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Abstract

Objective. The information–motivation–behavioral skills model was used to investigate which factors were associated with condom accessibility among undergraduate college aged adults. Our aim was to also examine moderating effects of erotophobia/erotophilia and alcohol use, as these have been related to sexual risk and prevention behaviors among young adults. Method. Participants completed survey questionnaires on personal computers. Results. Support was found for the paths of the information–motivation–behavioral skills model. Alcohol use moderated the mediating effect of behavioral skills between motivation and condom accessibility, and erotophobia/erotophilia moderated the effect of motivation and behavioral skills on condom accessibility. Higher alcohol use was associated with a lower likelihood of having condoms accessible, and individuals with higher levels of erotophobia had weaker paths between motivation and behavioral skills than those with lower levels. Discussion. Discussion centers on the role of individual differences on protective behaviors that require planning and how intervention efforts can be tailored to promote these changes.

Keywords

health promotion HIV/AIDS sexual health school health reproductive health university/college health

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References

Abdool Karim

S. S.

Preston-Whyte

(1992). Teenagers seeking condoms at family planning services. Part II. A provider’s perspective. South African Medical Journal, 82, 360-362.

Arbuckle

J. L.

Wothke

(1999). Amos 4.0 user’s guide. Chicago, IL: SPSS Inc. and SmallWaters Corporation.

Bandura

(1992). A social cognitive approach to the exercise of control over AIDS infection. In DiClemente

R. J.

(Ed.), Adolescents and AIDS: A generation in jeopardy (pp. 89-116). Newbury Park, CA: Sage.

Carey

M. P.

Morrison-Beedy

Johnson

B. T.

(1997). The HIV-Knowledge Questionnaire: Development and evaluation of a reliable, valid, and practical self-administered questionnaire. AIDS and Behavior, 1, 61-74. doi:10.1023/A:1026218005943

Centers for Disease Control and Prevention. (2006). HIV/AIDS surveillance in adolescents & young adults (through 2004), slide set, pp. 1-16. Retrieved from http://www.cdc.gov/hiv/topics/surveillance/resources/slides/adolescents/index.htm

Centers for Disease Control and Prevention. (2009). Alcohol use and health facts sheet. Retrieved from http://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm

Chodon

(2001). The role of culture in HIV/AIDs health care: A practical guide for providers serving Asian and Pacific Islander Americans. New York, NY: Asian & Pacific Islander Coalition on HIV/AIDs.

Fernández-Serrano

M. J.

Pérez-García

Verdejo-García

(2011). What are the specific vs. generalized effects of drug abuse on neuropsychological performance? Neuroscience and Biobehavioral Reviews, 35, 377-406.

Fisher

J. D.

Fisher

W. A.

(2000). Theoretical approaches to individual-level change in HIV risk behavior. In Peterson

DiClemente

(Eds.), Handbook of HIV prevention (pp. 3-55). New York, NY: Kluwer Academic/Plenum.

10.

Fisher

J. D.

Fisher

W. A.

Amico

K. R.

Harman

J. J.

(2006). An information-motivation-behavioral skills model of adherence to antiretroviral therapy. Health Psychology, 25, 462-473.

11.

Fisher

W. A.

(1998). The sexual opinion survey. In Davis

C. M.

Yarber

W. L.

Bauserman

Schreer

Davis

S. L.

(Eds.), Handbook of sexuality-related measures (pp. 218-223). Thousand Oaks, CA: Sage.

12.

Fisher

W. A.

Byrne

White

L. A.

Kelley

(1988). Erotophobia-erotophilia as a dimension of personality. Journal of Sex Research, 25, 123-151.

13.

Fisher

W. A.

Fisher

J. D.

(1992). Understanding and promoting AIDS preventive behavior: A conceptual model and educational tools. Canadian Journal of Human Sexuality, 1, 99-106.

14.

Fisher

W. A.

Frenier

Watters

W. W.

Lamont

Cohen

Askwith

(1988). Students’ sexual knowledge, attitudes toward sex, and willingness to treat sexual concerns. Journal of Medical Education, 63, 379-385.

15.

Fitzpatrick

McCray

Smith

D. K.

(2004). The global HIV/AIDS epidemic and related mental health issues. Journal of Black Psychology, 30, 78-105.

16.

Fromme

D’Amico

Katz

(1999). Intoxicated sexual risk-taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol, 60, 54-63.

17.

Gilmour

Abdool Karim

S. S.

Fourie

H. J.

(2000). Availability of condoms in urban and rural areas of KwaZulu-Natal, South Africa. Sexually Transmitted Disease, 27, 353-357.

18.

Hendershot

C. S.

Stoner

S. A.

George

W. H.

Norris

(2007). Alcohol use, expectancies, and sexual sensation seeking as correlates of HIV Risk Behavior in Heterosexual Young Adults. Psychology of Addictive Behaviors, 21, 365-372.

19.

The Henry J. Kaiser Family Foundation & The National Center on Addiction and Substance Abuse at Columbia University. (2002). Millions of young people mix sex with alcohol or drugs—with dangerous consequences. Retrieved from http://parentsstepup.org/wp-content/uploads/2011/01/Underage-Dinking-Leaves-Girls-Vulnerable.pdf

20.

Humphreys

Newby

(2007). Initiating new sexual behaviors in heterosexual relationships. Canadian Journal of Human Sexuality, 16, 77-88.

21.

Jemmott

J. B.

Jemmott

L. S.

(2000). HIV risk reduction behavioral interventions with heterosexual adolescents. AIDS, 14(Suppl. 2), S40-S52.

22.

Lewin

(2002). Teenage drinking a problem but not in way study says. New York Times, p. A-19.

23.

Lewis

J. E.

Miguez-Burbano

Malow

R. M.

(2009). HIV risk behavior among college students in the United States. College Student Journal, 43, 475-491.

24.

Macapagal

Janssen

(2011). The valence of sex: Automatic affective associations in erotophilia and erotophobia. Personality and Individual Differences, 51, 699-703.

25.

Maisto

S. A.

Carey

M. P.

Carey

K. B.

Gordon

C. M.

Schum

J. L.

(2004). Effects of alcohol and expectancies on HIV-related risk perception and behavioral skills in heterosexual women. Experimental and Clinical Psychopharmacology, 12, 288-297.

26.

McElrath

(2005). MDMA and sexual behavior: Ecstasy users’ perceptions about sexuality and sexual risk. Substance Use & Misuse, 40, 1461-1477.

27.

Moore

S. G.

Dahl

D. W.

Gorn

G. W.

Weinberg

C. B.

(2006). Coping with condom embarrassment. Psychology, Health and Medicine, 11, 70-79.

28.

Muller

Judd

C. M.

Yzerbyt

V. Y.

(2005). When moderation is mediated and mediation is moderated. Journal of Personality and Social Psychology, 89, 852-863.

29.

Munoz

F. A.

Pollini

R. A.

Zuniga

M. L.

Strathdee

S. A.

Lozada

Martinez

G. A.

Patterson

T. L.

(2010). Condom access: Associations with consistent condom use among female sex workers in two northern border cities of Mexico. AIDS Education and Prevention, 22, 455-465.

30.

Sanders

S. A.

Graham

C. A.

Yarber

W. L.

Crosby

R. A.

Dodge

Milhausen

R. R.

(2006). Women who put condoms on male partners: Correlates of condom application. American Journal of Health Behavior, 30, 460-466.

31.

Shim

J. W.

Lee

Paul

(2007). Who responds to unsolicited sexually explicit materials on the internet? The role of individual differences. Cyber Psychology & Behavior, 10, 71-79.

32.

Trenholm

Devaney

Fortson

Clark

Bridgespan

L. Q.

Wheeler

(2008). Impacts of abstinence education on teen sexual activity, risk of pregnancy, and risk of sexually transmitted diseases. Journal of Policy Analysis and Management, 27, 255-276.

Condom Accessibility

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