ASSOCIATION OF CONDOM USE AND ATTITUDES AMONG SEXUALLY ACTIVE ADOLESCENT AND YOUNG ADULT MALES Open Access
Pollard, Nancy Bedrosian (2011)
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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