Pamela K. Cupp

Sexual Self-Concept and Sexual Self-Efficacy in Adolescents: A Possible Clue to Promoting Sexual Health?

This study examined the associations between sexual self-concept (sexual esteem and sexual anxiety) and sexual self-efficacy (situational and resistive) in a sample of 388 high school students (59% Caucasian, 28% African American). Males reported lower sexual esteem and lower sexual self-efficacy than females. Males and African Americans reported higher levels of sexual anxiety and lower levels of resistive self-efficacy than females and Caucasians. In regression models, higher sexual self-esteem uniquely predicted higher sexual self-efficacy scores, even after controlling for demographic variables, knowledge of sexual risk, and previous coital experience. In post hoc analyses, sexual self-esteem mediated the relation between knowledge of sexual risk and both types of sexual self-efficacy. Results suggest the need for interventions to promote male sexual self-efficacy and sexual esteem and the need for longitudinal research that explicates models of sexual health in adolescence.

The effects of a computer-based pregnancy, STD, and HIV prevention intervention: A nine-school trial

A computer-based intervention was designed to change perceived threat, perceived efficacy, attitudes, and knowledge regarding pregnancy, STD, and HIV prevention in rural adolescents. The intervention, which was guided largely by the extended parallel process model (Witte, 1992), was implemented and evaluated in nine rural high schools using an institutional cycle pretest–posttest control-group design (Campbell & Stanley, 1963; Cook & Campbell, 1979). Eight-hundred eighty-seven ninth-graders completed the survey at both points in time. Process evaluation results indicated that the intervention was implemented as intended, and that over 91% of students in the treatment group completed at least one of the six computer-based activities (M = 3.46, SD = 1.44 for those doing at least one activity). Two-way mixed-model repeated-measures analysis of variance revealed that students in the treatment group outperformed students in the control group on knowledge, condom self-efficacy, attitude toward waiting to have sex, and perceived susceptibility to HIV. These results suggest that computer-based programs may be a cost-effective and easily replicable means of providing teens with basic information and skills necessary to prevent pregnancy, STDs, and HIV.

Longitudinal Test of a Multiple Domain Model of Adolescent Condom Use

A comprehensive multiple domain model (MDM) to understand condom use in adolescents was proposed and tested using structural equation modeling of data at three time points. The proposed model integrates social psychological theory, demographic and personality factors, social environment, and situational/contextual variables. Adolescents who were sexually active at time 2 (6 months after baseline) and time 3 (1 year after time 2) and completed surveys at all three time points were included in the analyses (N = 511). An iterative process of model testing resulted in a structural equation model that provided a good fit to the data (CFI = .92, RMSEA = .04). Models comparing gender and race as moderators also were calculated and supported the generalizability of the model. Results provide support for an MDM that goes beyond traditional social psychological models for a broader understanding of condom use in adolescents. Implications for further theory testing and safer sexual interventions are discussed.

Impulsivity and Academic Cheating

The authors examined the relations between academic cheating and impulsivity in a large sample of adolescents enrolled in high school health education classes. Results indicated that impulsivity predicts academic cheating for students who report extensive involvement in cheating. However, students who engage in extensive cheating are less likely to report cheating when they perceive a mastery goal structure. In addition, both moderate and extensive cheaters report less cheating when they perceive the teacher as being credible.

Combining and adapting American school-based alcohol and HIV prevention programmes in South Africa: The HAPS project

Abstract Adolescents in South Africa are at particularly high risk for human immunodeficiency virus (HIV), as well as other sexually transmitted infections. Because rates are so high, using minimal time and resources to develop effective interventions is essential. One strategy to achieve this goal is to modify and adapt western school-based preventive interventions for application in South African schools. This study focuses on the adaptation and integration of two interventions with proven effectiveness in the United States in order to ensure cultural relevance in South Africa and its subsequent testing in eight high schools located in townships near Pietermaritzburg, KwaZulu-Natal province. The findings reported in this paper reflect data from the first cohort of students, which included 1095 9th grade learners. Participants were assessed both 4–6 months and 15–18 months following baseline data collection. Results indicated significant differences in change between students in the intervention and comparison conditions on sexual refusal self-efficacy, intentions to have sex, attitudes about sex, initiation of sex, intention to use alcohol with sex, alcohol refusal self-efficacy and attitudes about alcohol. These results suggest that, after careful adaptation for cultural differences, behavioural interventions developed in western countries may achieve effectiveness in other contexts including township schools in South Africa.

Fostering Achievement Motivation in Health Education: Are We Applying Relevant Theory to School-Based HIV Prevention Programs?

Abstract Though HIV preventive and other health interventions in educational settings have often been grounded in health behavior theory, such interventions have rarely taken into account achievement motivation theory. The purpose of this article is to discuss how and why theories of both health behavior and achievement motivation have the potential to play an important part in the design and delivery of HIV preventive interventions in school settings. First, we briefly discuss health behavior theories, with a primary focus on their commonalties. Next, we discuss theories of achievement motivation and what is known about motivating students to learn and excel in the classroom, specifically applying these theories to safer sexual education. The complementary aspects of these theoretical perspectives are then considered. Finally, implications for improving the design of HIV preventive and other health interventions in school settings are discussed. Such interventions may be vastly improved if they pay greater attention to the motivational tenets of achievement motivation theories and their associated classroom dynamics.

Parent-Teen Communication about Sex in Urban Thai Families

This study describes sexual communication among Thai parents and their teens and identifies variables related to communication about sex in urban Thai families. Data were derived from 420 families whose teenage children ages 13–14 years were randomly selected using the probability proportional to size technique. Interviews were conducted with 1 parent and 1 teenage child in each family. In-depth interviews were also conducted in 30 parents and teens drawn from the same 420 families. Results showed that parents were most likely to talk with their teens about body changes and dating; however, less discussion about sex-related issues, birth control, and HIV/AIDS occurred. More daughters than sons reported frequent discussions with their parents about sex. Parents who believed their teens had been involved in sexual activity were more likely to talk about HIV/AIDS and the difficulty of teenagers having babies, instead of talking about sexual intercourse or when to start having sex. Multiple regression analysis indicated that gender of the child (female), parental religiosity, and parental perception of teen sexual activity were significant predictors of increased sexual communication in Thai families. The findings suggest a need for approaches designed to facilitate communication skills about sex-related issues among Thai parents.

The Short-Term Effects of a Computer-Based Pregnancy, STD, and HIV Prevention Program

A computer- and Internet-based intervention was designed to influence several variables related to the prevention of pregnancy, STDs, and HIV in rural adolescents. Three-hundred and thirty-eight tenth-graders enrolled in two rural public high schools participated in this field experiment. Results indicate that students in the experimental school had greater knowledge, greater condom negotiation efficacy, greater situational efficacy, and more favorable attitudes toward waiting to have sex than students in the control school. In tandem, the results suggest that computer-based programs may be a cost-effective and easily replicable means of providing teens with basic information and skills necessary to prevent pregnancy, STDs, and HIV.

Correlates of Precoital Behaviors, Intentions, and Sexual Initiation Among Thai Adolescents

This paper examines the risk and protective factors associated with sexual behaviors among Thai youth ages 13-14 (N=420) living in Bangkok, Thailand. Cross-sectional data were collected using a random sample of households methodology. Three outcomes were assessed: (1) intention to engage in sexual intercourse, (2) pre-coital behaviors, and (3) sexual initiation. Bivariate analysis indicated that parental disapproval of sex, exposure to pornographic media, refusal self-efficacy and having a boyfriend/girlfriend had the strongest relationships with all three outcomes. Multivariate analyses found that parental disapproval of sex and exposure to pornographic media (internet or TV) were significantly associated with all three outcomes. Having a boyfriend or girlfriend was associated with pre-coital behaviors and intentions and sexual refusal self efficacy was correlated with pre-coital behaviors only. The potential competing influences of parent disapproval and exposure to pornographic media on adolescent sexual behaviors should be considered when adapting HIV prevention interventions for Thai youth.

The Impact of Thai Family Matters on Parent–Adolescent Sexual Risk Communication Attitudes and Behaviors

This article reports on a combined family-based substance abuse and HIV-prevention intervention targeting families with 13–14-year-old children in Bangkok, Thailand. Families (n = 340) were randomly and proportionally selected from 7 districts in Bangkok with half randomly assigned to an experimental or control condition. Families in the intervention condition were exposed to 5 interactive booklets about adolescent substance use and risky sexual behavior. Trained health educators followed up by phone to encourage completion of each booklet. Primary outcomes reported in this article include whether the intervention increased the frequency of parent–child communication in general or about sexual risk taking in particular as well as whether the intervention reduced discomfort discussing sexual issues. The authors also tested to see whether booklet completion was associated with communication outcomes at the 6-month follow-up. Multivariate findings indicate that the intervention had a significant impact on the frequency of general parent–child communication on the basis of child reports. The intervention had a marginal impact on the frequency of parent–child communication about sexual issues on the basis of parent reports. Booklet completion was associated with reduced discomfort discussing sex and was marginally associated with frequency of parent–child discussion of sex on the basis of parent reports only. These findings indicate that a family-based program can influence communication patterns.