The moderating effect of sexual pressure on young Urban women's condom use

Authors

  • C. Ann Gakumo,

    Corresponding author
    1. University of Alabama at Birmingham School of Nursing, Nursing Building Rm. 548, 1530 3rd Ave S., Birmingham, AL 35294-1210
    • University of Alabama at Birmingham School of Nursing, Nursing Building Rm. 548, 1530 3rd Ave S., Birmingham, AL 35294-1210.
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    • Assistant Professor.

  • Linda D. Moneyham,

    1. University of Alabama at Birmingham School of Nursing, Nursing Building Rm. 548, 1530 3rd Ave S., Birmingham, AL 35294-1210
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    • Professor & Rachel Z. Booth Endowed Chair.

  • Comfort C. Enah,

    1. University of Alabama at Birmingham School of Nursing, Nursing Building Rm. 548, 1530 3rd Ave S., Birmingham, AL 35294-1210
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    • Assistant Professor.

  • Gwendolyn D. Childs

    1. University of Alabama at Birmingham School of Nursing, Nursing Building Rm. 548, 1530 3rd Ave S., Birmingham, AL 35294-1210
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    • Assistant Professor.


Abstract

The purpose of this study was to examine whether women's experiences of sexual pressure moderated the relationship between sexual empowerment determinants and condom use in a sample of 100 high-risk women, ages 19–25. Five sexual empowerment determinants of condom use were identified from the literature: HIV knowledge, self-esteem, condom self-efficacy, positive attitudes toward condom use, and condom negotiation skills. Linear and logistic regression analyses revealed that positive attitudes toward condom use and condom negotiation skills were significant predictors of condom use. These relationships, however, were moderated by sexual pressure. Findings indicate that women's experiences with sexual pressure have the potential to decrease the likelihood of condom use, even though other sexually protective behaviors may be exhibited. © 2011 Wiley Periodicals, Inc. Res Nurs Health 35:4–14, 2012

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