Impact of Marriage on HIV/AIDS Risk Behaviors Among Impoverished, At-Risk Couples: A Multilevel Latent Variable Approach

Stein, Judith A.; Nyamathi, Adeline; Ullman, Jodie B.; Bentler, Peter M.

doi:10.1007/s10461-005-9058-2

Cited by 27 publications

(22 citation statements)

References 39 publications

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“…In one of the first applications of multilevel SEM to HIV risk reduction, Stein et al (2007) found that couple-level effects among IDU couples accounted for greater variance in behavior than individual-level effects. The generalizability of this analytic technique to other theoretical approaches to HIV risk reduction that have had empirical success in individual-level analyses (e.g., the IMB model; Fisher and Fisher 1992) holds promise but continues to require close examination.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, this research sought to enhance quantitative understanding of the risk factors for HIV infection within relationships. It was hypothesized that, as in past multi-level latent variable analyses testing other theoretical models (e.g., Stein et al 2007), the dyadic-level RELO-IMB model would provide for a better fitting model than the traditional, individuallevel model.…”

Section: Introductionmentioning

confidence: 99%

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The Relationship-Oriented Information-Motivation-Behavioral Skills Model: A Multilevel Structural Equation Model among Dyads

Harman

Amico

2008

AIDS Behav

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Transmission rates of HIV infection have increased steadily among heterosexual adults, however current theoretical models have not been tested statistically at the dyadic level in which risk behaviors occur. The purpose of the current study was to test an Information-Motivation-Behavioral skills (IMB) model of HIV risk behavior (IMB) specifically articulated for heterosexual couples in established relationships using data from both members of 75 dyads. The multilevel relationship-oriented information-motivation-behavioral skills (RELO-IMB) model was evaluated at the individual and dyadic level of analysis to examine partner differences on core variables. Results indicated that not only did the RELO-IMB model provide a good fit to the data when analyzed at the dyadic level, but that the structural relations among the core variables were quite different between the individual- and dyadic-level models. This is the first theoretical model of HIV risk behavior to be analyzed at the dyadic level, and the results suggest ways to effectively design intervention strategies for individuals in intimate relationships.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Relationship-Oriented Information-Motivation-Behavioral Skills Model: A Multilevel Structural Equation Model among Dyads

Harman

Amico

2008

AIDS Behav

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“…This is not surprising as increased odds of unprotected sex (or lower odds of condom use) with a primary or steady partner have been reported in the literature (Grangeiro et al, 2012;Kilbourne et al, 2002;Tucker et al, 2010;Tucker et al, 2013). Moreover, Stein, Nyamathi, Ullman and Bentler (2007) found that marriage and lower condom use were significantly correlated in their confirmatory factor analysis, but not in their predictive model. Furthermore, relationship commitment has been significantly associated with more unprotected sex among homeless men and women and women living in shelters (Kennedy et al, 2010;Kennedy et al, 2013;Tucker, Elliott, Wenzel, & Hambarsoomian, 2007).…”

Section: Chapter 4 Discussionmentioning

confidence: 64%

“…It is important to note that unprotected sex with a spouse or perceived monogamous partner does not preclude the risk of STI transmission. One or both parties may have concurrent partners (Stein et al, 2007) that are undisclosed and/or may engage in needle-sharing if injecting drugs. STI risk-reduction interventions should address the risks involved in unprotected sex with spouses or in more "serious" relationships where increased trust and relationship commitment may be involved (Brown et al, 2012).…”

Section: Chapter 4 Discussionmentioning

confidence: 99%

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Housing First and Unprotected Sex: A Structural Intervention

Parpouchi¹,

Moniruzzaman²,

McCandless³

et al. 2016

Journal of Health Care for the Poor and Underserved

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Previous studies have found a high prevalence of sexually transmitted infections and associated risk behaviours among homeless and marginally housed adults. Although individual-level characteristics and their association with risk behaviours have traditionally been a major focus of research, the importance of structural factors, such as housing, that impact these behaviours have received increasing attention. Supported housing interventions like Housing First (HF) have been argued to potentially contribute to reductions in sexual risk behaviours. Using an experimental design, the present study investigated the effect of HF on unprotected sex among homeless adults with mental illness with a treatment as usual (TAU) comparison group. Over the 24 months of followup, no association was found between HF and unprotected sex when compared to TAU.Several other variables were independently associated with unprotected sex. Results indicate that in conjunction with HF, additional interventions are needed to reduce unprotected sex among homeless individuals with mental illness.

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