Beliefs as predictors of condom use by injecting drug users in treatment

Abstract

This study was conducted to clarify (1) the extent to which health beliefs selected from Protection Motivation Theory can combine to correctly classify 72 injecting drug users (IDUs) as condom users or non-users and (2) which of the beliefs ('vulnerability to a regular partner', 'vulnerability to a casual partner', 'self-efficacy', 'response efficacy', 'response costs' and 'social norms') were most influential in this distinction. Results of a logistic regression indicated that these beliefs were significant predictors of condom use. Overall, 83.3% of participants were correctly classified according to condom use, with condom 'non-users' being more accurately predicted (94.0%) than 'users' (59.1%). 'Vulnerability to a regular partner' and 'social norms' were significant multivariate and univariate predictors of condom use, and 'response costs' were significant univariate predictors. IDUs were confident of their ability to use condoms, considered themselves highly vulnerable to HIV infection from casual partners and were confident in the efficacy of condoms to protect them from AIDS. However, the majority of IDUs were not condom users, particularly with 'regular' partners. Findings suggest that HIV prevention programmes should target beliefs regarding risks from known partners, perceived norms and negative consequences of condom use in order to increase condom use by IDUs in treatment.

Condom Use and Concurrent Partnering among Heterosexually Active, African American Men: A Qualitative Report

“…[8][9][10] Several factors have been found to reduce consistent condom use among heterosexual men regardless of race/ethnicity, including reduced sexual pleasure and concerns about sexual performance, [11][12][13] negative outcome expectancies, 14,15 condom use selfefficacy, [16][17][18][19] attitudes towards condoms, 13,17,19 and risk perceptions. [20][21][22] Condom use also varies by partnership type, 23 relationship duration, 24,25 use of other contraceptive methods, 26,27 and sexual communication, [28][29][30][31] as well as drug and alcohol use. [32][33][34][35] Some qualitative research reports that condoms symbolize infidelity, disease status, and mistrust, which acts as a barrier to continued condom use in long-term and committed relationships.…”

Psychosocial Correlates of HIV-related Sexual Risk Factors among Male Clients in Southern India

“…Self-efficacy refers to beliefs about the ability and effort required to perform a pro moted health behavior effectively [9]. According to Bandura [10], perceived self-efficacy denotes people's belief that they can exercise control over their motivation as well as behavior.…”

Homelessness and HIV-Associated Risk Behavior Among African American Men Who Inject Drugs and Reside in the Urban South of the United States

“…At the end of 2004, 26% of cumulative AIDS cases were attributed solely to injection drug use (CDC, 2005) while this estimate climbs to over one-third (36%) of cases since the beginning of the epidemic when considering indirect transmission (e.g., sexual contact with an injection drug user). Indeed, recent studies have shown the potential of injection drug users (IDUs) to not only acquire HIV through injection drug use, but also to transmit HIV to the larger population through their engagement in sexual risk behavior (Houlding & Davidson, 2003;Kuyper et al, 2004;Rosengard, Anderson, & Stein, 2004;van Empelen, Schaalma, Kok, & Jansen, 2001).…”