Exploring Factors Associated with Nonchange in Condom Use Behavior following Participation in an STI/HIV Prevention Intervention for African-American Adolescent Females

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

Format: Article
Diterbitkan: Hindawi Limited 2012-01-01

Deskripsi

To enhance future STI/HIV prevention efforts, this study examined factors associated with adolescentsโ€™ failure to improve their condom use behaviors after participating in an STI/HIV prevention intervention. African-American adolescent females (๐‘=205; M ageโ€‰=โ€‰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 (๐œ’2=4.64, ๐‘ƒ=.03). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AORโ€‰=โ€‰.91, ๐‘ƒ=.023), (b) a boyfriend (AORโ€‰=โ€‰.32, ๐‘ƒ=.046), and/or (c) a physical abuse history (AORโ€‰=โ€‰.56, ๐‘ƒ=.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.