Application of the Transtheoretical Model to Sexual Risk in Rural African American Stimulant Users: Critical Differences with Main and Casual Partners

2.50
Hdl Handle:
http://hdl.handle.net/10755/156324
Type:
Presentation
Title:
Application of the Transtheoretical Model to Sexual Risk in Rural African American Stimulant Users: Critical Differences with Main and Casual Partners
Abstract:
Application of the Transtheoretical Model to Sexual Risk in Rural African American Stimulant Users: Critical Differences with Main and Casual Partners
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Gullette, Donna L., DSN, RN
P.I. Institution Name:University of Arkansas Medical Sciences
Title:Associate Professor
Co-Authors:Katharine E. Stewart, PhD, MPH, MA, BS; LeaVonne Pulley, PhD, MEd, BA; Patricia B. Wright, MPH, BSN, RN; Brenda M. Booth, PhD and Zackary Feldman, MS
[Research Presentation] Background: The Southern United States has the highest HIV incidence rate (14.7) compared to other US regions (11.6). The 2005 HIV incidence rate for African Americans in Arkansas was 4.98 times that of whites. Stimulant users are at risk for sexually transmitted infections (STIs) and HIV. Rural African American stimulant users are at extremely high risk and urgently need effective sexual risk reduction interventions. However, very few interventions have been designed or tested in this population. Purpose: This study applied the Transtheoretical Model (TTM) of behavior change to sexual risk behaviors in rural African Americans stimulant users to identify stages of change (SOC) associated with condom use with main/casual partners, and to understand how self-efficacy, and decisional balance are related to risk behaviors. Method: Seventy-two rural African American stimulant users (50% female) completed computer-assisted personal interviews on theory-based individual and social determinants of sexual risk behavior in determining various SOC. Findings: Fifty-seven percent of the participants reported using crack cocaine and 72% used powder cocaine. Nearly 70% used stimulants during sex, 61% reported inconsistent condom use, and 63% revealed trading sex for drugs, money and/or other needs. Participants with higher self-efficacy for condom usage with their main partners were more in the ôactionö or ômaintenanceö SOC.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleApplication of the Transtheoretical Model to Sexual Risk in Rural African American Stimulant Users: Critical Differences with Main and Casual Partnersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156324-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Application of the Transtheoretical Model to Sexual Risk in Rural African American Stimulant Users: Critical Differences with Main and Casual Partners</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">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gullette, Donna L., DSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Arkansas Medical Sciences</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dgullette@uams.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Katharine E. Stewart, PhD, MPH, MA, BS; LeaVonne Pulley, PhD, MEd, BA; Patricia B. Wright, MPH, BSN, RN; Brenda M. Booth, PhD and Zackary Feldman, MS</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Background: The Southern United States has the highest HIV incidence rate (14.7) compared to other US regions (11.6). The 2005 HIV incidence rate for African Americans in Arkansas was 4.98 times that of whites. Stimulant users are at risk for sexually transmitted infections (STIs) and HIV. Rural African American stimulant users are at extremely high risk and urgently need effective sexual risk reduction interventions. However, very few interventions have been designed or tested in this population. Purpose: This study applied the Transtheoretical Model (TTM) of behavior change to sexual risk behaviors in rural African Americans stimulant users to identify stages of change (SOC) associated with condom use with main/casual partners, and to understand how self-efficacy, and decisional balance are related to risk behaviors. Method: Seventy-two rural African American stimulant users (50% female) completed computer-assisted personal interviews on theory-based individual and social determinants of sexual risk behavior in determining various SOC. Findings: Fifty-seven percent of the participants reported using crack cocaine and 72% used powder cocaine. Nearly 70% used stimulants during sex, 61% reported inconsistent condom use, and 63% revealed trading sex for drugs, money and/or other needs. Participants with higher self-efficacy for condom usage with their main partners were more in the &ocirc;action&ouml; or &ocirc;maintenance&ouml; SOC.</td></tr></table>en_GB
dc.date.available2011-10-26T14:40:17Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:40:17Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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