Work

Gender disparities in attitudes, norms, and perceived control related to intentional condomless sexual intercourse: A psychosocial theory-driven comparison among cisgender heterosexual male and female college varsity athletes in Taiwan

Year: 2024

Type: article

Abstract: Background: While condom use has been extensively studied as a protective behavior, research directly focusing on condomless sexual intercourse (CSI) as a distinct and intentional risk behavior, particularly regarding gender differences, remains scarce. Methods: = 1348). Results: High CSI intention was more prevalent among men (53.6 %) than women (31.7 %). Our expanded TPB framework identified five distinct TPB factors pertaining to attitudes, norms, and perceived control. Multivariate logistic regression analysis demonstrated that all five TPB factors were significantly associated with CSI intention among men, but only three among women. Notably, our factor analysis differentiated attitudes toward positive/negative outcomes of CSI and perceived control under facilitating/constraining conditions, revealing attitudes toward positive outcomes of CSI as the strongest driver of CSI intention among both men (AOR = 2.51-4.09) and women (AOR = 3.79-5.71). Further analysis of TPB items disclosed that men prioritized psychological pleasure (AOR = 2.18), whereas women exhibited a "partner-centered" tendency, emphasizing trust by sex partners (AOR = 3.43). Conclusions: Overall, men exhibited more favorable views toward CSI than women, with gender differences evident in the differential associations of varying TPB factors and items with CSI intention. Future research could explore the development of these differential attitudes, norms, and perceived control concerning CSI. Given the modifiable nature of TPB variables, our study's insights can inform actionable strategies and targeted interventions tailored for young men and women.

Source: International Journal of Clinical and Health Psychology

DOI: 10.1016/j.ijchp.2024.100504

Authors: Jiun-Hau Huang, Fang-Yu Li, Chia-Hsien Hsu

Institution: National Taiwan University

Language: English

Topic: Adolescent Sexual and Reproductive Health

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Good health and well-being, Gender equality

Open Access status: gold

Estimated APC paid: $2,610