Partner Communication Skills and Condom Use Among College Couples

2004 ◽  
Vol 52 (6) ◽  
pp. 263-267 ◽  
Author(s):  
Heather E Tulloch ◽  
Kevin D McCaul ◽  
Raymond G Miltenberger ◽  
Joshua M Smyth
Keyword(s):  
Condom Use ◽  
Communication Skills ◽  
Partner Communication

scholarly journals “I enjoy sex more without condoms": revisiting barriers and facilitators of consistent condom use among adolescents and young adults in South Africa

2021 ◽  
Author(s):  
Anthony Ajayi ◽  
Olumuyiwa Omonaiye ◽  
Charlotte Nwogwugwu
Keyword(s):  
South Africa ◽  
Young People ◽  
Condom Use ◽  
Financial Support ◽  
Consistent Condom ◽  
Sexually Active ◽  
Partner Communication ◽  
Consistent Condom Use ◽  
Inconsistent Condom ◽  
Inconsistent Condom Use

Abstract Background Previous studies have examined consistent condom use correlates in South Africa, focusing on sociodemographic factors, HIV risk perceptions, relationship conflict, multiple sexual partners, and masculinity. However, the effect of family financial support, HIV testing, partner communication and self-efficacy for HIV prevention is less studied. We drew from a cross-sectional survey to address this gap and highlight the key barriers and facilitators of consistent condom use among young people. Methods We analysed data obtained from 631 unmarried sexually active male and females students selected using stratified sampling from a university in Eastern Cape Province of South Africa. Consistent condom use was defined as regular use of condoms in all sexual encounters in the past year. We used an open-ended question to probe the reasons for inconsistent condom use. Adjusted and unadjusted regression analysis were fitted to examine factors associated with consistent condom use. Results The prevalence of consistent condom use was 39.3% (CI: 35.5%-43.2%), with no significant gender and age differences. After adjusting for relevant covariates, living with foster parents (AOR; 1.80 95% CI; 1.09-2.97), adequate family financial support (AOR; 2.49 95% CI; 1.71-3.62), partner knew status (AOR; 1.91 95% CI; 1.09-3.37) and feeling confident in one's ability to prevent HIV (AOR; 1.77 95% CI; 1.09-2.86) were associated with increased odds of consistent condom use. However, self-report of low condom self-efficacy (AOR; 0.58 95% CI; 0.40-0.85) and alcohol use (AOR; 0.83 95% CI; 0.58-1.19) were associated with lower odds of consistent condom use. Young people who inconsistently used condoms reiterated that sex is often unplanned and condoms are not always available. The desire for maximum pleasure, partner's objection, trust, and use of hormonal contraceptives were further reasons others inconsistently use condoms. Conclusions Inconsistent condom use remains a challenge among unmarried sexually active young people in South Africa. Education of young people on the need for partner communication about HIV, HIV testing uptake, and condom use should happen more rigorously in school and through the media to improve their consistent use of condoms.

To Use or Not to Use?: A Mixed Methods Study on Predictors and Barriers of Condom Use Among College Students

2020 ◽  
Vol 12 (2) ◽  
pp. 216-233
Author(s):  
Olga Pysmenna ◽  
Stan Korotchenko ◽  
Su-I Hou
Keyword(s):  
College Students ◽  
Condom Use ◽  
Sexual Behaviors ◽  
Qualitative Data ◽  
Research Question ◽  
Risky Behaviors ◽  
Hiv Status ◽  
Anal Sex ◽  
Partner Communication ◽  
And Gender

Unprotected anal sex is one of the highest-risk sexual behaviors associated with high rates of STIs. College students often engage in sexual risky behaviors without consistently using condoms. This study examined predictors of condom use among students who engaged in anal sex (n = 242) at an American Southeastern university. Using a convergent research design, researchers used both quantitative and qualitative data to answer the research question. The quantitative data showed that partner communication and gender were statistically significant predictors of condom use. Qualitative results indicated the importance of communication between partners and knowledge of a partner’s HIV status. Qualitative data also revealed that experiential attitudes are an important factor of condom non-use in anal sex. Merged results illustrated that students tend not to use condoms during anal sex overall and the importance of communication between partners.

scholarly journals Influence of sexual arousability on partner communication mediators of condom use among African American female adolescents

Sexual Health ◽  
2015 ◽  
Vol 12 (4) ◽  
pp. 322 ◽  
Author(s):  
Andrea Swartzendurber ◽  
Sarah H. Murray ◽  
Jessica M. Sales ◽  
Robin R. Milhausen ◽  
Stephanie A. Sanders ◽  
...  
Keyword(s):  
African American ◽  
Condom Use ◽  
Sexual Arousal ◽  
Self Efficacy ◽  
Sexual Communication ◽  
Female Adolescents ◽  
African American Female ◽  
Partner Communication ◽  
Sexual Arousability ◽  
Communication Frequency

Background Ample evidence shows that partner sexual communication is related to condom use. Although communication about safer sex may often occur when sexual arousal is high, no studies have examined arousability, one’s propensity for sexual arousal and partner sexual communication. The purpose of this study was to examine associations between sexual arousability and partner-related mediators of condom use among African American female adolescents, who have disproportionate risk for HIV and sexually transmissible infections (STIs). Methods: The study analysed self-reported baseline data from 701 African American females aged 14–20 years participating in a HIV/STI trial. Linear regression models examined associations between arousability and partner-related mediators of condom use (partner sexual communication self-efficacy, partner sexual communication frequency, sex refusal self-efficacy and condom use self-efficacy), controlling for age, impulsivity and relationship power. Results: Greater arousability was significantly associated with reduced levels of each partner communication outcome assessed (partner sexual communication self-efficacy, partner sexual communication frequency and sex refusal self-efficacy) but was not associated with condom use self-efficacy. Conclusions: Arousal and other positive aspects of sex have largely been ignored by HIV/STI prevention efforts, which primarily focus on individual behaviour. A population-level sexual health approach focusing on sexual wellbeing may reduce stigma, facilitate partner sexual communication and be more effective at reducing HIV/STI rates than traditional approaches.

scholarly journals Influence of sexual sensation-seeking on factors associated with risky sexual behaviour among African-American female adolescents

Sexual Health ◽  
2014 ◽  
Vol 11 (6) ◽  
pp. 540 ◽  
Author(s):  
Tiarney D. Ritchwood ◽  
Dolly C. Penn ◽  
Ralph J. DiClemente ◽  
Eve S. Rose ◽  
Jessica M. Sales
Keyword(s):  
African American ◽  
Condom Use ◽  
Sexual Risk ◽  
Sensation Seeking ◽  
Sexual Partners ◽  
African American Females ◽  
Computer Assisted ◽  
African American Female ◽  
Partner Communication ◽  
Sexual Sensation Seeking

Background The identification of antecedents to sexual risk among youth is critical to the development and dissemination of multilevel interventions. Therefore, the aim of the present study was to examine the effect of sexual sensation-seeking on partner age, partner communication, and the sexual attitudes and behaviours of African-American female youth. Methods: This study examined survey data collected by audio computer-assisted self-interviews from 701 young African-American females between 14 and 20 years of age. The survey consisted of items designed to measure adolescents’ sexual risk and preventive behaviours. Results: The results of this study suggest that sexual sensation-seeking is associated with condom use among adolescent African-American females. For adolescents who reported greater sexual sensation-seeking, lower levels of sexual happiness were associated with a decreased likelihood of condom use at last intercourse (β = 1.01, P ≤ 0.05). For those reporting lower levels of sexual sensation-seeking, greater sexual enjoyment was associated with a greater likelihood of condom use at last intercourse (β = 0.93, P ≤ 0.01). Adolescents with younger sexual partners and lower levels of sexual sensation-seeking reported a higher proportion of condom use in the past 6 months (β = 0.70, P = 0.01). Higher partner communication self-efficacy and decreasing levels of sexual sensation-seeking were associated with fewer lifetime sexual partners (β = –0.54, P ≤ 0.05). Conclusions: Future research should address the impact of these variables on adolescent relationship dynamics and sexual decision-making.

scholarly journals Reducing HIV/STI Risk Among Adolescents Aged 12 to 14 Years: a Randomized Controlled Trial of Project Prepared

2021 ◽  
Author(s):  
Laurie J. Bauman ◽  
Dana Watnick ◽  
Ellen Johnson Silver ◽  
Angelic Rivera ◽  
Jamie Heather Sclafane ◽  
...  
Keyword(s):  
Condom Use ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Gender Norms ◽  
Estimating Equation ◽  
Outcome Expectancy ◽  
Sexual Content ◽  
Partner Communication ◽  
Hiv Knowledge ◽  
Sti Prevention

AbstractDespite calls for evidence-based HIV/STI prevention programs for youth aged 12 to 14 transitioning to adolescence, few effective programs exist. In a two-group intent-to-treat randomized trial in the Bronx, NY, 397 participants were randomly assigned to Project Prepared or an attention control, TEEN. Participants completed surveys at baseline, 6 months, and 12 months. Prepared had two components, an 11-session program and a 3-week internship. Content covered sexual risk behavior, social cognitions, gender norms, relationships, and resilience. TEEN built communication skills and had the same intensity and structure as Prepared but no sexual content. In both, boys and girls were trained together in mixed groups of ~ 11 teens. Primary outcomes were HIV knowledge, self-efficacy, condom outcome expectancy, and behavioral intentions. Secondary outcomes were relationship expectations and endorsement of risky gender norms. Generalized estimating equation analyses showed youth randomized to Prepared had significant improvements compared to TEEN at T2 in HIV knowledge, sexual self-efficacy, and outcome expectancy for condom use. At T3, there were significant differences favoring Prepared in outcome expectancy for condom use, sexual self-efficacy, and intention for partner communication about HIV/AIDS or STIs. Analyses by gender showed program effects in both boys (intention to talk to a partner about condom use, abstinence self-efficacy, sexual self-efficacy, and condom outcome expectancy) and girls (gender norms, and abstinence outcome expectancy). Prepared effectively reduced risk in young adolescents. ClinicalTrials.gov ID: NCT01880450, Protocol ID: 2008-551

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