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01-12-2011 | Original Paper

Psychosocial Risk Factors for Inconsistent Condom Use in Young People with First Episode Psychosis

Authors: Adrienne P. Brown, Dan I. Lubman, Susan J. Paxton

Published in: Community Mental Health Journal | Issue 6/2011

Abstract

There is evidence of high rates of unprotected sex among young people with first episode psychosis compared to their peers. Little research has explored factors associated with condom use in this population. The current study examined the association between previously identified psychosocial risk factors and condom use in young people with early psychosis and their peers. Sixty-seven sexually active young people with first episode psychosis and 48 sexually active control participants matched on a number of sociodemographic factors completed a self-report survey. Increased probability of inconsistent condom use was associated with clinical status, younger age, unemployment, and the absence of peer support for condom use. Psychological distress, self-esteem, social support, substance use, and impulsivity were not associated with condom use. The results suggest that sexual risk-reduction interventions for young people with psychosis should target peer norms, particularly among those who are younger and unemployed.

Abraham, C., & Sheeran, P. (1994). Modelling and modifying young heterosexuals’ HIV-preventive behaviour; a review of theories, findings and educational implications. Patient Education and Counseling, 23(3), 173–186.PubMedCrossRef

Abrantes, A. M., Strong, D. R., Ramsey, S. E., Kazura, A. N., & Brown, R. A. (2006). Hiv-Risk Behaviors among Psychiatrically Hospitalized Adolescents with and without Comorbid Sud. Journal of Dual Diagnosis, 2(3), 85–100.PubMedCrossRef

Adelekan, M., Green, A., Dasgupta, N., Tallack, F., Stimson, G. V., & Wells, B. (1996). Reliability and validity of the Opiate Treatment Index among a sample of opioid users in the United Kingdom. Drug Alcohol Review, 15(3), 261–270.CrossRef

Ajzen, I. (1985). From intentions to actions: a theory of planned behavior. In J. Kuhl & J. Beckmann (Eds.), Action control: from cognition to behavior. Berlin: Springer.

Bandura, A. (1977). Social learning theory. Englewood Cliffs: Prentice-Hall.

Barratt, E. S. (1985). Impulsiveness subtraits: arousal and information processing. In J. T. Spence & J. Butcher (Eds.), Advances in personality assessment (Vol. 5). Hillsdale: LawrenceErlbaum.

Black, R. A., Serowik, K. L., & Rosen, M. I. (2009). Associations between impulsivity and high risk sexual behaviors in dually diagnosed outpatients. Americal Journal of Drug Alcohol Abuse, 35(5), 325–328.CrossRef

Brooks, R. T., Beard, J., & Steel, Z. (2006). Factor structure and interpretation of the K10. Psychological Assessment, 18(1), 62–70.PubMedCrossRef

Brown, A. P., Lubman, D. I., & Paxton, S. J. (2008). STIs and blood borne viruses—risk factors for individuals with mental illness. Australian Family Physician, 37(7), 531–534.PubMed

Brown, A., Lubman, D., & Paxton, S. (2010a). Reducing sexually transmitted infection risk in young people with first episode psychosis. International Journal of Mental Health Nursing, 20, 12–20. (accepted 12 July).CrossRef

Brown, A., Lubman, D., & Paxton, S. (2010b). Sexual risk behaviour in young people with first episode psychosis. Early Intervention in Psychiatry, 4, 234–242. (published online 26 Apr).PubMedCrossRef

Brown, A., & Siahpush, M. (2006). Socioeconomic predictors of a sedentary lifestyle: results from the 2001 National Health Survey. Journal of Physical Activity and Health, 3(1), 90–101.

Brown, A., & Siahpush, M. (2007). Risk factors for overweight and obesity: results from the 2001 National Health Survey. Public Health, 121(8), 603–613.PubMedCrossRef

Brown, A., Yung, A., Cosgrave, E., Killackey, E., Buckby, J., Stanford, C., et al. (2006). Depressed mood as a risk factor for unprotected sex in young people. Australasian Psychiatry, 14(3), 310–312.PubMed

Capaldi, D. M., Stoolmiller, M., Clark, S., & Owen, L. D. (2002). Heterosexual risk behaviors in at-risk young men from early adolescence to young adulthood: Prevalence, prediction, and association with STD contraction. Developmental Psychology, 38(3), 394–406.PubMedCrossRef

Carey, M. P., Carey, K. B., Maisto, S. A., Gordon, C. M., & Vanable, P. A. (2001). Prevalence and correlates of sexual activity and HIV-related risk behavior among psychiatric outpatients. Journal of Consulting and Clinical Psychology, 69(5), 846–850.PubMedCrossRef

Catania, J. A., Kegeles, S. M., & Coates, T. J. (1990). Towards an understanding of risk behavior: An AIDS risk reduction model (ARRM). Health Education Quarterly, 17(1), 53–72.PubMedCrossRef

Cecil, H., Stanley, M. A., Carrion, P. G., & Swann, A. (1995). Psychometric properties of the MSPSS and NOS in psychiatric outpatients. Journal of Clinical Psychology, 51(5), 593–602.PubMedCrossRef

Cerwonka, E. R., Isbell, T. R., & Hansen, C. E. (2000). Psychosocial factors as predictors of unsafe sexual practices among young adults. AIDS Education and Prevention, 12(2), 141–153.PubMed

Darke, S., Hall, W., Wodak, A., Heather, N., & Ward, J. (1992). Development and validation of a multi-dimensional instrument for assessing outcome of treatment among opiate users: The Opiate Treatment Index. British Journal of Addiction, 87(5), 733–742.PubMedCrossRef

de Visser, R. O. (2000). Predictors of heterosexual condom use: A diary-based study. Unpublished PhD thesis. Victoria: La Trobe University.

Donenberg, G. R., Emerson, E., Bryant, F. B., Wilson, H., & 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 & Adolescent Psychiatry , 40(6), 642–653.CrossRef

Eaton, L., Flisher, A. J., & Aaro, L. E. (2003). Unsafe sexual behaviour in South African youth. Social Science and Medicine, 56(1), 149–165.PubMedCrossRef

Eker, D., & Arkar, H. (1995). Perceived social support: psychometric properties of the MSPSS in normal and pathological groups in a developing country. Social Psychiatry and Psychiatric Epidemiology, 30(3), 121–126.PubMedCrossRef

Essau, C. A. (2010). Comorbidity of substance use disorders among community-based and high-risk adolescents. Psychiatry Research, 185, 176–184.PubMedCrossRef

Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological bulletin, 111(3), 455–474.PubMedCrossRef

Friedman, H. L. (1992). Changing patterns of adolescent sexual behavior: Consequences for health and development. Journal of Adolescent Health, 13(5), 345–350.PubMedCrossRef

Gordon, C. M., Carey, M. P., Carey, K. B., Maisto, S. A., & Weinhardt, L. S. (1999). Understanding HIV-related risk among persons with a severe and persistent mental illness: Insights from qualitative inquiry. The Journal of Nervous and Mental Disease, 187(4), 208–216.PubMedCrossRef

Guillon, M. S., Crocq, M. A., & Bailey, P. E. (2003). The relationship between self-esteem and psychiatric disorders in adolescents. European Psychiatry, 18(2), 59–62.PubMedCrossRef

Hayaki, J., Anderson, B., & Stein, M. (2006). Sexual risk behaviors among substance users: Relationship to impulsivity. Psychology of addictive behaviors, 20(3), 328–332.PubMedCrossRef

Henrich, C. C., Brookmeyer, K. A., Shrier, L. A., & Shahar, G. (2006). Supportive relationships and sexual risk behavior in adolescence: An ecological-transactional approach. Journal of pediatric psychology, 31(3), 286–297.PubMedCrossRef

Henry, D. B., Schoeny, M. E., Deptula, D. P., & Slavick, J. T. (2007). Peer selection and socialization effects on adolescent intercourse without a condom and attitudes about the costs of sex. Child Development, 78(3), 825–838.PubMedCrossRef

Hercus, M., Lubman, D. I., & Hellard, M. (2005). Blood-borne viral and sexually transmissible infections among psychiatric populations: What are we doing about them? The Australian and New Zealand journal of psychiatry, 39(10), 849–855.PubMedCrossRef

Howard, M., & McCabe, J. (1990). Helping teenagers postpone sexual involvement. Family Planning Perspectives, 22(1), 21–26.PubMedCrossRef

Kalichman, S. (1998). Preventing AIDS: A sourcebook for behavioral interventions. Mahwah: Lawrence Erlbaum Associates Inc.

Kelly, J. A. (1997). HIV risk reduction interventions for persons with severe mental illness. Clinical Psychology Review, 17(3), 293–309.PubMedCrossRef

Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976.PubMedCrossRef

Klein, J. D., Allan, M. J., Elster, A. B., Stevens, D., Cox, C., Hedberg, V. A., et al. (2001). Improving adolescent preventive care in community health centers. Pediatrics, 107(2), 318–327.PubMedCrossRef

Lambert, M., Conus, P., Lubman, D. I., Wade, D., Yuen, H., Moritz, S., et al. (2005). The impact of substance use disorders on clinical outcome in 643 patients with first-episode psychosis. Acta Psychiatrica Scandinavica , 112(2), 141–148.PubMedCrossRef

Malatestinic, D., Micovic, V., Kendel, G., & Baricev-Novakovic, Z. (2005). Assessment of psychological and social factors in adolescents risk behavior: Questionnaire study. Croatian Medical Journal, 46(1), 81–87.PubMed

Mathias, S., Lubman, D. I., & Hides, L. (2008). Substance-induced psychosis: A diagnostic conundrum. Journal of Clinical Psychiatry, 69(3), 358–367.PubMedCrossRef

McGorry, P. D., & Yung, A. R. (2003). Early intervention in psychosis: An overdue reform. The Australian and New Zealand Journal of Psychiatry, 37(4), 393–398.PubMedCrossRef

Meade, C. S., & Sikkema, K. J. (2005). HIV risk behavior among adults with severe mental illness: A systematic review. Clinical Psychology Review, 25(4), 433–457.PubMedCrossRef

PA, A. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: American Psychiatric Association.

Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51(6), 768–774.PubMedCrossRef

Raj, R., & Verghese, A. (2000). Human immunodeficiency virus infections in adolescents. Adolescent Medicine, 11(2), 359–374.PubMed

Romer, D., & Hornik, R. (1992). HIV education for youth: The importance of social consensus in behaviour change. AIDS Care, 4(3), 285–303.PubMedCrossRef

Rosenberg, M., & Pearlin, L. I. (1978). Social class and self-esteem among children and adults. American Journal of Sociology, 84, 53–75.CrossRef

Rosenberg, S. D., Trumbetta, S. L., Mueser, K. T., Goodman, L. A., Osher, F. C., Vidaver, R. M., et al. (2001). Determinants of risk behavior for human immunodeficiency virus/acquired immunodeficiency syndrome in people with severe mental illness. Comprehensive Psychiatry, 42(4), 263–271.PubMedCrossRef

Rosenstock, I. M. (1974). The health belief model and personal health behavior. Thorofare: Charles B. Slack.

Sattler, J. M., & Ryan, J. J. (1999). Assessment of children: WAIS-III supplement (3rd ed.). San Diego: Jerome Sattler.

Sawyer, M. G., Arney, F. M., Baghurst, P. A., Clark, J. J., Graetz, B. W., Kosky, R. J., et al. (2000). Mental health of young people in Australia. Canberra: Commonwealth Department of Health and Aged Care.

Shrier, L. A., Goodman, E., & Emans, S. J. (1999). Partner condom use among adolescent girls with sexually transmitted diseases. Journal of Adolescent Health, 24(5), 357–361.PubMedCrossRef

Siahpush, M., & Borland, R. (2001). Socio-demographic variations in smoking status among Australians aged ≥18: multivariate results from the 1995 National Health Survey. Australian and New Zealand Journal of Public Health, 25(5), 438–442.PubMed

Silbert, E., & Tippett, J. (1965). Self-esteem: Clinical assessment and measurement validation. Psychological Reports, 16, 1017–1071.CrossRef

Smith, M. D. (2001). HIV risk in adolescents with severe mental illness: Literature review. Journal of Adolescent Health, 29(5), 320–329.PubMedCrossRef

Sterk, C. E., Klein, H., & Elifson, K. W. (2004). Self-esteem and “at risk” women: determinants and relevance to sexual and HIV-related risk behaviors. Women Health, 40(4), 75–92.PubMed

Svenson, G. R., Ostergren, P. O., Merlo, J., & Rastam, L. (2002). Action control and situational risks in the prevention of HIV and STIs: Individual, dyadic, and social influences on consistent condom use in a university population. AIDS Education Preview, 14(6), 515–531.CrossRef

Tabachnick, B. G., & Fidell, L. S. (2000). Using multivariate statistics (4th ed.). UK: Allyn & Bacon.

UNAIDS. (1999). Sexual behavioural change for HIV: Where have the theories taken us? Geneva: World Health Organisation.

Waterston, A. (1997). Anthropological research and the politics of HIV prevention: Towards a critique of policy and priorities in the age of AIDS. Social Science and Medicine, 44(9), 1381–1391.PubMedCrossRef

Weschler, D. (1997). Weschlet adult intelligence scale (3rd ed.). San Antonio: Pearson.

Wiggers, L. C., de Wit, J. B., Gras, M. J., Coutinho, R. A., & van den Hoek, A. (2003). Risk behavior and social-cognitive determinants of condom use among ethnic minority communities in Amsterdam. AIDS Education Preview, 15(5), 430–447.CrossRef

Winters, K. C., Botzet, A. M., Fahnhorst, T., Baumel, L., & Lee, S. (2009). Impulsivity and its relationship to risky sexual behaviors and drug abuse. Journal of Child and Adolescent Substance Abuse, 18(1), 43–56.PubMedCrossRef

Yung, A. R., Killackey, E., Hetrick, S. E., Parker, A. G., Schultze-Lutter, F., Klosterkoetter, J., et al. (2007). The prevention of schizophrenia. International Review of Psychiatry, 19(6), 633–646.PubMedCrossRef

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41.CrossRef

Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment, 55(3–4), 610–617.PubMed

Title: Psychosocial Risk Factors for Inconsistent Condom Use in Young People with First Episode Psychosis
Authors: Adrienne P. Brown
Dan I. Lubman
Susan J. Paxton
Publication date: 01-12-2011
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 6/2011
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-011-9370-4

Keynote webinar | Spotlight on medication adherence

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Psychosocial Risk Factors for Inconsistent Condom Use in Young People with First Episode Psychosis

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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Smoking Reduction for Persons with Mental Illnesses: 6-Month Results from Community-Based Interventions

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