HIV Prevention in Low-Income Urban Women – Modeling Condom Use Stage-of-Change

2.50
Hdl Handle:
http://hdl.handle.net/10755/152867
Type:
Presentation
Title:
HIV Prevention in Low-Income Urban Women – Modeling Condom Use Stage-of-Change
Abstract:
HIV Prevention in Low-Income Urban Women – Modeling Condom Use Stage-of-Change
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:June, 2001
Author:Morrison-Beedy, Dianne, PhD
P.I. Institution Name:University of Rochester
Title:Assistant Professor of Nursing
Objective: To identify and test a model of the cognitive antecedents to condom use stage-of-change in low income, single, urban women. Design: The model was constructed and tested using structural equation modeling (SEM) in order to evaluate the combined effects of the indicators as well as their unique effects within the model. Population, Sample, Setting, Years: A large sample of 537 women (M= 30 years old) participated. Most participants were of ethnic-racial minorities (46.6% White, 27% African American, 19% Native American, and 7.4% Hispanic) and economically disadvantaged (incomes less than $10,000-56%). Concept or Variables Studied Together or Intervention and Outcome Variables: HIV-related knowledge, social norms of discussing HIV risk and prevention, familiarity with HIV-infected persons, general readiness-to-change sexual behaviors, perceived vulnerability to HIV, and pros and cons of condom use on condom use stage-of-change. Methods: A series of SEM models were analyzed using EQS Structural Equations Programming in order to examine the relative contributions of each of the hypothesized variables and their relation to stage-of-change. Findings: The results indicate two models that differ by partner type. Condom use stage-of-change in women with steady, main partners was influenced most by social norms and pros of condom use. Condom use stage-of-change in women with ‘other’ (multiple, casual, or new) sexual partners was influenced by HIV-related knowledge, general readiness to change sexual behaviors, and pros of condom use. Conclusions: The Transtheoretical Model provides a useful heuristic framework for understanding condom use stage-of-change in urban women. Most influential in women’s stage-of-change for condom use were knowledge, general readiness-to-change, social norms, and pros of condom use. Implications: Gender-relevant HIV risk reduction interventions need to focus on increasing knowledge, facilitating readiness-to-change sexual behaviors, enhancing social norms relevant to condom use, and acknowledging the pros of condom use. Specific characteristics of an intervention should be made mindful of the types of sexual partners that women are involved with.
Repository Posting Date:
26-Oct-2011
Date of Publication:
Jun-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHIV Prevention in Low-Income Urban Women – Modeling Condom Use Stage-of-Changeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152867-
dc.description.abstract<table><tr><td colspan="2" class="item-title">HIV Prevention in Low-Income Urban Women &ndash; Modeling Condom Use Stage-of-Change</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">June, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Morrison-Beedy, Dianne, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Rochester</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Dianne_Morrison-Beedy@urmc.roc</td></tr><tr><td colspan="2" class="item-abstract">Objective: To identify and test a model of the cognitive antecedents to condom use stage-of-change in low income, single, urban women. Design: The model was constructed and tested using structural equation modeling (SEM) in order to evaluate the combined effects of the indicators as well as their unique effects within the model. Population, Sample, Setting, Years: A large sample of 537 women (M= 30 years old) participated. Most participants were of ethnic-racial minorities (46.6% White, 27% African American, 19% Native American, and 7.4% Hispanic) and economically disadvantaged (incomes less than $10,000-56%). Concept or Variables Studied Together or Intervention and Outcome Variables: HIV-related knowledge, social norms of discussing HIV risk and prevention, familiarity with HIV-infected persons, general readiness-to-change sexual behaviors, perceived vulnerability to HIV, and pros and cons of condom use on condom use stage-of-change. Methods: A series of SEM models were analyzed using EQS Structural Equations Programming in order to examine the relative contributions of each of the hypothesized variables and their relation to stage-of-change. Findings: The results indicate two models that differ by partner type. Condom use stage-of-change in women with steady, main partners was influenced most by social norms and pros of condom use. Condom use stage-of-change in women with &lsquo;other&rsquo; (multiple, casual, or new) sexual partners was influenced by HIV-related knowledge, general readiness to change sexual behaviors, and pros of condom use. Conclusions: The Transtheoretical Model provides a useful heuristic framework for understanding condom use stage-of-change in urban women. Most influential in women&rsquo;s stage-of-change for condom use were knowledge, general readiness-to-change, social norms, and pros of condom use. Implications: Gender-relevant HIV risk reduction interventions need to focus on increasing knowledge, facilitating readiness-to-change sexual behaviors, enhancing social norms relevant to condom use, and acknowledging the pros of condom use. Specific characteristics of an intervention should be made mindful of the types of sexual partners that women are involved with.</td></tr></table>en_GB
dc.date.available2011-10-26T11:53:01Z-
dc.date.issued2001-06en_GB
dc.date.accessioned2011-10-26T11:53:01Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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