doi:10.1007/s10461-007-9264-1

Paper Title

A Theory-Based Approach to Understanding Condom Errors and Problems Reported by Men Attending an STI Clinic

Authors

Keywords

Condom Errors
Condom Problems
IMB Model (Information–Motivation–Behavioral Skills)
STI Clinic
Men
Sexually Transmitted Infections (STIs)
Condom Use Errors
Behavioral Skills
Condom Use Motivation
Safer Sex Programs
Condom Use Information
Sexual Behavior
Public Health Interventions
Sexual Health Education
Condom Use Prevention
Sexual Risk Reduction
Clinic-Based Interventions
Health Promotion
Correct Condom Use

Article Type

Original Article

Journal

AIDS and Behavior

Research Impact Tools

DOI

10.1007/s10461-007-9264-1

Issue

Volume : 12 | Page No : 412–418

Published On

June, 2007

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Abstract

We employed the information–motivation–behavioral skills (IMB) model to guide an investigation of correlates for correct condom use among 278 adult (18–35 years old) male clients attending a sexually transmitted infection (STI) clinic. An anonymous questionnaire aided by a CD-recording of the questions was administered. Linear Structural Relations Program was used to conduct path analyses of the hypothesized IMB model. Parameter estimates showed that while information did not directly affect behavioral skills, it did have a direct (negative) effect on condom use errors. Motivation had a significant direct (positive) effect on behavioral skills and a significant indirect (positive) effect on condom use errors through behavioral skills. Behavioral skills had a direct (negative) effect on condom use errors. Among men attending a public STI clinic, these findings suggest brief, clinic-based, safer sex programs for men who have sex with women should incorporate activities to convey correct condom use information, instill motivation to use condoms correctly, and directly enhance men’s behavioral skills for correct use of condoms.