Transtheoretical model and condom use in HIV-positive youths.

Naar‐King, Sylvie; Wright, Kathryn; Parsons, Jeffrey T.; Frey, Maureen A.; Templin, Thomas; Ondersma, Steven J.

doi:10.1037/0278-6133.25.5.648

Cited by 30 publications

(30 citation statements)

References 26 publications

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“…However, identified correlates of condomless anal and vaginal sex vary across different studies. For instance, several studies with perinatally-infected adolescents reported significant positive associations between substance use and condomless anal and vaginal sex [8–10], whereas other studies that included both perinatally- and behaviorally-infected youth have not found these same associations [11, 12]. Emotional distress has been positively associated with substance use and subsequent engagement in condomless anal and vaginal sex among YLWH [13, 14] but not consistently [11, 15].…”

Section: Introductionmentioning

confidence: 99%

Using Syndemics Theory to Investigate Risk and Protective Factors Associated with Condomless Sex Among Youth Living with HIV in 17 U.S. Cities

et al. 2016

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Identifying risk and protective factors associated with condomless sex among youth living with HIV is imperative for developing effective HIV prevention strategies. A cross-sectional sample of 1728 participants, 12–26 years of age, recruited from adolescent medicine clinics in 17 U.S. cities completed an audio-computer assisted self-interview with questions about their substance use, psychosocial factors, and attitudinal and behavioral factors. Guided by syndemics theory, a path analysis was used to assess the interrelations of these factors. Analyses of model fit statistics indicated statistically significant direct pathways between substance use, psychosocial factors, self-efficacy for risk-reduction, alternative risk-reduction attitudes and behaviors and condomless sex. The total indirect effect of self-efficacy for risk-reduction on condomless sex through alternative risk-reduction attitudes and behaviors was also significant. Multi-faceted, tailored interventions that address individual risk and protective factors and their combined synergistic effects are urgently needed to prevent condomless sex among this population.

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Section: Introductionmentioning

confidence: 99%

Using Syndemics Theory to Investigate Risk and Protective Factors Associated with Condomless Sex Among Youth Living with HIV in 17 U.S. Cities

et al. 2016

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“…Moreover, emotional distress has been found to be associated with substance use and subsequent engagement in high-risk sexual behavior in HIV-positive males. 14,15 Exchange sex (i.e., sex in exchange for money, drugs, or other needs) has also been associated with increased risk for acquisition of HIV and sexually transmitted diseases (STDs) among both HIV-positive and HIV negative youth. 16,17 Edwards and colleagues investigated exchange sex and associated characteristics for a representative sample of youth (7 th -12 th grade).…”

Section: Introductionmentioning

confidence: 99%

Age of MSM Sexual Debut and Risk Factors: Results from a Multisite Study of Racial/Ethnic Minority YMSM Living with HIV

Outlaw

Phillips

Hightow-Weidman

et al. 2011

AIDS Patient Care and STDs

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The average reported age of sexual debut for youth in the United States is 14.4 years, with approximately 7% reporting their sexual debut prior to age 13. While the research literature on sexual debut for youth addresses gender and ethnic differences (with males and African-American youth experiencing earlier sexual debut), there is limited data regarding factors associated with sexual debut for young men who have sex with men (YMSM). Early sexual debut poses potential health risks, such as contracting HIV with an increased risk of unprotected intercourse. Given current high HIV infection rates for racial/ethnic minority YMSM, learning more about their sexual debuts and associated risk factors of this population is of great importance. This study investigated risk behaviors and emotional distress, and their association with MSM sexual debut for a multisite cohort of racial/ethnic minority YMSM living with HIV. We hypothesized that a MSM sexual debut younger than age 16 would be associated with engagement in more high-risk sexual behaviors (unprotected sex and exchange sex), substance use, and emotional distress than a MSM sexual debut at age 16 or older. Results indicated that participants having a MSM sexual debut before the age of 16 reported more exchange sex; drug use (specifically marijuana); emotional/psychological problems related to substance use; and a history of suicide attempts, compared to participants with later MSM sexual debuts. Comprehensive interventions that are racially/ethnically sensitive, inquire about initial sexual experiences, and focus on sexual health and healthy relationships are needed to improve health outcomes for this population.

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“…Social support has been found to be positively associated with HIV preventive behaviors including condom use among youth and HIV testing and condom use among women (Gaede et al, 2006; Naar-King et al, 2006; Nyamathi, Stein, & Swanson, 2000; Qiao, Li, & Stanton, 2014). …”

mentioning

confidence: 99%

Social Support and Condom Use Among Female Sex Workers in China

Qiao

Zhang

et al. 2014

Health Care for Women International

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While the relationship between social support and psychological well-being has been well established, limited studies have explored how social support might affect condom use among female sex workers (FSWs). Using cross-sectional data from 1,022 FSWs in Guangxi, China, we examined how different forms of support from diverse sources may influence condom use among FSWs. Friends, coworkers, and stable partners were FSWs’ main sources of social support. Social support from diverse sources differently impacts FSWs’ condom use. Policymakers need to consider the complicated profile of social support received by FSWs and create supportive environment for FSWs to protect themselves from HIV risks.

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Transtheoretical model and condom use in HIV-positive youths.

Cited by 30 publications

References 26 publications

Using Syndemics Theory to Investigate Risk and Protective Factors Associated with Condomless Sex Among Youth Living with HIV in 17 U.S. Cities

Using Syndemics Theory to Investigate Risk and Protective Factors Associated with Condomless Sex Among Youth Living with HIV in 17 U.S. Cities

Age of MSM Sexual Debut and Risk Factors: Results from a Multisite Study of Racial/Ethnic Minority YMSM Living with HIV

Social Support and Condom Use Among Female Sex Workers in China

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