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Jurnal Promkes

ISSN 2085-3475

Vol. 1 / No. 1 / Published : 2013-07

TOC : 7, and page :53 - 69

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Original Article :

Determinants of condom-use behavior from studies using the health belief model (a literature review)

Author :

  1. Ira Nurmala*1
  1. The University of Georgia

Abstract :

This is a review of publications addressing aspects of the Health Belief Model (HBM) in predicting condom-use behavior. Five articles were identified as the most relevant and are included in the bibliography based on the coverage of variables of theory that were studied in the articles. There are various results from five articles that discussed the Health Belief Model. According to the review, the variable that best predicts condom use behavior is the perceived barrier. There are also some recommendations to be considered for future study of HBM theories. The HBM needs to have greater applicability to a range of social classes. In many cultures traditional gender roles consider it inappropriate for women to discuss sex, suggestion to use condoms may imply infidelity and unequal power in sexual relationships may hinder women’s ability to protect themselves or at least hinder discussing past risk behaviors of their male partners. More work is also needed to specify and measure factors which should be added to the HBM, thereby increasing the model’s predictive power. Theorists need to be as precise as possible in specifying the causal relations among the components in their models. Theorists need to be more willing to address the limitations of their models. Future studies in condom use behavior should incorporate the factor of partner type, or establish it as a separate and distinct variable. Old measures of health concepts need to be replaced with new measures. //

Keyword :

condom, behavior, health, belief, model,

References :

  1. World Health Organization (WHO)., (1995). Three hundred and thirty three million new, curable cases in 1995. Accessed Mar. 11, 1999. : 1995
  2. Roth, J., Krishnan, S. P., & Bunch, E., (2001). Barrier to condom use: Results from a study in Mumbai (Bombay), India. 13, 65-77. : AIDS Education and Prevention
  3. Mahoney, CA., Thombs, DL., Ford, OJ, (1995). Health belief and self-efficacy models: Their utility in explaining college students condom use. 7(1):32-49. : . AIDS Educ Prev 1995
  4. Free, M.J. , (1998). Program for Appropriate Technology in Health. Feb. 2, 1998 : Personal communication
  5. Adih, WK., Alexander, CS., (1999). Determinants of condom use to prevent HIV infection among youth in Ghana. 24(1):63-72. : J Adolesc Health 1999


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