This study examined cultural norms regarding contraceptive and condom use behavior among heterosexual couples at three sites. Gender and site differences in the endorsement of these cultural beliefs were also explored. Face to face interviews were conducted with each partner of 90 sexually active couples at Atlanta, GA (100% African American); Los Angeles, CA (100% Latino); and Oklahoma City, OK (43% African American, 43% non-Hispanic white, and 14% other). Participants were asked to indicate their level of agreement on a 4-point Likert scale with 20 statements about contraceptive and condom use behavior. Data were analyzed using cultural consensus modeling techniques. Consensus analysis allows determination of whether a population or subgroup of the population possess a common set of beliefs or values. Results indicate that Atlanta participants do not share a common set of values and beliefs. Respondents from Los Angeles, however, do share a common cultural model regarding contraception and condom use behavior. Respondents from Oklahoma City also demonstrate evidence of a shared model. Findings from both LA and Oklahoma indicate that while condoms are clearly seen as a contraceptive method, they are also recognized as a form of protection from disease; that women are more likely than men to suggest condom use and feel more strongly than men about using condoms; and that condom use is not necessarily associated with infidelity. Additional findings and implications for designing an intervention that promotes condom use and reduces the risk of HIV/STDs among heterosexual couples will be discussed.
Learning Objectives: 1. List the subgroups of individuals (defined by geographic location and gender) that share a common set of beliefs about contraceptive and condom use behavior. 2. Identify five specific cultural beliefs regarding contraceptive and condom use behavior held by members of these subgroups. 3. Discuss the application of these findings in the design of a couple-based intervention to reduce the risk of HIV/STDs and unintended pregnancy
Keywords: STD Prevention, Contraception
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.