A Systematic Literature Review Evaluating Male Condom Use Among Young Adults.

Abstract

Background: The Theory of Planned Behavior (TPB) has the potential to be used in understanding male condom use behavior because it explains the motivations behind the behavior. As rates of Chlamydia, Gonorrhea, and Syphilis have begun to increase within the United States, it is especially important to consider how to appeal to young adults at risk of contracting these infections (CDC, 2023a; CDC 2023b). This systematic literature review aims to assess the potential of TPB to evaluate male condom use behavior among young adults.

Methods: A systematic literature review using a keyword search of EBSCOhost (2014-2023), an electronic library, to evaluate male condom use among young adults ages 18-26 years old in the United States. Studies were included if they met six different criteria: (1) published in a peer-reviewed journal; (2) available in English; (3) full text available online; (4) published between 2014 and 2023; (5) mean age of sample was between 18 and 26 years old; (6) attitude, perceived behavioral control, and/or subjective norms towards condoms were measured. Keywords included: “condom use” OR “risky sexual behavior” AND “college students” OR “young adults” AND “theory of planned behavior.”

Results: Of the eight articles chosen, none utilized the TPB, though five articles did incorporate other theories. The TPB could enhance understanding of condom use behavior by considering attitudes, intention, and subjective norms encompassing both internal and external influences on behavior. The articles revealed various factors influencing young adults’ decisions to not use condoms, including substance abuse and pornography consumption.

Conclusion:

The increased risk of STI infection emphasizes the critical need for proper condom usage (CDC, 2023). Employing theory-based data, especially TPB, can explain why a person may participate in risky sexual behavior and intention to use condoms. The prevalence of TPB in studies explicating condom usage among young adults is limited.

References

Center for Disease Control and Prevention. Prevention - STD Information from CDC. (2023a, February 22). https://www.cdc.gov/std/prevention/default.htm#:~:text=Use%20Condoms,latex%20condoms%20can%20be%20used.

Center for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2021. (2023b, April 11). https://www.cdc.gov/std/statistics/2021/default.htm#:~:text=The%20annual%20report%20shows%20infections,million%20chlamydial%20infections%20were%20reported.

Keywords

condom use, risky sexual behavior, college students, young adults, theory of planned behavior

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A Systematic Literature Review Evaluating Male Condom Use Among Young Adults.

Background: The Theory of Planned Behavior (TPB) has the potential to be used in understanding male condom use behavior because it explains the motivations behind the behavior. As rates of Chlamydia, Gonorrhea, and Syphilis have begun to increase within the United States, it is especially important to consider how to appeal to young adults at risk of contracting these infections (CDC, 2023a; CDC 2023b). This systematic literature review aims to assess the potential of TPB to evaluate male condom use behavior among young adults.

Methods: A systematic literature review using a keyword search of EBSCOhost (2014-2023), an electronic library, to evaluate male condom use among young adults ages 18-26 years old in the United States. Studies were included if they met six different criteria: (1) published in a peer-reviewed journal; (2) available in English; (3) full text available online; (4) published between 2014 and 2023; (5) mean age of sample was between 18 and 26 years old; (6) attitude, perceived behavioral control, and/or subjective norms towards condoms were measured. Keywords included: “condom use” OR “risky sexual behavior” AND “college students” OR “young adults” AND “theory of planned behavior.”

Results: Of the eight articles chosen, none utilized the TPB, though five articles did incorporate other theories. The TPB could enhance understanding of condom use behavior by considering attitudes, intention, and subjective norms encompassing both internal and external influences on behavior. The articles revealed various factors influencing young adults’ decisions to not use condoms, including substance abuse and pornography consumption.

Conclusion:

The increased risk of STI infection emphasizes the critical need for proper condom usage (CDC, 2023). Employing theory-based data, especially TPB, can explain why a person may participate in risky sexual behavior and intention to use condoms. The prevalence of TPB in studies explicating condom usage among young adults is limited.

References

Center for Disease Control and Prevention. Prevention - STD Information from CDC. (2023a, February 22). https://www.cdc.gov/std/prevention/default.htm#:~:text=Use%20Condoms,latex%20condoms%20can%20be%20used.

Center for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2021. (2023b, April 11). https://www.cdc.gov/std/statistics/2021/default.htm#:~:text=The%20annual%20report%20shows%20infections,million%20chlamydial%20infections%20were%20reported.