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Quantum changes in self-efficacy and condom-use intention among youth: A chained cusp catastrophe model.
J Adolesc 2018; 68:187-197JA

Abstract

INTRODUCTION

The complex relationships among HIV knowledge, condom-use skills, self-efficacy, peer influence and intention to use condoms have been rigorously investigated. However, studies guided by a linear behavior change model often explain only a limited amount of variances. This study aims to advance our understanding of the relationships through a nonlinear quantum change paradigm.

METHODS

Data (n = 1970, 40.61% male, mean age 16.94 ± 0.74) from a behavioral intervention program among high school students in the Bahamas were analyzed with a chained cusp catastrophe model in two steps. In the first step, self-efficacy was analyzed as the outcome with HIV knowledge/condom-use skills as asymmetry variables and peer influence as bifurcation variable. In the second step, condom-use intention was analyzed as the outcome while self-efficacy (outcome in the first step) was used as bifurcation variable allowing peer influence as bifurcation, and HIV knowledge/condom-use skills were included as asymmetry. Cusp modeling analysis was conducted along with equivalent linear models.

RESULTS

The cusp model performed better than the linear and logistic models. Cusp modeling analyses revealed that peer influence significantly bifurcated the relationships between HIV knowledge/condom-use skills and self-efficacy; while both self-efficacy and peer influence significantly bifurcated the relationship between HIV knowledge/condom-use skills and condom-use intention.

CONCLUSION

Our findings support the central role of self-efficacy and peer influence as two chains in bridging the complex quantum relationships between HIV knowledge/condom-use skills and condom-use intention among adolescents. The nonlinear cusp catastrophe modeling provided a new method to advance HIV behavioral research.

Links

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    ncbi.nlm.nih.gov
    linkinghub.elsevier.com
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    Authors+Show Affiliations

    Yu B
    Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA.
    Chen X
    Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA. Electronic address: jimax.chen@ufl.edu.
    Stanton B
    School of Medicine, Seton Hall University, South Orange, NJ 07079, USA.
    Chen DD
    School of Social Work, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC 27599, USA; Department of Statistics, University of Pretoria, South Africa.
    Xu Y
    Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA.
    Wang Y
    Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA.

    MeSH

    AdolescentAdolescent BehaviorCondomsFemaleHealth Knowledge, Attitudes, PracticeHumansIntentionLinear ModelsLogistic ModelsMalePeer GroupPeer InfluenceSelf Efficacy

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural

    Language

    eng

    PubMed ID

    30118949

    Citation

    Yu, Bin, et al. "Quantum Changes in Self-efficacy and Condom-use Intention Among Youth: a Chained Cusp Catastrophe Model." Journal of Adolescence, vol. 68, 2018, pp. 187-197.
    Yu B, Chen X, Stanton B, et al. Quantum changes in self-efficacy and condom-use intention among youth: A chained cusp catastrophe model. J Adolesc. 2018;68:187-197.
    Yu, B., Chen, X., Stanton, B., Chen, D. D., Xu, Y., & Wang, Y. (2018). Quantum changes in self-efficacy and condom-use intention among youth: A chained cusp catastrophe model. Journal of Adolescence, 68, pp. 187-197. doi:10.1016/j.adolescence.2018.07.020.
    Yu B, et al. Quantum Changes in Self-efficacy and Condom-use Intention Among Youth: a Chained Cusp Catastrophe Model. J Adolesc. 2018;68:187-197. PubMed PMID: 30118949.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Quantum changes in self-efficacy and condom-use intention among youth: A chained cusp catastrophe model. AU - Yu,Bin, AU - Chen,Xinguang, AU - Stanton,Bonita, AU - Chen,Ding-Geng Din, AU - Xu,Yunan, AU - Wang,Yan, Y1 - 2018/08/14/ PY - 2018/02/26/received PY - 2018/07/10/revised PY - 2018/07/31/accepted PY - 2018/8/18/pubmed PY - 2019/9/10/medline PY - 2018/8/18/entrez KW - Adolescents KW - Chained quantum change KW - Condom-use intention KW - Cusp catastrophe model KW - Peer influence KW - Self-efficacy SP - 187 EP - 197 JF - Journal of adolescence JO - J Adolesc VL - 68 N2 - INTRODUCTION: The complex relationships among HIV knowledge, condom-use skills, self-efficacy, peer influence and intention to use condoms have been rigorously investigated. However, studies guided by a linear behavior change model often explain only a limited amount of variances. This study aims to advance our understanding of the relationships through a nonlinear quantum change paradigm. METHODS: Data (n = 1970, 40.61% male, mean age 16.94 ± 0.74) from a behavioral intervention program among high school students in the Bahamas were analyzed with a chained cusp catastrophe model in two steps. In the first step, self-efficacy was analyzed as the outcome with HIV knowledge/condom-use skills as asymmetry variables and peer influence as bifurcation variable. In the second step, condom-use intention was analyzed as the outcome while self-efficacy (outcome in the first step) was used as bifurcation variable allowing peer influence as bifurcation, and HIV knowledge/condom-use skills were included as asymmetry. Cusp modeling analysis was conducted along with equivalent linear models. RESULTS: The cusp model performed better than the linear and logistic models. Cusp modeling analyses revealed that peer influence significantly bifurcated the relationships between HIV knowledge/condom-use skills and self-efficacy; while both self-efficacy and peer influence significantly bifurcated the relationship between HIV knowledge/condom-use skills and condom-use intention. CONCLUSION: Our findings support the central role of self-efficacy and peer influence as two chains in bridging the complex quantum relationships between HIV knowledge/condom-use skills and condom-use intention among adolescents. The nonlinear cusp catastrophe modeling provided a new method to advance HIV behavioral research. SN - 1095-9254 UR - https://www.unboundmedicine.com/medline/citation/30118949/Quantum_changes_in_self_efficacy_and_condom_use_intention_among_youth:_A_chained_cusp_catastrophe_model_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0140-1971(18)30155-6 DB - PRIME DP - Unbound Medicine ER -