Marseille 2007
Marseille 2007
Abstract book
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Abstract #235  -  Understanding Inconsistent Condom Use Using a Daily Diary Approach: Day-to-Day Variability in Predictors of Condom Use
Session:
  26.6: Posters B (Poster) on Tuesday   in  Chaired by
Authors:
  Presenting Author:   Mrs Susan M. Kiene - University of Connecticut, United States
 
  Additional Authors:  Dr Howard  Tennen, Dr Stephen Armeli,  
Aim:
This study sought to investigate the day-to-day variability in theoretical predictors of condom use, examine how this variability related to behavior, and investigate negative affective states explain day-to-day changes in these constructs. Models of health behavior change that have been applied to condom use behavior have focused on individual differences in condom use attitudes, self-efficacy, behavioral intentions, and related constructs to explain individual differences in condom use, while ignoring the possibility that day-to-day within-person changes in these constructs may contribute to understanding when individuals will use condoms.
 
Method / Issue:
Sexually-active adolescents (N = 116) in a 30-day web-based structured daily diary study reported their current feelings of negative affect, prospectively reported their HIV prevention attitudes, self-efficacy, and behavioral intentions and retrospectively reported their prior evenings sexual behaviors.
 
Results / Comments:
Z-tests confirmed that there was a statistically significant amount of day-to-day within-person variability in condom use attitudes, self-efficacy, and behavioral intentions. Linear and non-linear multilevel regression models indicated that within-person day-to-day changes in behavioral intentions and self-efficacy predicted condom use behavior and day-to-day changes in daily negative affect predicted within-person variability in behavioral intentions and self-efficacy.
 
Discussion:
These findings suggest that understanding within-person variability in social cognitive predictors of condom use may help to understand inconsistent condom use. Within-person variability in these constructs may need to be considered when targeting individuals for intervention, tailoring intervention content to individuals needs, and in creating interventions that will help individuals adopt and maintain safer behavior.
 
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