A theory-based approach to understanding condom errors and problems reported by men attending an STI clinic

Richard A. Crosby, Laura F. Salazar, William L. Yarber, Stephanie A. Sanders, Cynthia A. Graham, Sara Head, Janet N. Arno

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


We employed the information-motivation-behavioral skills (IMB) model to guide an investigation of correlates for correct condom use among 278 adult (18-35 years old) male clients attending a sexually transmitted infection (STI) clinic. An anonymous questionnaire aided by a CD-recording of the questions was administered. Linear Structural Relations Program was used to conduct path analyses of the hypothesized IMB model. Parameter estimates showed that while information did not directly affect behavioral skills, it did have a direct (negative) effect on condom use errors. Motivation had a significant direct (positive) effect on behavioral skills and a significant indirect (positive) effect on condom use errors through behavioral skills. Behavioral skills had a direct (negative) effect on condom use errors. Among men attending a public STI clinic, these findings suggest brief, clinic-based, safer sex programs for men who have sex with women should incorporate activities to convey correct condom use information, instill motivation to use condoms correctly, and directly enhance men's behavioral skills for correct use of condoms.

Original languageEnglish
Pages (from-to)412-418
Number of pages7
JournalAIDS and Behavior
Issue number3
StatePublished - May 2008

Bibliographical note

Funding Information:
Acknowledgments We gratefully acknowledge the support of the Rural Center for AIDS/STD Prevention, a joint project of Indiana University, University of Colorado, and the University of Kentucky. Support was also received from the Office of the Associate Dean for Research of the School of Health, Physical Education and Recreation, at Indiana University. We gratefully acknowledge the assistance of the research staff. The corresponding author had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.


  • Condoms
  • Men
  • Prevention
  • Sexual behavior
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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