The proposed research will investigate factors affecting the use or nonuse of the condom to prevent the transmission of AIDS and other STDs among adult males in the United States. The study explicitly recognizes that the condom offers additional protection from the risk of pregnancy and includes that factor in models predicting condom adoption and discontinuation. In addition, the study will examine how the characteristics of the community in which the man resides affects the condom decision-making process. During the first phase of the proposed project, we will interview and then reinterview a nationally representative sample of men aged 20-39. The interviews will obtain detailed information about the men's socio- demographic characteristics, their sexual and contraceptive histories, and their knowledge, attitudes and behaviors related to condom use and the threat of AIDS. During the second phase of the project we will analyze the survey data. Two stages of data analyses are planned. The first stage consists of descriptive analyses that will provide baseline data about group differences in knowledge, attitudes, perceptions and behaviors related to AIDS and condom use. The second stage of the analysis will test our theoretical model of the condom decision-making process. This model not only incorporates the decision-maker's responses to the risks of both AIDS and conception, but also includes the effects of such community-level characteristics as the prevalence of AIDS and other STDs. The results of the proposed research effort will be crucial for policy makers because of the importance of condoms in the fight against the spread of AIDs. Further, our focus on the decision-making process will be particularly useful in developing strategies for promoting condom use. Finally, since public policy initiatives are implemented at the aggregate rather than the individual level, our planned contextual analysis will provide information that is critical in designing such initiatives.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD026288-02
Application #
3327695
Study Section
Special Emphasis Panel (SRC (CO))
Project Start
1989-09-30
Project End
1993-12-31
Budget Start
1991-01-01
Budget End
1991-12-31
Support Year
2
Fiscal Year
1991
Total Cost
Indirect Cost
Name
Battelle Centers/Pub Health Research & Evaluatn
Department
Type
DUNS #
City
Columbus
State
WA
Country
United States
Zip Code
Bakken, Rosalie J; Winter, Mary (2002) Family characteristics and sexual risk behaviors among black men in the United States. Perspect Sex Reprod Health 34:252-8
Cubbins, L A; Tanfer, K (2000) The influence of gender on sex: a study of men's and women's self-reported high-risk sex behavior. Arch Sex Behav 29:229-57
Tanfer, K; Aral, S O (1996) Sexual intercourse during menstruation and self-reported sexually transmitted disease history among women. Sex Transm Dis 23:395-401
Grady, W R; Tanfer, K; Billy, J O et al. (1996) Men's perceptions of their roles and responsibilities regarding sex, contraception and childrearing. Fam Plann Perspect 28:221-6
Forste, R; Tanfer, K; Tedrow, L (1995) Sterilization among currently married men in the United States, 1991. Fam Plann Perspect 27:100-7, 122
Tanfer, K; Cubbins, L A; Billy, J O (1995) Gender, race, class and self-reported sexually transmitted disease incidence. Fam Plann Perspect 27:196-202
Tanfer, K (1994) Sex and disease. Playing the odds in the 1990s. Sex Transm Dis 21:S65-72
Klepinger, D H; Billy, J O; Tanfer, K et al. (1993) Perceptions of AIDS risk and severity and their association with risk-related behavior among U.S. men. Fam Plann Perspect 25:74-82
Tanfer, K; Grady, W R; Klepinger, D H et al. (1993) Condom use among U.S. men, 1991. Fam Plann Perspect 25:61-6
Tanfer, K (1993) National Survey of Men: design and execution. Fam Plann Perspect 25:83-6

Showing the most recent 10 out of 12 publications