Exploring factors associated with nonchange in condom use behavior following participation in an STI/HIV prevention intervention for African-American adolescent females

Jessica M. Sales, Jennifer L. Brown, Ralph DiClemente, Eve Rose

Research output: Contribution to journalArticle

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 (N=205; 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 (χ 2 = 4.64, P =. 03). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR =.91, P=.023), (b) a boyfriend (AOR =.32, P=.046), and/or (c) a physical abuse history (AOR =.56, P=.057). 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.

Original languageEnglish (US)
Article number231417
JournalAIDS Research and Treatment
Volume2012
DOIs
StatePublished - Dec 1 2012

Fingerprint

Condoms
Sexually Transmitted Diseases
African Americans
HIV
Logistic Models
Interviews
Wounds and Injuries

ASJC Scopus subject areas

  • Immunology and Allergy
  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

@article{6f31145629c44b3189b52fe398c22980,
title = "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 (N=205; 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 (χ 2 = 4.64, P =. 03). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR =.91, P=.023), (b) a boyfriend (AOR =.32, P=.046), and/or (c) a physical abuse history (AOR =.56, P=.057). 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.",
author = "Sales, {Jessica M.} and Brown, {Jennifer L.} and Ralph DiClemente and Eve Rose",
year = "2012",
month = "12",
day = "1",
doi = "10.1155/2012/231417",
language = "English (US)",
volume = "2012",
journal = "AIDS Research and Treatment",
issn = "2090-1240",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Exploring factors associated with nonchange in condom use behavior following participation in an STI/HIV prevention intervention for African-American adolescent females

AU - Sales, Jessica M.

AU - Brown, Jennifer L.

AU - DiClemente, Ralph

AU - Rose, Eve

PY - 2012/12/1

Y1 - 2012/12/1

N2 - 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 (N=205; 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 (χ 2 = 4.64, P =. 03). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR =.91, P=.023), (b) a boyfriend (AOR =.32, P=.046), and/or (c) a physical abuse history (AOR =.56, P=.057). 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.

AB - 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 (N=205; 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 (χ 2 = 4.64, P =. 03). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR =.91, P=.023), (b) a boyfriend (AOR =.32, P=.046), and/or (c) a physical abuse history (AOR =.56, P=.057). 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.

UR - http://www.scopus.com/inward/record.url?scp=84873877846&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84873877846&partnerID=8YFLogxK

U2 - 10.1155/2012/231417

DO - 10.1155/2012/231417

M3 - Article

VL - 2012

JO - AIDS Research and Treatment

JF - AIDS Research and Treatment

SN - 2090-1240

M1 - 231417

ER -