Pathways to Sexual Risk Reduction: Gender Differences and Strategies for Intervention

Longshore, Douglas; Stein, Judith A.; Chin, Dorothy

doi:10.1007/s10461-005-9053-7

Cited by 10 publications

(20 citation statements)

References 48 publications

(52 reference statements)

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“…[13][14][15] Perceived Norms and HIV Risk Behavior Whereas there are many published studies examining the relationship between perceived norms and risky sex behaviors, less attention has been given to the association between perceived norms and injection practices. [16][17][18] Using a mixedmethod approach, Friedman et al conducted an exploratory assessment of the relationship between IDU behaviors and the behaviors of their drug acquaintances. 19 The results indicated significant unadjusted relationships between participants_ and acquaintances_ needle sharing and use of cleaned or sterile needles.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing

Davey‐Rothwell

Latkin

2007

J Urban Health

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Whereas substantial research has linked perceived norms and HIV sexual risk behavior, less attention has been given to the relationship between perceived norms and injection drug practices. This study investigated the relationship between needle sharing and perceived norms in a sample of injection drug users. Data were collected through face-to-face interviews with 684 injectors from the STEP Into Action (STEP) project in Baltimore, Maryland. Logistic regression was used to assess the associations between perceived norms (descriptive and injunctive norms) and needle sharing. Results were stratified by gender. Descriptive norms were significantly related to needle sharing among males (AOR=1.58, 95%CI=1.20-2.40) and females (AOR=1.78; 95%CI=1.24-2.55). Whereas injunctive norms were significantly associated with needle sharing among men (AOR=1.30 95%CI=1.05-1.61), this association was not significant among women (AOR=0.99; 95%CI=0.74-1.31). These findings suggest the utility of peer education interventions that promote norms regarding risk reduction among injection drug users. The data also provide support for gender-specific HIV prevention interventions.

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Section: Introductionmentioning

confidence: 99%

Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing

Davey‐Rothwell

Latkin

2007

J Urban Health

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“…Earlier application of the ARRM on drug users' data suggested possible differences in relationships by gender and previous risk behaviors 17 ; and additional variables that might impact intervention development were also examined for possible inclusion in the models as background control variables. Demographics included gender, age, and education (high school graduate or higher vs. less than high school).…”

Section: Methodsmentioning

confidence: 99%

“…17,42 Our version of a simplified schematic of the ARRM appears in Figure 1 (see also the Catania et al 13 diagram). From the ARRM perspective, behavior change is viewed as a process occurring in three major stages.…”

Section: Aids Risk Reduction Model (Arrm)mentioning

confidence: 99%

“…[15][16][17]44 These studies have identified both direct and indirect effects across the stages of the model for both sexual and injection risk behaviors among substance users. The ARRM has also been used as the basis for developing HIV risk-reduction interventions [45][46][47][48][49][50] (see also recent reviews in Lyles et al 51 and Herbst et al 52 ), but few studies have focused specifically on heterosexual MA users.…”

Section: Aids Risk Reduction Model (Arrm)mentioning

confidence: 99%

“…For example, Longshore et al found that commitment to safe sex strategies was a significant predictor of lower sex risktaking behavior at follow-up for both men and women substance abusers. 17 Other examples of studies showing relationships between commitment/intention and subsequent behavior change include Anderson et al, 59 Bowen, 60 Sanderson and Yopyk. 61 Conner et al found that self-efficacy (one of the commitment facilitators) was a predictor of subsequent condom use behavior among offenders in substance abuse treatment.…”

Section: Aids Risk Reduction Model (Arrm)mentioning

confidence: 99%

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Predictors of Intention to Change HIV Sexual and Injection Risk Behaviors among Heterosexual Methamphetamine-Using Offenders in Drug Treatment: A Test of the AIDS Risk Reduction Model

Brecht

Stein

Evans

et al. 2008

J Behav Health Serv Res

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This study tested components of the AIDS Risk Reduction Model (ARRM) for a sample of methamphetamine-using offenders in drug treatment. Analyses included the first two stages of the ARRM, problem recognition and intention to reduce risk (potential precursors to later possible behavior change), assessing predictors of intentions to increase condom use, reduce other sexual risk, and disinfect needles. Path analysis results showed potential applicability of the ARRM as a basis for intervention development for this population. There was a consistent effect of selfefficacy for risk reduction strategies, as well as direct or indirect effects of problem recognition factors (AIDS knowledge, peer norms), on the three intention indicators. Prior sex risk behavior (condom use) was directly negatively related to intention to use condoms; prior needle use was indirectly negatively related to intention to disinfect. Intention to use condoms was lower for females. Results can help identify areas for intervention development.

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Patterns and Correlates of Sexual Activity and Condom Use Behavior in Persons 50-Plus Years of Age Living with HIV/AIDS

et al. 2008

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This study characterized rates of sexual activity and identified psychosocial and behavioral correlates of sexual activity and condom use in a metropolitan sample of 290 HIV-infected adults 50-plus years of age. Thirty-eight percent of participants were sexually active in the past three months, 33% of whom had at least one occasion of anal or vaginal intercourse that was not condom protected. Rates and correlates of sexual activity and condom use differed between gay/bisexual men, heterosexual men, and heterosexual women. In the past three months, 72% of heterosexual men were sexually active compared to only 36% of gay/bisexual men and 21% of heterosexual women. However, among sexually active persons, only 27% of heterosexual men reported inconsistent condom use compared to 37% of gay/bisexual men and 35% of heterosexual women. As the number of older adults living with HIV/AIDS in the U.S. continues to increase, age-appropriate secondary risk-reduction interventions are urgently needed.

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Pathways to Sexual Risk Reduction: Gender Differences and Strategies for Intervention

Cited by 10 publications

References 48 publications

Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing

Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing

Predictors of Intention to Change HIV Sexual and Injection Risk Behaviors among Heterosexual Methamphetamine-Using Offenders in Drug Treatment: A Test of the AIDS Risk Reduction Model

Patterns and Correlates of Sexual Activity and Condom Use Behavior in Persons 50-Plus Years of Age Living with HIV/AIDS

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