Abstract
BACKGROUND: The purpose of the current study was to compare African American college students who reported condom use for pregnancy prevention only, disease prevention only, and both pregnancy and STD prevention (i.e., dual prevention) in terms of their AIDS-related health beliefs, conventional sexual behavior, and unconventional sexual behavior. It was hypothesized that dual-prevention adolescents would express more health protective attitudes and behaviors than single-prevention individuals. METHOD: The sample consisted of 171 African American, undergraduate, single, heterosexual, and sexually active students with at least one partner in the past six months and who used condoms. A self-report questionnaire was administered-including items related to demographic and background information, sexual activity, condom use behavior, and knowledge, attitudes, and beliefs about HIV/AIDS, to participants in groups of 10-30 students in university classroom settings. RESULTS: The main between-group differences were in comparisons of pregnancy-prevention-only condom users and dual-prevention condom users. Participants who used condoms to prevent pregnancy only were less likely to be female, perceived themselves to be less susceptible to HIV/AIDS, perceived fewer barriers to condom use, and reported fewer vaginal sex partners. CONCLUSIONS: Intervention programs must address the relation between African American adolescents' beliefs about susceptibility to HIV/AIDS and unintended pregnancy, as well as their views of involvement in monogamous relationships. Integrated prevention services may allow for discussions of similarities and differences in the issues relevant to condom use for pregnancy prevention versus disease prevention.
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- Cardigan R., Sutherland J., Garwood M., Krailadsiri P., Seghatchian J., Beard M., Beckman N., Williamson L. M. The effect of leucocyte depletion on the quality of fresh-frozen plasma. Br J Haematol. 2001 Jul;114(1):233–240. doi: 10.1046/j.1365-2141.2001.02907.x. [DOI] [PubMed] [Google Scholar]
- Clark L. R., Brasseux C., Richmond D., Getson P., D'Angelo L. J. Are adolescents accurate in self-report of frequencies of sexually transmitted diseases and pregnancies? J Adolesc Health. 1997 Aug;21(2):91–96. doi: 10.1016/s1054-139x(97)00042-6. [DOI] [PubMed] [Google Scholar]
- Crosby R. A., DiClemente R. J., Wingood G. M., Sionean C., Cobb B. K., Harrington K., Davies S. L., Hook E. W., 3rd, Oh M. K. Correlates of using dual methods for sexually transmitted diseases and pregnancy prevention among high-risk African-American female teens. J Adolesc Health. 2001 May;28(5):410–414. doi: 10.1016/s1054-139x(00)00210-x. [DOI] [PubMed] [Google Scholar]
- Gillmore M. R., Morrison D. M., Richey C. A., Balassone M. L., Gutierrez L., Farris M. Effects of a skill-based intervention to encourage condom use among high risk heterosexually active adolescents. AIDS Educ Prev. 1997 Feb;9(1 Suppl):22–43. [PubMed] [Google Scholar]
- Grimley D. M., Riley G. E., Bellis J. M., Prochaska J. O. Assessing the stages of change and decision-making for contraceptive use for the prevention of pregnancy, sexually transmitted diseases, and acquired immunodeficiency syndrome. Health Educ Q. 1993 Winter;20(4):455–470. doi: 10.1177/109019819302000407. [DOI] [PubMed] [Google Scholar]
- Hillman E., Hovell M. F., Williams L., Hofstetter R., Burdyshaw C., Rugg D., Atkins C., Elder J., Blumberg E. Pregnancy, STDS, and AIDS prevention: evaluation of New Image Teen Theatre. AIDS Educ Prev. 1991 Winter;3(4):328–340. [PubMed] [Google Scholar]
- Kirby D., Korpi M., Adivi C., Weissman J. An impact evaluation of project SNAPP: an AIDS and pregnancy prevention middle school program. AIDS Educ Prev. 1997 Feb;9(1 Suppl):44–61. [PubMed] [Google Scholar]
- Langer L. M., Zimmerman R. S., Katz J. A. Which is more important to high school students: preventing pregnancy or preventing AIDS? Fam Plann Perspect. 1994 Jul-Aug;26(4):154–159. [PubMed] [Google Scholar]
- Laraque D., McLean D. E., Brown-Peterside P., Ashton D., Diamond B. Predictors of reported condom use in central Harlem youth as conceptualized by the health belief model. J Adolesc Health. 1997 Nov;21(5):318–327. doi: 10.1016/S1054-139X(97)00142-0. [DOI] [PubMed] [Google Scholar]
- St Lawrence J. S. African-American adolescents' knowledge, health-related attitudes, sexual behavior, and contraceptive decisions: implications for the prevention of adolescent HIV infection. J Consult Clin Psychol. 1993 Feb;61(1):104–112. doi: 10.1037//0022-006x.61.1.104. [DOI] [PubMed] [Google Scholar]
- Stein Z. Family planning, sexually transmitted diseases, and the prevention of AIDS--divided we fail? Am J Public Health. 1996 Jun;86(6):783–784. doi: 10.2105/ajph.86.6.783. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Whaley A. L. Differential risk perceptions for unintended pregnancy, STDs, and HIV/AIDS among urban adolescents: some preliminary findings. J Genet Psychol. 2000 Dec;161(4):435–452. doi: 10.1080/00221320009596723. [DOI] [PubMed] [Google Scholar]
- Whaley A. L. Preventing the high-risk sexual behavior of adolescents: focus on HIV/AIDS transmission, unintended pregnancy, or both? J Adolesc Health. 1999 Jun;24(6):376–382. doi: 10.1016/s1054-139x(98)00153-0. [DOI] [PubMed] [Google Scholar]
- Wingood G. M., DiClemente R. J. Gender-related correlates and predictors of consistent condom use among young adult African-American women: a prospective analysis. Int J STD AIDS. 1998 Mar;9(3):139–145. doi: 10.1258/0956462981921891. [DOI] [PubMed] [Google Scholar]
- Wulfert E., Wan C. K. Condom use: a self-efficacy model. Health Psychol. 1993 Sep;12(5):346–353. doi: 10.1037//0278-6133.12.5.346. [DOI] [PubMed] [Google Scholar]
