Mediation Analysis of Peer Norms, Self-Efficacy, and Condom Use Among Chinese Men Who Have Sex with Men: A Parallel Process Latent Growth Curve Model

The objective of this study was to examine direct and indirect relationships among peer norms, self-efficacy, and condom use among Chinese men who have sex with men (MSM). A longitudinal study determined the effectiveness of a condom use video promotion among Chinese MSM in 2015. In this analysis, 8...

Full description

Saved in:
Bibliographic Details
Published in:Archives of sexual behavior 2020-01, Vol.49 (1), p.287-297
Main Authors: Li, Haochu, Tucker, Joseph D., Ma, Wei, Kim, Eun Sook, Marley, Gifty, Wang, Jichuan, Kang, Dianmin, Liao, Meizhen, Tang, Weiming, Jiang, Baofa
Format: Article
Language:English
Subjects:
Adult
Asian people
Behavioral Science and Psychology
Condoms
Condoms - trends
Gays & lesbians
Homosexuality, Male - statistics & numerical data
Humans
Longitudinal Studies
Male
Mens health
Middle Aged
Original Paper
Peer Group
Peers
Psychology
Public Health
Research Design
Self Efficacy
Sexual Behavior
Social Sciences
Structural equation modeling
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The objective of this study was to examine direct and indirect relationships among peer norms, self-efficacy, and condom use among Chinese men who have sex with men (MSM). A longitudinal study determined the effectiveness of a condom use video promotion among Chinese MSM in 2015. In this analysis, 804 Chinese MSM were recruited at baseline and then followed at 3 weeks and 3 months after the intervention. Parallel process latent growth curve modeling (LGM) with multiple indicators and bootstrapping was conducted using Mplus 7.4. The LGM model fit indexes were good with RMSEA = 0.046, 90% CI (0.044, 0.048), CFI = 0.956, TLI = 0.955. Our results showed that the initial measure of peer norms affected the initial measure of condom use indirectly through the initial measure of self-efficacy ( αβ  = 0.414, 95% CI 0.260–0.759). The rate of change in peer norms over time also significantly affected the rate of change in condom use through the rate of change in self-efficacy ( αβ  = 0.101, 95% CI 0.014–0.262). Self-efficacy mediated the association between peer norms and condom use, indicating a strong potential of causal relationship between peer norms and self-efficacy among Chinese MSM.
ISSN:0004-0002
1573-2800
1573-2800
DOI:10.1007/s10508-019-1459-9