To further understand the predictors of condom use for HIV prevention, this cross-sectional study surveyed 276 heterosexually active couples, between the ages of 16 and 29, who had been dating for less than one year. Each partner completed a self-report, multidimensional survey package and returned it via mail. Study objectives were to examine: (1) whether variables previously associated with condom use in studies of individuals (i.e., communication, attitudes toward condoms, knowledge, relationship variables), were associated with condom use in the context of the couple relationship; (2) whether there were paired-gender differences on the predictor variables; and (3) whether attachment style was associated with condom use among the couples sampled. The unique and innovative aspects of the study were its focus on couples and its exploration of the influence of attachment. The study yielded several important results. First, congruence of partner scores regarding the perception of need for condoms safe relationships was of particular importance in predicting the likelihood of condom use. Consistent condom use was more likely to occur if both partners held a positive perception; inconsistent or non-condom use was more likely if both partners held a negative view. Second, the variables that had been previously identified as predictors in studies of individuals, taken together, helped to correctly classify inconsistent/no-condom use, but did not do so for consistent use. Third, although females reported asking questions about their partner's sexual history more often than did males, and also reported carrying the burden of the decision to use condoms, their decision was ultimately influenced by their male partner's perception of whether condoms should be used. Finally, although there were no significant relationships between attachment style and condom use, it is not possible to rule out the absence of an association owing to the inadequate representation of all attachment styles in this sample. Furthermore, significant correlations were observed between condom use predictor variables and attachment working models that represent the individual's image of other people, and the individual's image of self. Results are discussed with respect to decision-making heuristics and optimistic bias regarding HIV/STD risk perceptions, and implications for intervention strategies are suggested.
| Identifer | oai:union.ndltd.org:uottawa.ca/oai:ruor.uottawa.ca:10393/6298 |
| Date | January 2002 |
| Creators | Edgley, Krista. |
| Contributors | Hotz, Stephen, |
| Publisher | University of Ottawa (Canada) |
| Source Sets | Université d’Ottawa |
| Detected Language | English |
| Type | Thesis |
| Format | 188 p. |
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