Objective: Immigrants, specifically African-born black persons, are affected by the HIV epidemic in the U.S. The low level of condom use among immigrants is a risk factor for contracting HIV and STIs. Immigrants go through acculturation process in their new adopted countries—a process reported to influence many health risks and protective factors; however, the mechanism through which acculturation influences health behaviors is not well understood. Thus, study examined the mediating role of attitude in the relationship between acculturation and the intention to use male condoms in steady heterosexual relationships among Somali and Ethiopian immigrants in Minnesota. Design and Sample: The study was a regression analysis and the method of data collection cross-sectional. Participants were (n = 205) Somali and Ethiopian immigrants in Minnesota who volunteered for the study. Measures: Study participants responded to questions on attitudes, behavioral intention, and acculturation levels. Results: The indirect effect of acculturation through the mediator, attitude, was not significant, product coefficient (a × b) = 0.04, 95% CI: [0.00, 0.11]; hence attitude did not mediate the relationship between acculturation and the intention to use condoms in the study population. However, there were significant direct and total effects of acculturation (c′ =.27, p <.05; c =.31, p <.05), respectively, on intention to use condoms. Conclusion: Results of the study may suggest that public health intervention strategies targeting condom use among immigrants should incorporate programs that improve English language training tailored to the cultural practices and values of the immigrants, and consider the effect of acculturation on condom use. © 2016 Wiley Periodicals, Inc.

immigrants Condoms Attitude Intention mediation HIV Acculturation

information processing language development immigrant mediator regression analysis English (language) human Health Behavior middle aged statistics and numerical data condom Condoms Aged nonhuman Minnesota ethnology Human immunodeficiency virus sexually transmitted disease Cross-Sectional Studies heterosexuality Sexually Transmitted Diseases Young Adult condom use cross-sectional study migrant psychology attitude Adolescent Humans male Emigrants and Immigrants Acculturation female Behavior cultural factor Intention Ethiopia major clinical study adult Somalia utilization public health