An Integrated Model of Safer Sex Practices among African-American Gay and Bisexual Men


Models of safer sex enable researchers to identify specific constructs that can be used to promote health behavior and are more effective than interventions without a theoretical base. This study tested basic and modified forms of the Theory of Reasoned Action and Information Motivation Behavioral Skills models among 151 African American gay/bisexual men. Gay socialization was added to an integrated model to see if this minority-specific contextual variable would improve the model. Self-efficacy was tested as an independent variable and a mediating variable. The results suggest that an integrated model of safer sex practices should include benefits/barriers to condom use, social norm perceptions, sexual assertiveness, and self-efficacy (as a mediating variable). Gay socialization did not improve the model statistically but may influence safer sex behavior conceptually and pragmatically.