Online Program

Condom Attitude Concordance Between Couples As a Predictor of Use

Tuesday, November 3, 2015 : 1:00 p.m. - 1:15 p.m.

Benjamin Rush, B.S., School of Public Health, Indiana University Bloomington, Bloomington, IN
Emily Abbruzzi, MPH, School of Public Health, Indiana University Bloomington, Bloomington, IN
Israel Rodriguez, MPH, School of Public Health, Indiana University Bloomington, Bloomington, IN
Aaron Sayegh, PhD, Department of Epidemiology & Biostatistics, Indiana University-Bloomington, Bloomington, IN
Debby Herbenick, PhD, MPH, Center for Sexual Health Promotion, Indiana University-Bloomington, Bloomington, IN
Michael Reece, PhD, MPH, School of Public Health, Indiana University-Bloomington, Bloomington, IN
Background: Condom use is a partner negotiated behavior. As such, the degree to which partners agree in their beliefs and attitudes about condoms may influence the consistency of use. This study focuses on the concordance of condom attitudes and beliefs between partners as a measure of subjective norms and a predictor of use. Methods: The Couples’ Daily Vibrator Use Study collected information about condom attitudes, self-efficacy, beliefs and use from 206 heterosexual couples; 412 individuals, ages 18 to 49 years. Analyses of the individual and dyadic data relied on structural equation modeling to test the effects of concordance between measures on condom use. Results: Global and local fit statistics indicate that the model with concordance measures reflects the underlying data. The greater the concordance of positive attitudes (β=0.27, p≤0.05) and mutual self-efficacy (β= 0.52, p≤0.05) between male and female partners, the greater the reported level of condom use (β= 0.29, p≤0.05). While belief concordance is high (R2 = 0.64), it does not predict condom use. Conclusions: When couples use condoms, of particular concern, is convenience or ease rather than beliefs about effectiveness. Condom attitude concordance is an effective measure of subjective norms, especially in the context of romantic/ monogamous relationships. Behavioral models should consider such measures when such behaviors are partner mediated.

Learning Areas:

Administer health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Analyze agreement of condom attitudes and beliefs between partners as an indicator of subject norms. Assess the effect of concordance as subject norms in behavioral models of condom use.

Keyword(s): Contraception, STDs/STI

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently a Master's of Public Health candidate with a concentration in Epidemiology. I am currently involved in a study that involves assessing risk of communicable disease in nursing homes in the southern Indiana region. I am also involved with events that promote sexual health throughout campus.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Church and Dwight Co. Product developement Independent Contractor (contracted research and clinical trials)

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.

Back to: 4253.0: Thinking about condoms