189856 Using Structural Equation Modeling to Test the Theory of Reasoned Action: Predicting Sexual Behavior

Monday, October 27, 2008

Teri Malo, MPH, CHES , Department of Community and Family Health, University of South Florida, College of Public Health, Tampa, FL
Purpose: This study examined proximal, intrapersonal factors associated with delaying first sexual intercourse in a national sample of adolescents. Specifically, this research investigated the utility of the Theory of Reasoned Action (TRA) as a plausible model for predicting whether an adolescent engages in sexual intercourse. Methods: This analysis used data from Waves I and II of the National Longitudinal Study of Adolescent Health to test the applicability of the TRA (n = 3,395). Structural equation modeling (SEM) tested the TRA constructs simultaneously and accounted for measurement error. Results: With the exception of the path from intention to behavior at Wave II, the standardized regression weight and all probit regression coefficients were statistically significant (p<.05): path between attitude and subjective norm = -.301, from attitude to intention = .328, subjective norm to intention = -.415, intention to behavior at Wave I = -.557, and behavior at Wave I to behavior at Wave II = .854. The modification indices suggested the addition of a path from subjective norm to behavior at Wave I (.186). Conclusion: The TRA may be useful for predicting whether an adolescent engages in sexual intercourse. All measured variables for subjective norm concerned one's perception of parental approval or disapproval of engaging in sexual intercourse. Researchers should continue to explore the importance of perceived norms, particularly parental perceptions. Educators and other practitioners should continuously reevaluate theoretical models on which programs and interventions are based, and SEM is a useful statistical technique for examining the practical utility of theory.

Learning Objectives:
At the conclusion of the presentation, the participant should be able to (1) identify proximal, interpersonal factors associated with delaying first sexual intercourse among adolescents, and (2) describe how structural equation modeling can be used to test theory.

Keywords: Sexual Behavior, Theory

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Student member of Delta Omega
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.