Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 6/2006

01-11-2006 | Original Paper

I Can Use a Condom, I Just Don’t: The Importance of Motivation to Prevent HIV in Adolescent Seeking Psychiatric Care

Authors: Brian Mustanski, Geri Donenberg, Erin Emerson

Published in: AIDS and Behavior | Issue 6/2006

Login to get access

Abstract

Youth continue to show high HIV infection rates, and adolescents with mental health problems are especially at risk. We used longitudinal data to test a cognitive-behavioral model of risky sexual behavior among 175, ethnically diverse urban adolescents seeking mental health services. Path analyses of the cross-sectional data revealed that Motivation was a strong predictor of Behavioral Skills and Sexual Risk Taking. The model explained 42% of the variance in Sexual Risk Taking with age included—29% without age. In the longitudinal path analyses, Motivation had a significant negative effect on levels of Sexual Risk Taking 6 months later, controlling for Information, Behavioral Skills, age, and baseline levels of Sexual Risk Taking. These longitudinal effects explained 60% of the variance in Sexual Risk Taking. These results underscore the need to address motivational factors in HIV prevention programs designed for adolescents with mental health problems.
Literature
Achenbach, T. M., McConaughy, S. H., and Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213–232.PubMedCrossRef
Bandura, A. (1994). Social cognitive theory and exercise control of HIV infection. In R. J. DiClemente and J. L. Peterson (Eds.), Preventing AIDS: Theories and methods of behavioral interventions. New York: Plenum Press.
Boyer, C. B., Shafer, M., Wibbelsman, C. J., Seeberg, D., Teitle, E., and Lovell, N. (2000). Associations of sociodemographic, psychosocial, and behavioral factors with sexual risk and sexually transmitted diseases in teen clinic patients. Journal of Adolescent Health, 27, 102–111.PubMedCrossRef
Brown, L. K., Danovsky, M. B., Lourie, K. J., DiClemente, R. J., and Ponton, L. E. (1997). Adolescents with psychiatric disorders and the risk of HIV. Journal of American Academy of Child and Adolescent Psychiatry, 36, 1609–1617.CrossRef
Brown, L. K., DiClemente, R. J., and Beausoleil, N. I. (1992). Comparison of human immunodeficiency virus related knowledge, attitudes, intentions, and behaviors among sexually active and abstinent young adolescents. Journal of Adolescent Health, 13, 140–145.PubMedCrossRef
Brown, L. K., Reynolds, L. A., and Lourie, K. J. (1997). A pilot HIV prevention program for adolescents in a psychiatric hospital. Psychiatric Services, 48, 531–533.PubMed
Browne, M. W., and Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen and J. S. Long (Eds.), Testing Structural Equation Models (pp. 136–162). Newbury Park: Sage Publications.
Carey, M. P., Carey, K. B., and Kalichman, S. C. (1997). Risk for HIV infection among persons with severe mental illnesses. Clinical Psychology Review, 17, 271–291.PubMedCrossRef
Carey, M. P., Maisto, S. A., Kalichman, S. C., Forsyth, A. D., Johnson, B. T., and Wright, E. (1997). Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women. Journal of Consulting and Clinical Psychology, 65, 531–541.PubMedCrossRef
CDC. (2004). Youth risk behavior surveillance. Morbidity and mortality weekly, 53, 1–96.
DiClemente, R. J. (1990). The emergence of adolescents as a risk group for human immunodeficiency virus infection. Journal of Adolescent Research, 5, 7–17.
Donenberg, G. R., Bryant, F. B., Emerson, E., Wilson, H. W., and Pasch, K. E. (2003). Tracing the roots of early sexual debut among adolescents in psychiatric care. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 594–608.PubMedCrossRef
Donenberg, G. R., Emerson, E., Bryant, F. B., Wilson, H., and Weber-Shifrin, E. (2001). Understanding AIDS-risk behavior among adolescents in psychiatric care: Links to psychopathology and peer relationships. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 642–653.PubMedCrossRef
Donenberg, G. R., and Pao, M. (2005). Youths and HIV/AIDS: Psychiatry’s role in a changing epidemic. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 728–747.PubMedCrossRef
Donenberg, G. R., Schwartz, R. M., Emerson, E., Wilson, H. W., Bryant, F. B., and Coleman, G. (2005). Applying a cognitive-behavioral model of HIV-risk to youths in psychiatric care. AIDS Education and Prevention, in press.
Dutra, R., Miller, K. S., and Forehand, R. (1999). The process and content of sexual communication with adolescents in two-parent families: Associations with sexual risk-taking behavior. AIDS and Behavior, 3, 59–66.CrossRef
Faryna, E. L., and Morales, E. (2000). Self-efficacy and HIV-related risk behaviors among multiethnic adolescents. Cultural Diversity and Ethnic Minority Psychology, 6, 42–56.PubMed
Fisher, J. D., and Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.PubMedCrossRef
Fisher, J. D., and Fisher, W. A. (2002). The information-motivation-behavioral skills model. In R. J. DiClemente, R. A. Crosby and M. C. Kegler (Eds.), Emerging theories in health promotion practice and research: Strategies for improving public health (pp. 40–70). San Francisco: Jossey-Bass.
Fisher, J. D., Fisher, W. A., Bryan, A. D., and Misovich, S. J. (2002). Information-motivation-behavioral skills model-based HIV risk behavior change intervention for inner-city high school youth. Health Psychology, 21, 177–186.PubMedCrossRef
Fisher, J. D., Fisher, W. A., Misovich, S. J., Kimble, D. L., and Malloy, T. E. (1996). Changing AIDS risk behavior: Effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population. Health Psychology, 15, 114–123.PubMedCrossRef
Fisher, J. D., Fisher, W. A., Williams, S. S., and Malloy, T. E. (1994). Empirical tests of an information-motivation-behavioral skills model of AIDS-preventive behavior with gay men and heterosexual university students. Health Psychology, 13, 238–250.PubMedCrossRef
Fisher, W. A., Williams, S. S., Fisher, J. D., and Malloy, T. E. (1999). Understanding AIDS risk behavior among sexually active urban adolescents: An empirical test of the information-motivation-behavioral skills model. AIDS and Behavior, 3, 13–23.CrossRef
Forsyth, A. D., Carey, M. P., and Fuqua, R. W. (1997). Evaluation of the validity of the condom use self-efficacy scale (CUSES) in young men using two behavioral simulations. Health Psychology, 16, 175–178.PubMedCrossRef
Hollingshead, A. B. (1975). Four factor index of social status. Unpublished manuscript, Yale University.
Hoyle, R. H., Fejfar, M. C., and Miller, J. D. (2000). Personality and sexual risk taking: A quantitative review. Journal of Personality, 68, 1203–1231.PubMedCrossRef
Hu, L. T., and Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef
Jemmott, L., and Jemmott, F. E. (1990). Sexual knowledge, attitudes, and risky sexual behavior among inner-city Black male adolescents. Journal of Adolescent Research, 5, 346–369.
Katz, R. C., Mills, K., Singh, N. N., and Best, A. M. (1995). Knowledge and attitudes about AIDS: A comparison of public high school students, incarcerated delinquents, and emotionally disturbed adolescents. Journal of Youth and Adolescence, 24, 117–131.CrossRef
Kline, R. B. (2005). Principles and practice of structural equation modeling (2 edn.). New York: Guilford Press.
Kotchick, B. A., Dorsey, S., Miller, K. S., and Forehand, R. (1999). Adolescent sexual risk-taking behavior in single-parent ethnic minority families. Journal of Family Psychology, 13, 92–102.CrossRef
McFarlane, A. H., Bellissimo, A., and Norman, G. R. (1995). The role of family and peers in social self-efficacy: Links to depression in adolescence. American Journal of Orthopsychiatry, 65, 402–410.PubMed
Mustanski, B. S., Viken, R. J., Kaprio, J., and Rose, R. J. (2005). Sexual experience in young adulthood: A population-based twin study. Under review.
Romer, D., Hornik, R., and Stanton, B. (1997). “Talking” computers: An efficient and private method to conduct interviews on sensitive on sensitive health topics. Journal of Sex Research, 34, 3–9.CrossRef
Shaffer, D., Fisher, P., Piacentini, J. C., Schwab-Stone, M. E., and Wiks, J. (1991). Diagnostic interview for children (DISC 2.3)– Child Version. New York: Columbia University.
Slonim-Nevo, V., and Mukuka, L. (2005). AIDS-related knowledge, attitudes and behavior among adolescents in Zambia. AIDS and Behavior, 9, 223–231.PubMedCrossRef
Metadata
Title
I Can Use a Condom, I Just Don’t: The Importance of Motivation to Prevent HIV in Adolescent Seeking Psychiatric Care
Authors
Brian Mustanski
Geri Donenberg
Erin Emerson
Publication date
01-11-2006
Published in
AIDS and Behavior / Issue 6/2006
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9098-2

Other articles of this Issue 6/2006

AIDS and Behavior 6/2006 Go to the issue

Original Artical

Inconsistent Condom Use with Steady and Casual Partners and Associated Factors among Sexually-Active Men who Have Sex with Men in Bangkok, Thailand

Original Paper

Improving Dietary Habits in Disadvantaged Women With HIV/AIDS: The SMART/EST Women's Project

Original Article

Assessing the Efficacy of a Voluntary HIV Counseling and Testing Intervention for Pregnant Women and Male Partners in Urumqi City, China

OriginalPaper

Perceived Neighborhood Social Cohesion and Condom Use Among Adolescents Vulnerable to HIV/STI

Original Article

New York City Injection Drug Users’ Memories of Syringe-Sharing Patterns and Changes During the Peak of the HIV/AIDS Epidemic

Original Paper

Examining the role of partner status in an HIV prevention trial targeting HIV-positive gay and bisexual men: the seropositive urban men’s intervention trial (SUMIT)
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits