Condom Use by Low‐Income African American and Hispanic Youth With a Weil‐Known Partner

Integrating the Health Belief Model, Theory of Reasoned Action, and the Construct Accessibility Model

Anne E Norris, Kathleen Ford

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

This study used multiple group structural equation modeling (SEM) to evaluate gender and ethnic differences in a theoretical model of condom use with a well known partner. The sample consisted of urban, low income, African American and Hispanic males and females. The theoretical model incorporated concepts from the Health Belief Model (HBM), Theory of Reasoned Action (TRA), and Construct Accessibility Model (CAM). A new theoretical concept, condom predisposition, emerged from SEM as a predictor of condom use in all four gender‐ethnic groups. This concept combines elements of the TRA (attitude, partner norm) and CAM (accessibility of condom related constructs). Statistically reliable differences were found in the theoretical models for each group. For example, talking about AIDS was positively related to a predisposition to use condoms for African American males and both Hispanic males and females. In contrast, for African American females, it was their concern about AIDS that was positively related to this predisposition. These results underscore the importance of investigating gender differences within ethnic groups, and benefits of integrating different theoretical perspectives.

Original languageEnglish (US)
Pages (from-to)1801-1830
Number of pages30
JournalJournal of Applied Social Psychology
Volume25
Issue number20
DOIs
StatePublished - 1995
Externally publishedYes

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Condoms
Hispanic Americans
African Americans
Health
Theoretical Models
Acquired Immunodeficiency Syndrome
Ethnic Groups

ASJC Scopus subject areas

  • Social Psychology

Cite this

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title = "Condom Use by Low‐Income African American and Hispanic Youth With a Weil‐Known Partner: Integrating the Health Belief Model, Theory of Reasoned Action, and the Construct Accessibility Model",
abstract = "This study used multiple group structural equation modeling (SEM) to evaluate gender and ethnic differences in a theoretical model of condom use with a well known partner. The sample consisted of urban, low income, African American and Hispanic males and females. The theoretical model incorporated concepts from the Health Belief Model (HBM), Theory of Reasoned Action (TRA), and Construct Accessibility Model (CAM). A new theoretical concept, condom predisposition, emerged from SEM as a predictor of condom use in all four gender‐ethnic groups. This concept combines elements of the TRA (attitude, partner norm) and CAM (accessibility of condom related constructs). Statistically reliable differences were found in the theoretical models for each group. For example, talking about AIDS was positively related to a predisposition to use condoms for African American males and both Hispanic males and females. In contrast, for African American females, it was their concern about AIDS that was positively related to this predisposition. These results underscore the importance of investigating gender differences within ethnic groups, and benefits of integrating different theoretical perspectives.",
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