Analysis
The CUSSES includes a series of statements that assess an individual’s confidence in different aspects of condom use. These statements may cover:
Selection and Purchase of Condoms: Evaluates the person’s confidence in selecting and purchasing condoms without embarrassment.
Correct Use: Examines confidence in the correct application, removal, and disposal of the condom.
Situation Management: Assesses the ability of the person to use condoms even under pressure or when facing resistance from a partner.
Participants are asked to rate their confidence for each statement using a Likert scale, usually ranging from 1 (not confident at all) to 5 (completely confident).
Objective
The main objective of the CUSSES is to identify an individual’s levels of confidence in condom use. In this way, it can highlight areas that require reinforcement through educational programs and interventions. Strengthening self-efficacy in condom use can lead to increased use, thereby reducing the risk of STIs and unintended pregnancies.
Calibration
Calibration of the CUSSES is done by summarizing the scores from participants’ responses. Higher total scores indicate greater confidence in condom use, while lower scores may suggest the need for intervention and education.
Bibliography
The literature related to self-efficacy in condom use includes studies examining the impact of confidence on condom use and strategies to improve it:
Brafford, L. J., & Beck, K. H. (1991). Development and validation of a condom self-efficacy scale for college students. Journal of American College Health, 39(5), 219–225.
Brady, S. S., & Tschann, J. M. (2003). Dimensions of the male condom use self-efficacy scale. AIDS Education and Prevention, 15(5), 400–412.
Gibbs, S., & Campbell, C. (2008). Child sexual behaviour in context: A comparison of normative and problematic sexual behaviour in children. Clinical Child Psychology and Psychiatry, 13(4), 505–518.