scholarly journals Sexual coercion and condom use: A moderated mediation model of condom negotiation and sexual orientation in young women (Preprint)

10.2196/24269 ◽  
2020 ◽  
Author(s):  
Wen Zhang ◽  
Edmond Pui Hang Choi ◽  
Daniel Yee-Tak Fong ◽  
Janet Yuen-Ha Wong
Keyword(s):  
Sexual Orientation ◽  
Condom Use ◽  
Young Women ◽  
Sexual Coercion ◽  
Moderated Mediation ◽  
Mediation Model ◽  
Condom Negotiation ◽  
Moderated Mediation Model

scholarly journals Sexual coercion and condom use: A moderated mediation model of condom negotiation and sexual orientation in young Chinese women (Preprint)

2020 ◽  
Author(s):  
Wen Zhang ◽  
Edmond Pui Hang Choi ◽  
Daniel Yee-Tak Fong ◽  
Janet Yuen-Ha Wong
Keyword(s):  
Sexual Orientation ◽  
Condom Use ◽  
Indirect Effect ◽  
Sexual Coercion ◽  
Chinese Women ◽  
Moderated Mediation ◽  
Minority Women ◽  
Sexual Minority Women ◽  
Condom Negotiation ◽  
The Relationship

BACKGROUND Sexual coercion against young women is a global public health problem. Although the relationship between sexual coercion and condom use consistency has been widely demonstrated, the mechanism of this relationship is still unclear. OBJECTIVE To test condom negotiation as a mediator of the relationship between sexual coercion and condom use in young Chinese women and to investigate whether sexual orientation was a moderator. METHODS A total of 402 young Chinese women were included in the analysis using a web-based questionnaire. Moderated mediation analyses were conducted with sexual coercion as the independent variable, condom use consistency as the dependent variable, condom negotiation as the mediator variable, and sexual orientation as a moderator. RESULTS The results of a moderated mediation analysis indicated that this relationship was significantly mediated by condom negotiation and moderated by sexual orientation. The indirect effect of condom negotiation was significant in heterosexual women (indirect effect:-0.80, 95%Boot-confidence interval(CI): -1.67, -0.36) but not in sexual-minority women (indirect effect: -0.33, 95%Boot-CI: -0.86, 0.31). CONCLUSIONS The results showed that sexual orientation meaningfully affects the relationship between sexual coercion and condom negotiation. The difference in the mechanism of the relation between sexual coercion and sexual behaviors in heterosexual and sexual minority women should be considered for future research and interventions aimed at mitigating the adverse effects of sexual coercion.

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