Advertisement
Research Article| Volume 20, ISSUE 1, P32-40, February 2006

Why Are Young College Women Not Using Condoms? Their Perceived Risk, Drug Use, and Developmental Vulnerability May Provide Important Clues to Sexual Risk

      Background

      Young multiethnic college women (YMCW) are at risk for STDs and HIV secondary to high-risk sexual behaviors that are related to developmental issues such as invincibility, low perceived risk, and substance use.

      Method

      One hundred YMCW on a southern California university campus completed surveys that examined variables that impacted their sexual risk.

      Results

      The study yielded many significantly correlated variables. Women with low perceived risk, lower use of drugs and alcohol, and who had parental involvement had lower sexual behavior risk. Women that were sexually assertive, had intentions to use condoms, and did not use substances used condoms more often. Older students in advanced grades who had steady partners used substances less and had decreased sexual risk, however, they experienced partner resistance to condoms, which canceled out any reduced risk. In a multiple regression analysis, condom use intention and substance use predicted condom use, perceived risk and substance use predicted sexual behavior risk. White women had significantly higher substance use, perceived sexual risk, and sexual behavior risk than did Latinas and African Americans.

      Conclusions

      Despite their assertiveness and intentions, many participants had multiple sexual partners, and 64% of the YMCW were inconsistent condom users. Despite knowing the elevated risks, 52% used drugs and alcohol during sex. Negative attitudes (61%) about condoms were also demonstrated as a key factor in the lack of condom use.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Psychiatric Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Amaro H.
        Love, sex, and power.
        American Psychologist. 1995; 50: 437-445
        • Blake S.M.
        • Ledsky R.
        • Goodenow C.
        • Sawyer R.
        • et al.
        Condom availability programs in Massachusetts high schools: Relationships with condom use and sexual behavior.
        American Journal of Public Health. 2003; 93: 955-963
        • Bowen A.M.
        • Trotter R.
        HIV risk in intravenous drug users and crack cocaine smokers: Predicting stage of change for condom use.
        Journal of Consulting and Clinical Psychology. 1995; 63: 238-248
        • Bryan A.D.
        • Aiken L.S.
        • West S.G.
        Young women's condom use: The influence of acceptance of sexuality, control over the sexual encounter, and perceived susceptibility to common STDs.
        Health Psychology. 1997; 16: 468-479
        • Campbell S.M.
        • Peplau L.A.
        Women, men, and condoms.
        Psychology of Women Quarterly. 1992; 16: 273-288
        • Carmona J.V.
        • Romero G.
        • Loeb T.B.
        The impact of HIV status and acculturation on Latinas' sexual risk taking.
        Cultural Diversity and Ethnic Minority Psychology. 1999; 5: 209-221
        • Carrier J.M.
        • Magana J.R.
        Use of ethnosexual data on men of Mexican origin for HIV/AIDS prevention programs.
        Journal of Sex Research. 1991; 28: 189-200
        • Catania J.A.
        • Coates T.J.
        • Kegeles S.
        A test of the AIDS risk reduction model: Psychosocial correlates of condom use in the AMEN cohort survey.
        Health Psychology. 1994; 13: 548-555
        • Centers for Disease Control and Prevention
        HIV/AIDS surveillance report through September 30, 2000.
        HIV Surveillance, Atlanta, GA2002
        • Centers for Disease Control and Prevention
        Trends in sexual risk behaviors among high school students—United States, 1991–2001.
        MMWR Morbidity and Mortality Weekly Report. 2002; 51: 856
        • Centers for Disease Control and Prevention
        HIV surveillance. HIV/AIDS Surveillance report through December 30, 2002.
        Author, Atlanta, GA2003
        • Coates T.J.
        • Chesney M.
        • Folkman S.
        • Hulley S.B.
        • Hyanes-Sanstad K.
        • Lurie P.
        • et al.
        Designing behavioural and social science to impact practice and policy in HIV prevention and care.
        International Journal of STD & AIDS. 1996; 7: 2-12
        • Crosby R.A.
        • DiClemente R.J.
        • Wingood G.M.
        • Lang D.
        • Harrington K.F.
        Value of consistent condom use: A study of sexually transmitted disease prevention among African American adolescent females.
        American Journal of Public Health. 2003; 93: 901-902
        • Department of Health and Human Services
        Sexually transmitted disease surveillance, 1999.
        (Retrieved February 4, 2004 from)
        • Flaskerud J.H.
        • Nyamathi A.M.
        • Uman G.
        Longitudinal effects of an HIV testing and counseling program for low-income Latina women.
        Ethnicity and Health. 1997; 2: 89-103
        • Gerrard M.
        • Gibbons F.X.
        • Bushman B.J.
        Relation between perceived vulnerability to HIV and precautionary sexual behavior.
        Psychological Bulletin. 1996; 119: 390-409
        • Goldman J.A.
        • Harlow L.L.
        Self-perception variables that mediate AIDS preventive behavior in college students.
        Health Psychology. 1993; 12: 489-498
        • Gomez C.A.
        • Marin B.V.
        Gender, culture, and power. Barriers to HIV-preventation strategies for women.
        Journal of Sex Research. 1996; 33: 355-362
        • Haglund K.
        Sexually Abstinent African American Adolescent Females' Descriptions of Abstinence.
        Journal of Nursing Scholarship. 2003; 35: 231
        • Koniak-Griffin D.
        • Brecht M.L.
        Linkages between sexual risk taking, substance abuse, and AIDS knowledge among pregnant adolescents and young mothers.
        Nursing Research. 1995; 44: 340-346
        • Libbus K.
        Women's beliefs concerning condom acquisition and use.
        Public Health Nursing. 1995; 12: 341-347
        • Marin B.V.
        • Gomez A.A.
        • Hearst N.
        Multiple heterosexual partners and condom use among Hispanics and Non-Hispanic Whites.
        Family Planning Perspectives. 1999; 25: 170-174
        • Marin B.V.
        • Tschann J.M.
        • Gomez A.A.
        • Kegeles S.M.
        Acculturation and gender differences in sexual attitudes and behaviors: Hispanic vs. Non-Hispanic White unmarried adults.
        American Journal of Public Health. 1993; 83: 1759-1761
        • Mercer R.T.
        Perspectives on adolescent health care.
        JB Lippincott, New York1979
        • Millstein S.G.
        • Moscicki A.
        Sexually-transmitted disease in female adolescents: Effects of psychosocial factors and high risk behaviors.
        Journal of Adolescent Health. 1995; 17: 83-90
        • Newcomb M.D.
        • Wyatt G.E.
        • Romero G.J.
        • Tucker M.B.
        • Waymant H.A.
        • Carmona J.V.
        • et al.
        Acculturation, sexual risk taking, and HIV health promotion among Latinas.
        Journal of Counseling Psychology. 1998; 45: 454-467
        • Rosenthal S.I.
        • Biro F.M.
        • Cohen S.S.
        • Succop P.A.
        • Stanberry L.R.
        Strategies for coping with sexually transmitted diseases by adolescent females.
        Adolescence. 1995; 30: 655-666
        • Royce R.A.
        • Sena A.
        • Cates W.
        • Cohen M.
        Sexual transmission of HIV.
        New England Journal of Medicine. 1997; 336: 1072-1078
        • Roye C.F.
        Condom use by Hispanic and African-American adolescent girls who use hormonal contraception.
        Journal of Adolescent Health. 1998; 23: 205-211
        • Russell A.Y.
        • Williams M.S.
        • Farr P.A.
        • Schwab A.J.
        • Plattsmier S.
        Patterns of contraceptive use and pregnancy among young Hispanic women on the Texas–Mexico border.
        Journal of Adolescent Health. 1993; 14: 373-379
        • Sacco W.P.
        • Levine B.
        • Reed D.L.
        Attitudes about condom use as an AIDS-relevant behavior: Their factor structure and relation to condom use.
        Journal of Consulting and Clinical Psychology. 1991; 3: 265-272
        • Stevens P.E.
        Impact of HIV/AIDS on women in the United States: Challenges of primary and secondary prevention.
        Health Care for Women International. 1995; 16: 577-595
        • Wingood G.M.
        • DiClemente R.J.
        Partner influences and gender-related factors associated with noncondom use among young African American women.
        American Journal of Community Psychology. 1998; 26: 29-50