Personality factors that differentiate homosexual men with positive and negative attitudes toward condom use.

The Homosexual Attitudes Toward Condoms scale was administered to 148 homosexually active men along with 2 personality and mood inventories, the Adjective Check List (ACL) and the Profile of Mood States (POMS). For each of the 5 subscales of the Homosexual Attitudes Toward Condoms scale and for the total scale, groups were split at the median score and compared by t-tests on the scales of the ACL and POMS. Results showed that high scorers on the ACL scales for dominance and aggression, and less frequently for autonomy, exhibition, and self-confidence, had consistently positive attitudes toward condoms; and that high scorers on the ACL scales for abasement, deference, and the POMS scale for tension- anxiety had consistently negative attitudes toward condoms. These data suggest that the most important variables associated with positive attitudes toward condom use are an assertive personality style and the ability to raise the issue of condom use in sexual encounters without fear of rebuff. Future education efforts should be directed toward assertiveness training in sexual encounters rather than information on the efficacy of condoms for prevention of HIV transmission.