Examining the applicability of the IMB model in predicting condom use among sexually active secondary school students in Mbarara, Uganda

Michele L. Ybarra, Josephine Korchmaros, Julius Kiwanuka, David R. Bangsberg, Sheana Bull

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

The applicability of the IMB model in predicting condom use was tested among 390 sexually active secondary school students in Mbarara, Uganda. Adolescents across five secondary schools completed a self-report survey about their health and sexual experiences. Based upon results from structural equation modeling, the IMB model partially predicts condom use. Condom use was directly predicted by HIV prevention information and behavioral skills regarding having and using condoms. It was indirectly predicted (through behavioral skills regarding having and using condoms) by behavioral intentions regarding using condoms and talking to one's partner about safer sex. Aspects of one's first sexual experience (i.e., age at first sex, having discussed using condoms with first sex partner, willingness at first sex) were strongly influential in predicting current condom use; this was especially true for discussing condoms with one's first sex partner. Findings highlight the importance of providing clear and comprehensive condom use training in HIV prevention programs aimed at Ugandan adolescents. They also underscore the importance of targeting abstinent youth before they become sexually active to positively affect their HIV preventive behavior at their first sexual experience.

Original languageEnglish (US)
Pages (from-to)1116-1128
Number of pages13
JournalAIDS and Behavior
Volume17
Issue number3
DOIs
StatePublished - Mar 2013
Externally publishedYes

Keywords

  • Adolescents
  • Condom use
  • IMB model
  • Uganda

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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