Determinants of condom use among heterosexual young men and women in southeastern Ghana

Sexual risk behaviour among young people raises public health concerns in Ghana. This study aimed to determine the predictors of condom use among heterosexual young people in the eastern region of Ghana, using a health behaviour theory – the theory of planned behaviour (TPB). Participants completed a questionnaire battery assessing attitudes, subjective norms, perceived behavioural control, intentions and condom use behaviour. Structural equation modelling procedures were used to analyse the data. Attitudes towards condom use and perceived behavioural control over condom use were significantly positively associated with the intention to use condoms. Intention to use condoms predicted condom use behaviour. Moreover, intention to use condoms mediated the attitude–behaviour relationship, and the perceived control–behaviour relationship. These results highlight the importance of using behavioural beliefs, perceived control beliefs and behavioural intention as key variables in condom promotion programmes among in-school heterosexual youth in the eastern region of Ghana

Condom · Control (management · Developmental psychology · Environmental health · Family medicine · Family planning · Human immunodeficiency virus (HIV · Mediation · Perceived control · Population · Promotion (chess · Research methodology · Structural equation modeling · Theory of planned behavior · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology

• Global Bipoc sexualities and the erasure of pleasure

  Open Access•Bill Johnson, Jocelyn Markowicz•Psychology and Sexuality•2026

  Añadir item

• Drivers of contraceptive intention among married tribal women in India

  Open Access•Moatula Ao, Donald R Mawkhlieng et al.•SN Social Sciences•2026

  Añadir item

• Condom literacy, self-efficacy, and HIV-risk behaviors

  Open Access•Francis Barchi, Helen Apps et al.•Frontiers in Public Health•2026

  Añadir item

• An Examination of Condom Brand’s Social Media Influence on Sexual Health Messages

  Mia Ann Xu, Marybec Griffin et al.•Health Communication•2023

  Añadir item

• Sexuality education, condoms and contradictions

  Open Access•Benedict Ekow Ocran, P Alldred•Health Education Journal•2025

  Añadir item

• From vulnerable to responsible youth? Indonesian youth resisting the dominant discourse of sexual health

  Teguh Wijaya Mulya•Psychology and Sexuality•2019

  Añadir item

• Factors Associated with Condom Use in Vaginal Intercourse Among Spanish Heterosexual and Bisexual Men

  Open Access•Vicente Morell‐mengual, María Dolores Gil‐llario et al.•Sexuality Research and Social…•2022

  Añadir item

• Health psychology in Ghana

  Open Access•Ama De-Graft Aikins•Journal of Health Psychology•2018

  Añadir item

• Explicating factors that explain condom use intention among in-school adolescents in Botswana

  Open Access•Kolentino Nyamadzapasi Mpeta, Ntebogang D Moroke et al.•SAHARA-J Journal of Social…•2021

  Añadir item

• Methodological challenges in research on sexual risk behavior

  Kerstin E E Schröder, Michael P Carey et al.•Annals of Behavioral Medicine•2003

  Añadir item

• Condom effectiveness in reducing heterosexual HIV transmission

  C Weller, Susan C Weller et al.•Cochrane Database of Systematic…•2002

  Añadir item

• The sexual behaviour of adolescents in sub‐Saharan Africa

  Open Access•Aoife M Doyle, Sue Napierala et al.•Tropical Medicine & International…•2012

  Añadir item

• A Monte Carlo Study Investigating the Impact of Item Parceling Strategies on Parameter Estimates and Their Standard Errors in CFA

  Fadia Nasser-Abu Alhija, Joseph M Wisenbaker et al.•Structural Equation Modeling: A…•2006

  Añadir item

• Why the items versus parcels controversy needn’t be one.

  Todd D Little, Mijke Rhemtulla et al.•Psychological Methods•2013

  Añadir item

• The theory of planned behavior

  Open Access•Icek Ajzen•Organizational Behavior and Human…•1991

  Añadir item

• Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models

  Open Access•Kristopher J Preacher, Andrew F Hayes•Behavior Research Methods•2008

  Añadir item

• SPSS and SAS procedures for estimating indirect effects in simple mediation models

  Open Access•Kristopher J Preacher, Andrew F Hayes•Behavior Research Methods,…•2004

  Añadir item

• Psychometrics is Datametrics

  Open Access•Bruce Thompson, Tammi Vacha-Haase et al.•Educational and Psychological…•2000

  Añadir item

• To Parcel or Not to Parcel

  Todd D Little, William A Cunningham et al.•Structural Equation Modeling: A…•2002

  Añadir item

• The Relationship Context of Adolescent Fertility In Southeastern Ghana

  Jeffrey B Bingenheimer, Bingenheimer Bingenheimer et al.•International Perspectives on…•2016

  Añadir item

• Illegal yet developmentally normative

  Open Access•Aní­k Gevers, Cathy Mathews et al.•BMC International Health and…•2013

  Añadir item

• Influences of social power and normative support on condom use decisions

  Dolores Albarracin, G Tarcan Kumkale et al.•AIDS Care•2004

  Añadir item

• Applicability of the theory of planned behavior to intended and self-reported condom use in a rural Ethiopian population

  M Molla, A Nordrehaug Åstrøm et al.•AIDS Care•2007

  Añadir item

• Condom use in African adolescents

  Melanie Giles, Christine Liddell et al.•AIDS Care•2005

  Añadir item

• Theory of planned behaviour predictors of intention to use condoms among Xhosa adolescents in South Africa

  John B Jemmott, G Anita Heeren et al.•AIDS Care•2007

  Añadir item

• Substance use and risky sexual behaviours among sexually experienced Ghanaian youth

  Open Access•David Teye Doku, David Doku•BMC Public Health•2012

  Añadir item

• Condom Use Among South African Adolescents

  Open Access•Angela D Bryan, Angela Bryan et al.•AIDS and Behavior•2006

  Añadir item

• Beyond love

  Open Access•John Kingsley Krugu, Fraukje E F Mevissen et al.•Culture Health & Sexuality•2017

  Añadir item

• African sexualities

  Hannah Botsis•Culture Health & Sexuality•2013

  Añadir item

• Structural equation modeling in practice

  James C Anderson, David W Gerbing•Psychological Bulletin•1988

  Añadir item

• Examining the Theory of Planned Behavior Applied to Condom Use

  Open Access•Chakema Carmack, Chakema C Carmack et al.•The Journal of Primary Prevention•2009

  Añadir item

• The impact of schools and school programs upon adolescent sexual behavior

  Douglas Kirby•The Journal of Sex Research•2002

  Añadir item

• Longitudinal Consistency in Self-Reported Age of First Vaginal Intercourse among Young Adults

  Shoshana K Goldberg, Abigail A Haydon et al.•The Journal of Sex Research•2012

  Añadir item

• Condom Negotiation Strategy Use and Effectiveness among College Students

  Kathryn J Holland, Sabine Elizabeth French•The Journal of Sex Research•2011

  Añadir item

• Trying to practice safer sex

  Dana Dehart, Dana D DeHart et al.•The Journal of Sex Research•1997

  Añadir item

• Principles and Practice of Structural Equation Modeling

  Open Access•Nassim Tabri, Craig M Elliott•Canadian Graduate Journal of…•2012

  Añadir item

• Do stigma, blame and stereotyping contribute to unsafe sexual behaviour? A test of claims about the spread of HIV/Aids arising from social representation theory and the Aids risk reduction model

  Open Access•Greta A Riley, Gerard Anthony Riley et al.•Social Science & Medicine•2010

  Añadir item

• Unsafe sexual behaviour in South African youth

  Open Access•Liberty Eaton, Alan J Flisher et al.•Social Science & Medicine•2003

  Añadir item

• Theories of reasoned action and planned behavior as models of condom use

  Dolores Albarracin, Blair T Johnson et al.•Psychological Bulletin•2001

  Añadir item