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    An Integrated Model of Condom Use in Sub-Saharan African Youth: A Meta-Analysis

    264975.pdf (514.5Kb)
    Access Status
    Open access
    Authors
    Protogerou, C.
    Johnson, B.
    Hagger, Martin
    Date
    2018
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Protogerou, C. and Johnson, B. and Hagger, M. 2018. An Integrated Model of Condom Use in Sub-Saharan African Youth: A Meta-Analysis. Health Psychology. 37 (6): pp. 586-602.
    Source Title
    Health Psychology
    DOI
    10.1037/hea0000604
    ISSN
    0278-6133
    School
    School of Psychology
    Remarks

    Copyright © American Psychological Association, 2018. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. Please do not copy or cite without author's permission. The final article is available, upon publication, at: 10.1037/hea0000604

    URI
    http://hdl.handle.net/20.500.11937/67624
    Collection
    • Curtin Research Publications
    Abstract

    Objective: We tested an integrated social- cognitive model derived from multiple theories of the determinants of young peoples' condom use in Sub-Saharan Africa. The model comprised seven social- cognitive antecedents of condom use: Attitudes, norms, control, risk perceptions, barriers, intentions, and previous condom use. Method: We conducted a systematic search of studies including effects between at least one model construct and intended or actual condom use in young people from sub-Saharan African countries. Fifty-five studies comprising 72 independent data sets were included and subjected to random-effects meta-analysis. Demographic and methodological variables were coded as moderators. Hypotheses of the integrated model were tested using meta-analytic structural equation modeling. Results: The meta-analysis revealed significant nontrivial sample-weighted correlations among most model constructs. Moderator analyses revealed differences in six correlations for studies that included a formative research component relative to studies that did not. There was little evidence of systematic moderation of relations among model constructs by other candidate moderators. Meta-analytic structural equation models revealed significant direct effects of attitudes, norms, and control on condom use intentions, and of intention, control, and barriers on condom use. Including past condom use increased explained variance in condom use intentions and behavior but did not attenuate model effects. There were also significant indirect effects of attitudes, norms, and control on condom use through intentions. Conclusions: Findings provide preliminary evidence to support the integrated condom use model in sub-Saharan African youth. The model provides guidance on potential targets for improving the effectiveness of condom promotion interventions.

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