ASSOCIATION OF CONDOM USE AND ATTITUDES AMONG SEXUALLY ACTIVE ADOLESCENT AND YOUNG ADULT MALES Open Access

Pollard, Nancy Bedrosian (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/6108vb35v?locale=en
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Abstract


ABSTRACT
ASSOCIATION OF CONDOM USE AND ATTITUDES
AMONG SEXUALLY ACTIVE
ADOLESCENT AND YOUNG ADULT MALES
BY
Nancy Bedrosian Pollard, MD
Adolescent and young adult males are more likely to use condoms than other
contraceptives, but they do not use them consistently in spite of the known consequences of unprotected intercourse. Beliefs about condoms and their interference with sexual
experience may influence the decisions to use condoms. The purpose of this study was to
explore the relationship of attitudes about condoms and condom use among the sexually
active unmarried teen and young adult men surveyed by the National Survey of Family
Growth, 2006-2008. Responses to questions about the perceptions of loss of pleasure,
embarrassment, and partner appreciation from condoms were tested for association with
reports of condom use at last heterosexual intercourse. Effect modification of this
association by age, race/ethnicity, education level, and four measures of sexual
experience (age of sexual debut, number of partners in lifetime, number of partners in last
year, and number of current partners) was considered. These factors were further
investigated for independent associations with condom use while adjusting for the
condom attitudes. In this retrospective cohort of 889 males, the beliefs that condoms
diminish sexual pleasure, are embarrassing to discuss, and are not appreciated by partners
were associated with reduced likelihood of condom use at last intercourse. No evidence
of effect modification by any covariate was detected. Fewer current partners and fewer
partners in lifetime were each independently associated with greater likelihood of
condom use even while adjusted for the condom attitudes. Results from this study can
direct public health efforts and inform condom promotion programs to address negative
condom attitudes and increase condom usage in this population.


Table of Contents


TABLE OF CONTENTS

CHAPTER 1: INTRODUCTION
Introduction and Rationale 1
Problem Statement 1
Theoretical Framework 3
Purpose Statement 4
Research Question 4
Research Hypotheses 5
Significance Statement 6
Definitions of Terms 8

CHAPTER II: REVIEW OF LITERATURE
Introduction 9
Literature Search Methods 9
Review of Literature 10
Summary of Current Problem and Study Relevance 31

CHAPTER III: METHODOLOGY
Introduction 32
Population and Sample 32
Research Design 33
Measures 34
Statistical Methods 38
Limitations and Delimitations 41
Institutional Review Board 42
Summary 42

CHAPTER IV: RESULTS
Introduction 44
Findings 44
Summary 78

CHAPTER V: DISCUSSION
Introduction 81
Summary of Study 81
Conclusions 83
Implications 93
Recommendations 94

REFERENCES 96

APPENDICES
Appendix A: Institutional Review Board Letter 99

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