To date, most condom research has focused on young or high-risk groups, with little evidence about influences on condom use amongst lower-risk community samples. These groups are not risk free and may still wish to negotiate safer sex; yet the considerations involved could be different from those in higher-risk groups. Our research addresses this gap: We report a cross-sectional questionnaire study enquiring about recent condom use and future use intentions in community settings. Our sample (n = 311) purposively included couples in established relationships, known to be condom users. Items included demographics, sexual history and social-cognitive variables taken from the theory of planned behaviour. The strongest association with condom use/use intentions amongst our respondents was sexual partner's perceived willingness to use them. This applied across both univariate and multivariate analyses. Whilst most social-cognitive variables (attitudes; self-efficacy and peer social norms) were significant in univariate analyses, this was not supported in multivariate regression. Of the social-cognitive variables, only "condom-related attitudes" were retained in the model explaining recent condom use, whilst none of them entered the model explaining future use intentions. Further analysis showed that attitudes concerning pleasure, identity stigma and condom effectiveness were most salient for this cohort. Our results suggest that, in community samples, the decision to use a condom involves different considerations from those highlighted in previous research. Explanatory models for established couples should embrace interpersonal perspectives, emphasising couple-factors rather than individual beliefs. Messages to this cohort could usefully focus on negotiation skills, condom advantages (other than disease prevention) and reducing the stigma associated with use.

译文

迄今为止,大多数避孕套研究都集中在年轻或高危人群上,几乎没有证据表明在低风险社区样本中影响避孕套使用。这些群体并非没有风险,可能仍希望谈判更安全的性行为; 然而,所涉及的考虑可能与高风险群体的考虑不同。我们的研究解决了这一差距: 我们报告了一项横断面问卷研究,询问社区环境中最近使用避孕套和未来使用意图。我们的样本 (n   =   311) 有目的地包括已建立关系的夫妇,已知是避孕套使用者。项目包括人口统计学,性史和来自计划行为理论的社会认知变量。在我们的受访者中,与避孕套的使用/使用意图最强烈的关联是性伴侣的使用意愿。这适用于单变量和多变量分析。尽管大多数社会认知变量 (态度,自我效能感和同伴社会规范) 在单变量分析中很重要,但多元回归不支持。在社会认知变量中,解释最近使用避孕套的模型中仅保留了 “与避孕套相关的态度”,而没有一个进入模型解释未来的使用意图。进一步的分析表明,有关愉悦,身份污名和避孕套有效性的态度对于该人群最为突出。我们的结果表明,在社区样本中,使用避孕套的决定涉及与先前研究中强调的不同的考虑因素。既定夫妻的解释模型应包含人际关系的观点,强调夫妻因素而不是个人信念。向该队列发送的消息可以有效地集中于谈判技巧,避孕套的优势 (疾病预防除外) 以及减少与使用相关的污名。

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