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Stages of condom use and decisional balance among college students.
Int Nurs Rev. 2009 Sep; 56(3):346-53.IN

Abstract

AIMS

To explore sexual behaviours and condom use and differences in specific items of perceived benefits and barriers to condoms using the Transtheoretical Model (TTM) stages among college students in southern Taiwan.

BACKGROUND

The TTM suggests that individuals in the action or maintenance stage exhibit higher levels of perceived benefits and lower levels of perceived barriers related to condom use than people in the precontemplation, contemplation or preparation stage.

METHODS

This was a descriptive, cross-sectional design with cluster sampling among college students from two universities in southern Taiwan. Participants completed self-administered questionnaires, including demographic data, Sexual History and Condom Use Scale and Condom Use Decisional Balance Scale.

RESULTS

Of the 279 participants, 57% were sexually active, of these only 11.9% used condoms consistently. Respondents in the TTM stage of action/maintenance perceived greater benefits in relation to feeling more responsible (P = 0.031) and protecting their partners as well as themselves (P = 0.028), and perceived more barriers in believing that using condom needs to rely on partner's cooperation (P = 0.046) than participants in precontemplation. Participants in precontemplation and contemplation perceived more barriers related to worry about making their partner angry if condoms were used than those in action/maintenance (P = 0.008).

CONCLUSION

Low levels of condom use among Taiwanese college students remain a significant public health concern. HIV prevention programmes for college students in Taiwan may be enhanced if they incorporate readiness to change and perceived benefits and barriers. Future research should include a larger sample with diverse groups.

Authors+Show Affiliations

Orvis School of Nursing, University of Nevada, Reno, NV 89557, USA. wctung@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19702809

Citation

Tung, W-C, et al. "Stages of Condom Use and Decisional Balance Among College Students." International Nursing Review, vol. 56, no. 3, 2009, pp. 346-53.
Tung WC, Farmer S, Ding K, et al. Stages of condom use and decisional balance among college students. Int Nurs Rev. 2009;56(3):346-53.
Tung, W. C., Farmer, S., Ding, K., Tung, W. K., & Hsu, C. H. (2009). Stages of condom use and decisional balance among college students. International Nursing Review, 56(3), 346-53. https://doi.org/10.1111/j.1466-7657.2008.00704.x
Tung WC, et al. Stages of Condom Use and Decisional Balance Among College Students. Int Nurs Rev. 2009;56(3):346-53. PubMed PMID: 19702809.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stages of condom use and decisional balance among college students. AU - Tung,W-C, AU - Farmer,S, AU - Ding,K, AU - Tung,W-K, AU - Hsu,C-H, PY - 2009/8/26/entrez PY - 2009/8/26/pubmed PY - 2010/3/13/medline SP - 346 EP - 53 JF - International nursing review JO - Int Nurs Rev VL - 56 IS - 3 N2 - AIMS: To explore sexual behaviours and condom use and differences in specific items of perceived benefits and barriers to condoms using the Transtheoretical Model (TTM) stages among college students in southern Taiwan. BACKGROUND: The TTM suggests that individuals in the action or maintenance stage exhibit higher levels of perceived benefits and lower levels of perceived barriers related to condom use than people in the precontemplation, contemplation or preparation stage. METHODS: This was a descriptive, cross-sectional design with cluster sampling among college students from two universities in southern Taiwan. Participants completed self-administered questionnaires, including demographic data, Sexual History and Condom Use Scale and Condom Use Decisional Balance Scale. RESULTS: Of the 279 participants, 57% were sexually active, of these only 11.9% used condoms consistently. Respondents in the TTM stage of action/maintenance perceived greater benefits in relation to feeling more responsible (P = 0.031) and protecting their partners as well as themselves (P = 0.028), and perceived more barriers in believing that using condom needs to rely on partner's cooperation (P = 0.046) than participants in precontemplation. Participants in precontemplation and contemplation perceived more barriers related to worry about making their partner angry if condoms were used than those in action/maintenance (P = 0.008). CONCLUSION: Low levels of condom use among Taiwanese college students remain a significant public health concern. HIV prevention programmes for college students in Taiwan may be enhanced if they incorporate readiness to change and perceived benefits and barriers. Future research should include a larger sample with diverse groups. SN - 1466-7657 UR - https://www.unboundmedicine.com/medline/citation/19702809/Stages_of_condom_use_and_decisional_balance_among_college_students_ L2 - https://doi.org/10.1111/j.1466-7657.2008.00704.x DB - PRIME DP - Unbound Medicine ER -