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Body dissatisfaction and condom use self-efficacy: a meta-analysis.
Aaron J Blashill1, Steven A Safren1
1Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States.
Body Image
|December 3, 2014
Summary
Higher body dissatisfaction is linked to lower condom use self-efficacy, increasing sexually transmitted infection (STI) risk. Addressing body image issues may improve condom use and reduce STI transmission.
Area of Science:
- Psychology
- Public Health
- Sexual Health
Background:
- Consistent condom use is crucial for preventing sexually transmitted infections (STIs).
- Condom use self-efficacy is a key factor influencing consistent condom use.
- Limited research exists on modifiable psychosocial and behavioral factors affecting condom use self-efficacy.
Purpose of the Study:
- To conduct a meta-analysis examining the relationship between body dissatisfaction and condom use self-efficacy.
- To quantify the association between body dissatisfaction and the confidence in using condoms effectively.
Main Methods:
- Meta-analysis of nine studies.
- Inclusion of eleven individual effect-size parameters.
- Total participant sample of 2495 men and women.
Main Results:
- A moderate negative association was found between body dissatisfaction and condom use self-efficacy (r=-.25, Cohen's d=-0.52).
- Increased body dissatisfaction corresponds to decreased self-efficacy in condom use.
- The findings indicate a significant, albeit moderate, psychosocial link.
Conclusions:
- Body dissatisfaction is a significant correlate of reduced condom use self-efficacy.
- Interventions targeting body dissatisfaction may enhance condom use self-efficacy.
- Reducing body dissatisfaction could be a viable strategy to decrease STI acquisition and transmission.

