-EFFICACY FOR CONDOM USE, DISCLOSURE AND NEGOTIATION OF SAFER SEX PRACTICES: A COMPARISON BETWEEN OLDER AND YOUNGER HIV-POSITIVE MEN WHO HAVE SEX WITH MEN

The Gerontologist ◽

10.1093/geront/gnv596.04 ◽

2015 ◽

Vol 55 (Suppl_2) ◽

pp. 16-17

Keyword(s):

Condom Use ◽

Self Efficacy ◽

Safer Sex ◽

Hiv Positive ◽

Safer Sex Practices ◽

Sex With Men ◽

Sex Practices ◽

Hiv Positive Men

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Using Brothel Leadership to Improve Condom Use among Brothel-based Female Sex Workers in Abuja, Nigeria: Results of a Cluster Randomized Pilot Study

Global Journal of Health Science ◽

10.5539/gjhs.v9n12p144 ◽

2017 ◽

Vol 9 (12) ◽

pp. 144

Author(s):

Uchenna O. Okafor ◽

Rik Crutzen ◽

Adebajo Sylvia ◽

Okekearu Ifeanyi ◽

Bart Van den Borne

Keyword(s):

Hiv Prevention ◽

Condom Use ◽

Sex Workers ◽

Self Efficacy ◽

Female Sex Workers ◽

Consistent Condom ◽

Consistent Condom Use ◽

Condom Negotiation ◽

Female Sex ◽

Cluster Randomized

Support by brothel leaders and the promotion of a conducive environment for HIV prevention programs within brothel establishments are important to promote a safe working environment for Brothel-Based Female Sex Workers (BB FSWs). This study assesses the effects of a cluster randomized pilot trial examining the use of brothel leaders to improve consistent condom use by FSWs residing in brothels and also assessed the feasibility of implementing a similar intervention on a broader scale. Ten brothels in Abuja, Nigeria were randomized and exposed to the experimental (n=5) and control (n=5) arms of the intervention. The feasibility of the intervention and consistent condom use outcomes by FSWs with different partner types as well as condom negotiation self-efficacy were measured. Condom use outcomes and condom negotiation self-efficacy outcomes were analysed using multi-level mixed regression models. A total of 243 FSWs were recruited into the study (control n=66 and experimental n=177) and 107 of them (44%) were available at 16 weeks follow-up. The intervention demonstrated feasibility and positive outcomes for consistent condom use with boyfriends, casual partners and clients of FSWs were obtained. The interaction effect between condition and time indicated increased consistent condom use with boyfriends in the experimental condition (p=0.02). Adherence to the intervention by the FSWs was moderate with the mean sessions attended at 4.4(SD=2.0). The attrition rate during the intervention was high due to mobility of the FSWs. The intervention showed feasibility and effect outcomes indicate promise in enhancing condom use with steady partners of BB FSWs. The design of HIV prevention interventions may benefit from the inclusion of gatekeepers in the promotion of condom use within the brothel, but an adequately powered phase III trial is needed to inform large-scale implementation of this approach.

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Moderating and Mediating Effects of Socioeconomic Status, Perceived Peer Condom Use, and Condom Negotiation on Sexual Risk Behavior among African-American and White Adolescent Females

Annals of the New York Academy of Sciences ◽

10.1111/j.1749-6632.1999.tb08173.x ◽

1999 ◽

Vol 896 (1) ◽

pp. 474-476 ◽

Cited By ~ 9

Author(s):

CATLAINN SIONÉAN ◽

RICK S. ZIMMERMAN

Keyword(s):

Socioeconomic Status ◽

African American ◽

Condom Use ◽

Risk Behavior ◽

Sexual Risk ◽

Sexual Risk Behavior ◽

Adolescent Females ◽

Mediating Effects ◽

Condom Negotiation

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Masculinity, condom use self-efficacy and abusive responses to condom negotiation: the case for HIV prevention for heterosexual African-American men

Sexual Health ◽

10.1071/sh13011 ◽

2013 ◽

Vol 10 (5) ◽

pp. 467 ◽

Cited By ~ 10

Author(s):

Jerris L. Raiford ◽

Puja Seth ◽

Nikia D. Braxton ◽

Ralph J. DiClemente

Keyword(s):

African American ◽

Condom Use ◽

Self Efficacy ◽

African American Men ◽

Masculine Norms ◽

Hiv Interventions ◽

Female Partners ◽

Condom Negotiation ◽

Sexually Transmissible Infections ◽

Condom Use Skills

Background This study explored the role of masculinity and perceived condom use skills in African-American men’s abusive response to female partners’ condom requests. Methods: Eighty African-American men aged 18–29 years completed measures on sexual behaviour, responses to condom requests, condom use self-efficacy and other masculine constructs. Men also were tested for sexually transmissible infections. Results: Men’s condom use self-efficacy explained 16.5% of the variance in abusive response to condom requests, beyond demographics and masculine constructs. The full model accounted for 63% of the variance. Conclusions: Many HIV interventions with women encourage condom negotiation. Findings highlight the need to address men’s condom use skills and masculine norms.

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Factorial Structure and Psychometric Properties of a Brief Scale of the Condom Use Self-Efficacy for Spanish-Speaking People

Health Education & Behavior ◽

10.1177/1090198118806964 ◽

2018 ◽

Vol 46 (2) ◽

pp. 295-303 ◽

Cited By ~ 2

Author(s):

María-Dolores Gil-Llario ◽

Vicente Morell-Mengual ◽

Estefanía Ruiz-Palomino ◽

Rafael Ballester-Arnal

Keyword(s):

Factor Analysis ◽

Condom Use ◽

Psychometric Properties ◽

Self Efficacy ◽

Convergent Validity ◽

Factorial Structure ◽

Barrier Methods ◽

Condom Negotiation ◽

Fear Of Rejection ◽

Positive Correlations

Background. Studies have shown the role played by perceived self-efficacy in explaining condom negotiation and condom use. Aims. The factorial structure and the psychometric properties of the Brief Condom Use Self-Efficacy Scale are presented. Method. The study included 368 men and 456 women aged 17 to 55 years ( Mage = 25.01, SD = 6.93). Results. Exploratory factor analysis yielded three factors: fear of rejection, impulse control, and condom acquisition and negotiation, which together accounted for 68% of the total variance. That structure was confirmed through confirmatory factor analysis. Cronbach’s alpha for the Brief Condom Use Self-Efficacy Scale was .71. The scale provided adequate convergent validity, and positive correlations were observed between self-reported condom use and self-efficacy for use of other barrier methods. Discussion. This brief instrument could be a useful and appropriate measure to assess the types of condom use self-efficacy that occur at the different moments of a sexual relationship.

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