Rural African American adolescents and factors affecting condom use: a path analysis study Public Deposited

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  • March 21, 2019
  • Albritton, Tashuna D.
    • Affiliation: School of Social Work
  • The purpose of this dissertation was to assess factors affecting condom use among rural African American adolescents. Data from the National Longitudinal Study of Adolescent Health was used to conduct the study. Condom use behavior was examined with a sample of 539 sexually active rural African American adolescents ages 15 to 18 years. The Health Belief Model was used to inform the conceptual framework of this study. Several factors that were associated with condom use among adolescents were examined. These factors included perceived susceptibility to HIV/AIDS and other STIs, perceived barriers to protect self from infections, parent-child sex communication, parental attitudes toward sex communication, and condom knowledge. Path analysis using the structural equation modeling framework was used to assess the models. The results revealed that being female was related to condom knowledge, perceived susceptibility, and parent-child sex communication. Parent-child sex communication mediated the relationship between parental attitudes toward sex communication and perceived barriers. Finally, none of the factors were related to condom use. Several implications for future research with this population are provided. First, other individual-level factors and contextual-level factors that were not measured in this study should be assessed. Second, future studies should include the assessment of parent-child sex communication with fathers and other guardians in addition to mothers. Last, future studies should include sexual minority adolescents, as sex communication about protective behaviors may differ for this population of adolescents.
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  • In Copyright
  • "... in partial fulfillment of the requirements for the degree of Doctorate of Philosophy in the School of Social Work."
  • Rounds, Kathleen
Degree granting institution
  • University of North Carolina at Chapel Hill
Place of publication
  • Chapel Hill, NC
  • Open access

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