HIV Information and Behavioral Skills Moderate the Effects of Relationship Type and Substance Use on HIV Risk Behaviors Among African American Youth

Mustanski, Brian; Byck, Gayle R.; Newcomb, Michael E.; Henry, David B.; Bolland, John M.; Dick, Danielle M.

doi:10.1089/apc.2012.0468

Cited by 13 publications

(11 citation statements)

References 76 publications

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“…In contrast to the present study, Mustanski et al [20] did not observe a moderating effect of HIV knowledge on the intoxication-unprotected sex association in a US community sample of adolescents. This study also did not find that casual or new partner relationship or age moderated the intoxication-unprotected sex association observed in other event-level studies [16–19, 21, 23] conducted largely among MSM who were not differentiated in terms of HIV status.…”

Section: Discussioncontrasting

confidence: 99%

Intoxication at Last Sexual Intercourse and Unprotected Sex among HIV-Positive and HIV-Negative Individuals in Uganda: An Event-Level Analysis

2014

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This study examined, for the first time, the association between intoxication at last sexual intercourse and unprotected sex separately among HIV-positive and HIV-negative individuals. Data were derived from a nationally-representative survey of Uganda in 2011. Multivariable logistic regression analyses of the intoxication-unprotected sex association included adjustment for sociodemographic and behavioral covariates that were also examined as moderators of the association. Among HIV-positive individuals, intoxication was associated with unprotected sex, whereas among HIV-negative individuals, the intoxication-unprotected sex association was moderated by knowledge that condoms prevent HIV transmission. The odds of unprotected sex was 2.67 times greater among HIV-negative individuals who were unaware that condoms prevent HIV, an association not observed among those who possessed such knowledge. The results suggest that the intoxication-unprotected sex link be incorporated within Ugandan National HIV Prevention Strategies among HIV-positive and HIV-negative individuals. HIV-negative individuals who are unaware that condoms prevent HIV should be targeted for interventions focusing on increasing HIV transmission knowledge especially on the role of condoms in preventing the disease. The latter interventions should also identify those sociocultural and political beliefs about condom use that may serve as barriers to consistent condom use.

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Section: Discussioncontrasting

confidence: 99%

Intoxication at Last Sexual Intercourse and Unprotected Sex among HIV-Positive and HIV-Negative Individuals in Uganda: An Event-Level Analysis

2014

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“…Alcohol use may impair young people’s decision making and lower their inhibitions, which has the potential increase their potential for engaging in high-risk behaviors (36). Thus, substance use screening and linkage to substance use treatment targeting alcohol use may be particularly effective in reducing substance use and HIV risk behaviors among YLWH.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of substance use among youth living with HIV in clinical settings

Gamarel

Brown

Kahler

et al. 2016

Drug and Alcohol Dependence

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Objectives The purpose of this study was to better understand the prevalence and correlates of substance use behaviors among HIV-infected adolescents in HIV care settings. Methods A cross-sectional sample of 2216 youth living with HIV (YLWH; ages 12-26) was recruited through the Adolescent Trials Network for HIV Interventions. Participants completed a one-time survey on sociodemographic factors, substance use and health behaviors. We used logistic regression models to understand the correlates of substance use outcomes. Results Overall, weekly or more frequent tobacco use was reported by 32.9% of participants, 27.5% marijuana use, and 21.3% alcohol use; and 22.5% reported any other illicit drug use. In multivariable models, young MSM had higher odds of reporting each substance use behavior, and transgender women had increased odds of marijuana and other illicit drug use. Criminal justice involvement, unstable housing, condomless sex, and suboptimal antiretroviral therapy was associated with increased risk of substance use behaviors. Conclusions Study findings highlight the need for regular screening for substance use in HIV care settings in order to improve access to and delivery of culturally competent substance use prevention and treatment services.

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“…57 Adolescent relationships are dynamic, of variable duration, and often not monogamous. [28][29][30][31]58 Younger adolescents value romantic relationships for their friendship, physical attraction, and emotional intensity, whereas older adolescents value commitment and caring support in their relationships. 28 HIV testing may, therefore, play different roles in younger than in older adolescents' relationships.…”

Section: Discussionmentioning

confidence: 99%

“…Studies show that adolescents are more likely to use condoms with casual partners than with steady partners. [23][24][25][26][27][28][29] Adolescents in romantic relationships, compared with those in casual relationships, are less likely to report consistent use of condoms and other forms of contraception. 23,24 However, the influence of partner and relationship factors on HIV testing behavior has not been well studied.…”

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confidence: 99%

The Influence of Individual, Partner, and Relationship Factors on HIV Testing in Adolescents

Talib

Silver

Coupey

et al. 2013

AIDS Patient Care and STDs

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Early identification of HIV by increasing testing is a national priority; however, little is known about HIV testing behaviors in high school age adolescents. We examined the association of individual, partner, and relationship factors with HIV testing using a computer-assisted survey administered from 2003 to 2006 in a community sample of 980 sexually active 14-to 17-year-olds (56% female, 55% Latino, 25% African American) living in a jurisdiction with a high AIDS burden. Twenty percent reported their first sexual encounter as having occurred when they were < 13 years of age, 33% had had four or more lifetime sexual partners, 21% reported high partner HIV-risk behavior, and 428 (44%) had been tested for HIV. In our final regression model, independent associations with HIV testing included being female (OR = High HIV/AIDS knowledge, high partner HIV risk behavior, and young age at first sexual encounter were not associated with testing. These findings suggest that, for high school aged adolescents, optimal strategies to promote HIV testing should look beyond increasing HIV/AIDS knowledge and identifying individual risk behaviors to also considering the role of partners and relationships and their influence on testing behavior.1

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HIV Information and Behavioral Skills Moderate the Effects of Relationship Type and Substance Use on HIV Risk Behaviors Among African American Youth

Cited by 13 publications

References 76 publications

Intoxication at Last Sexual Intercourse and Unprotected Sex among HIV-Positive and HIV-Negative Individuals in Uganda: An Event-Level Analysis

Intoxication at Last Sexual Intercourse and Unprotected Sex among HIV-Positive and HIV-Negative Individuals in Uganda: An Event-Level Analysis

Prevalence and correlates of substance use among youth living with HIV in clinical settings

The Influence of Individual, Partner, and Relationship Factors on HIV Testing in Adolescents

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