Health Education Research, Vol. 8, No. 2, 255-269, 1993
© 1993 Oxford University Press
research-article |
Determinants of consistent condom use by adolescents: the impact of experience of sexual intercourse
Department of Health Education, University of Limburg P.O. Box 616, 6200 MD Maastricht, The Netherlands
This paper reports data from a cross-sectional survey of the determinants of consistent condom use of a random sample of 1018 pupils (12 –19 years old) of 18 Dutch secondary schools. The survey is based on the theory of reasoned action and self-efficacy theory. In particular, the paper focuses upon the impact of experience of sexual intercourse on attitudes, perceived social influences and self-efficacy assessments regarding condom use because of AIDS. The results clearly indicate that, besides attitudes towards condom use, subjective social norms and self-efficacy expectations are important determinants of intended use. Futhermore, the results show that intercourse experience has a negative impact on attitudes and perceived social norms regarding condom use. It is concluded that besides a transfer of knowledge and promotion of favorable attitudes towards condom use, AIDS education should pay attention to (1) the development and practice of skills in coping with social pressures to engage in unprotected intercourse, (2) the enhancement of skills regarding adequate use, purchase and possession of condoms, and (3) the improvement of pupils' assertiveness in communicating about AIDS prevention, such as initiating a discussion on condom use.
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