About this item:
767 Views | 506 Downloads
Author Notes:
Correspondence should be addressed to Jessica M. Sales, jmcderm@emory.edu
Academic Editor: Xiaoming Li
Subject:
Research Funding:
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).
Exploring Factors Associated with Nonchange in Condom Use Behavior following Participation in an STI/HIV Prevention Intervention for African-American Adolescent Females
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.
Copyright information:
© 2012 Jessica M. Sales et al.
This is an Open Access work distributed under the terms of the Creative Commons Attribution 3.0 Unported License (http://creativecommons.org/licenses/by/3.0/).
