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The relevance of cultural factors in predicting condom-use intentions among immigrants from the Netherlands Antilles

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Author: Kocken, P.L. · Dorst, A.G. van · Schaalma, H.
Institution: TNO Kwaliteit van Leven
Source:Health Education Research, 2, 21, 230-238
Identifier: 239182
doi: doi:10.1093/her/cyh059
Keywords: Health · Attitude to sexuality · Cognition · Controlled study · Cultural factor · Health behavior · Health belief · Immigrant · Machismo · Model · Perception · Population research · Prediction · Randomization · Sexual behavior · Sexual education · Sexuality · Social aspect · Social belief · Taboo · Adolescent · Adult · Condoms · Culture · Emigration and Immigration · Female · Forecasting · Humans · Male · Middle Aged · Netherlands · Netherlands Antilles · Questionnaires


A study into the relevance of cultural factors in predicting condom-use intentions among Antillean migrants in the Netherlands is described in this article. The association between the intention to use condoms with a new sexual partner and a perceived taboo on discussing sex, beliefs about sex education and machismo beliefs on gender and power relationships is addressed. The study was conducted among 346 Dutch Antilleans from a random sample of an Antillean population aged 15-50 years. The response rate was 37.8%. The results showed that condom-use intentions were primarily determined by perceived subjective norms, the perceived taboo on discussing sex, machismo attitudes, gender, age and educational background. Moreover, the respondent's opinion regarding machismo was an effect modificator for the association between condom-use intentions and subjective social norm. It is concluded that, in predicting condom-use intentions, factors specific to the culture of a population contribute significantly to the determinants drawn from the general social-cognition models. It is recommended that future research should use measurement instruments that are adapted to culture-specific beliefs, and should explore the influence of cultural factors on actual condom use. Moreover, interventions promoting condom use among migrant populations should target the cultural correlates of condom use. © The Author 2005. Published by Oxford University Press. All rights reserved.