Exploring Factors Associated with Nonchange in Condom Use Behavior following Participation in an STI/HIV Prevention Intervention for African-American Adolescent Females

• Type of Material: Article
• Authors: Jessica Sales, Emory University; Jennifer L. Brown, Emory University; Ralph Joseph Diclemente, Emory University; Eve Rose, Emory University
• Language: English
• Date: 2012-03-30
• Publisher: Hindawi Publishing Corporation
• Publication Version: Final Published Version
• Copyright Statement: © 2012 Jessica M. Sales et al.
• License: Creative Commons Attribution 3.0 Unported
• Final Published Version (URL): http://www.hindawi.com/journals/art/2012/231417/
• Title of Journal or Parent Work: AIDS Research and Treatment
• ISSN: 2090-1240
• Volume: 2012
• Issue: 2012
• Start Page: 1
• End Page: 9
• Grant/Funding Information: This work was supported by the National Institute of Mental Health at the National Institute of Health (K01 MH085506 to J. M. Sales) and (R01MH061210 to R. J. DiClemente).
• Research Categories: Health Sciences, Public Health

Abstract

To enhance future STI/HIV prevention efforts, this study examined factors associated with adolescents’ failure to improve their condom use behaviors after participating in an STI/HIV prevention intervention. African-American adolescent females (; M age = 17.9) in an STI/HIV prevention intervention trial completed ACASI interviews and provided self-collected vaginal swabs to assess two prevalent STIs at baseline and 6 months after intervention. Analyses compared those who increased condom use after intervention (change group) to those whose condom use did not increase (nonchange group). 43.4% did not increase their condom use after the intervention and were more likely to have an STI at followup (, ). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR = .91, ), (b) a boyfriend (AOR = .32, ), and/or (c) a physical abuse history (AOR = .56, ). There were also differences in the extent to which psychosocial mediators changed between the two groups. Findings highlight the need to tailor STI/HIV interventions to adolescents with a greater degree of sensation seeking and address key relationship characteristics and trauma histories to bolster intervention efficacy.