NDLI: Correlates of Self-Efficacy for Condom Use Among Male Clients of Female Sex Workers in Tijuana, Mexico

Content Provider	Springer Nature Link
Author	Volkmann, Tyson Wagner, Karla D. Strathdee, Steffanie A. Semple, Shirley J. Ompad, Danielle C. Chavarin, Claudia V. Patterson, Thomas L.
Copyright Year	2013
Abstract	Male clients of female sex workers (FSWs) in Tijuana, Mexico engage in high levels of unprotected sex. While behavioral change theories posit that self-efficacy predicts condom use, correlates of self-efficacy for condom use remain largely unstudied. We examined these correlates among male clients of FSWs in Tijuana. Eligible male clients were at least 18 years of age, HIV-negative, lived in Tijuana or San Diego, reported unprotected sex with a Tijuana FSW at least once in the past 4 months, and agreed to be treated for sexually transmitted infections (STIs). Participants completed an interviewer-administered questionnaire including demographics, substance use, psychosocial and psychosexual characteristics (e.g., outcome expectancies for negotiation of safer sex, social support, and sexual sensation seeking), and sexual behaviors. Participants also underwent HIV/STI testing. A stepwise hierarchical multiple regression analysis identified correlates of self-efficacy for condom use. Of 393 male clients, median age was 37 years. Participants were mostly Spanish-speaking and employed. Factors independently associated with higher self-efficacy for condom use were higher positive outcome expectancies for negotiation of safer sex, lower sexual sensation seeking scores, and higher social support scores. Both psychosocial and psychosexual factors may influence self-efficacy for condom use among male clients of FSWs. These factors represent central constructs in sociocognitive models that explain behavioral change and could be intervention targets for improving self-efficacy for condom use and, ultimately, safer sex behavior.
Starting Page	719
Ending Page	727
Page Count	9
File Format	PDF
ISSN	00040002
Journal	Archives of Sexual Behavior
Volume Number	43
Issue Number	4
e-ISSN	15732800
Language	English
Publisher	Springer US
Publisher Date	2013-07-11
Publisher Place	New York
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Condom use Self-efficacy HIV prevention Sex workers Prostitution Sexual Behavior Public Health Social Sciences
Content Type	Text
Resource Type	Article
Subject	Arts and Humanities Psychology

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