Focusing on Safety or Pleasure Determine Condom Use Intentions Differently Depending on Condom Availability and STI Risk

Int J Sex Health. 2023 May 15;35(3):341-351. doi: 10.1080/19317611.2023.2212651. eCollection 2023.

Abstract

Objective: Regulatory Focus Theory suggests that goal pursuit is driven by two separate and fundamental motives. Being more focused on prevention motivates people to enact safer behaviors and avoid negative outcomes (e.g., to prevent diseases), whereas being more focused on promotion motivates people to take risks and pursue pleasurable experiences (e.g., condomless sex).

Methods: A quasi-experimental study (N = 476) examined if differences in regulatory focus (i.e., prevention vs. promotion) determined condom use intentions with a prospective casual partner, depending on condom availability delay and STI risk cues.

Results: Participants focused on prevention (vs. promotion) were less likely to consider having condomless sex across condom availability delays conditions. However, STI risk cues changed condom use intentions. When STI risk was lower, condom use intentions decreased as condom availability delays increased (particularly for participants focused on promotion). When STI risk was higher, condom use intentions were stronger and consistent across condom availability delays (particularly for participants focused on prevention).

Conclusions: These findings highlight the importance of distinct sexual motives when examining sexual health practices.

Keywords: Regulatory focus; condom; disease prevention; please promotion; sexual delay discounting task.

Grants and funding

This work was funded by the Social Observatory of the “la Caixa” Foundation (Ref.: LCF/PR/SR20/52550001) and by a grant awarded by Fundação para a Ciência e a Tecnologia (Ref.: 2020.00523.CEECIND) awarded to DLR.