Development of Condom-Use Self-Efficacy Over 36 Months Among Early Adolescents: A Mediation Analysis

This research evaluates condom-use self-efficacy and its increase throughout adolescence. Documentation of the development of condom-use self-efficacy would be important for prevention efforts given the influence of self-efficacy on actual condom usage. This study assesses a hypothesized mediation m...

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Veröffentlicht in:The Journal of early adolescence 2012-10, Vol.32 (5), p.711-729
Hauptverfasser: Chen, Xinguang, Dinaj-Koci, Veronica, Brathwaite, Nanika, Cottrell, Lesley, Deveaux, Lynette, Gomez, Perry, Harris, Carole, Li, Xiaoming, Lunn, Sonja, Marshall, Sharon, Stanton, Bonita
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container_end_page 729
container_issue 5
container_start_page 711
container_title The Journal of early adolescence
container_volume 32
creator Chen, Xinguang
Dinaj-Koci, Veronica
Brathwaite, Nanika
Cottrell, Lesley
Deveaux, Lynette
Gomez, Perry
Harris, Carole
Li, Xiaoming
Lunn, Sonja
Marshall, Sharon
Stanton, Bonita
description This research evaluates condom-use self-efficacy and its increase throughout adolescence. Documentation of the development of condom-use self-efficacy would be important for prevention efforts given the influence of self-efficacy on actual condom usage. This study assesses a hypothesized mediation mechanism of the development of self-efficacy using a mediation analysis approach. The participants, 497 Grade-6 Bahamian students, were randomly assigned to the control condition in a 3-year longitudinal HIV prevention program trial. Condom–use self-efficacy consistently increased and condom-use self-efficacy assessed at earlier periods was positively associated with its values at subsequent periods. Additionally, self-efficacy assessed between two time points 1 year apart or longer (e.g., 6 months between baseline and 12 months) significantly mediated the impact of its levels at the previous assessment on the level at the subsequent assessment. To sustain program effect, HIV prevention programs should strive to enhance self-efficacy and provide reinforcing “boosters” no later than 12 months postintervention.
doi_str_mv 10.1177/0272431611419507
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Documentation of the development of condom-use self-efficacy would be important for prevention efforts given the influence of self-efficacy on actual condom usage. This study assesses a hypothesized mediation mechanism of the development of self-efficacy using a mediation analysis approach. The participants, 497 Grade-6 Bahamian students, were randomly assigned to the control condition in a 3-year longitudinal HIV prevention program trial. Condom–use self-efficacy consistently increased and condom-use self-efficacy assessed at earlier periods was positively associated with its values at subsequent periods. Additionally, self-efficacy assessed between two time points 1 year apart or longer (e.g., 6 months between baseline and 12 months) significantly mediated the impact of its levels at the previous assessment on the level at the subsequent assessment. 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subjects Acquired Immunodeficiency Syndrome (AIDS)
Adolescents
Bahamas
Child development
Condoms
Contraception
Control Groups
Correlation
Early Adolescents
Elementary School Students
Foreign Countries
Grade 6
HIV
Human immunodeficiency virus
Intervention
Longitudinal Studies
Prevention
Prevention programs
Program Effectiveness
Self Efficacy
Self esteem
Sexual behavior
Sexually Transmitted Diseases
Teenagers
title Development of Condom-Use Self-Efficacy Over 36 Months Among Early Adolescents: A Mediation Analysis
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