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, Mary‐Lynn; Stein, Judith A.; Evans, Elizabeth; Murphy, Debra A.; Longshore, Douglas

doi:10.1007/s11414-007-9106-y

Cited by 8 publications

(5 citation statements)

References 68 publications

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“…According to the TPB, behavioral intention is a cause for actual behaviors [32]. HIV‐related behavioral intention was strongly associated with actual behavior [36–39]. As the prevalence of “conditional willingness for circumcision” was close to 40%, the likelihood for successful promotion of circumcision among bisexual MSM is quite high.…”

Section: Discussionmentioning

confidence: 99%

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How Willing are Men Who Have Sex with Men in China to Be Circumcised for the Sake of Protecting His Female Sex Partner?

Lau

Yan

Lin

et al. 2012

The Journal of Sexual Medicine

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Introduction The HIV prevalence among men who have sex with men (MSM) is increasing sharply in China. Many MSM have female sexual partners, representing a bridge of transmitting HIV to the general population. Circumcision reduces the risk of HIV prevention via heterosexual intercourse. Aim The study investigated the prevalence and factors related to willingness to undergo circumcision when MSM were informed that circumcision could reduce risk of heterosexual HIV transmission. Methods An anonymous cross-sectional survey was conducted in Jiangsu, China. A total of 157 MSM with bisexual behaviors in the last six months were recruited using snowball sampling. Main Outcome Measures Self-reported circumcision status and foreskin conditions were recorded. HIV-related knowledge, risk perceptions, risky sexual behaviors, cognitive and behavioral intention factors regarding circumcision were assessed. Results Among all respondents, 5.7% were circumcised. In the uncircumcised subsample, the willingness to be circumcised increased from 8.1% to 35.1% after they were informed about the 50% risk reduction effect of circumcision regarding heterosexual HIV transmission. Risk behaviors, uncertainty about the prevalence of HIV among MSM, perception of overly long foreskin, peer’s suggestion, disagreement with the statements “MSM in general are not willing to be circumcised” and “circumcisions are for children, not for adults” and self-efficacy for circumcision were significantly associated with willingness for circumcision given the hypothetical risk reduction effect (OR = 2.37 and 3.11, respectively, P < 0.05). Perception of overly long foreskin, self-efficacy, and having used a condom in the last episode of sex with a woman remained significantly associated with the conditional willingness for circumcision in the multivariate analysis (OR = 3.03, 2.84 and 2.42, respectively, P < 0.05). Conclusions Interventions promoting circumcision among bisexual MSM, based on the risk reduction effect on heterosexual HIV transmission, are likely to be successful. Such programs should focus on increasing self-efficacy and may consider utilizing a peer educator approach.

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Section: Discussionmentioning

confidence: 99%

“…[ [36][37][38][39]. As the prevalence of "conditional willingness for circumcision" was close to 40%, the likelihood for successful promotion of circumcision among bisexual MSM is quite high.…”

Section: Discussionmentioning

confidence: 99%

How Willing are Men Who Have Sex with Men in China to Be Circumcised for the Sake of Protecting His Female Sex Partner?

Lau

Yan

Lin

et al. 2012

The Journal of Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…For example, studies have documented offender characteristics and treatment needs (Anglin et al, 2007; Brecht, Stein, Evans, Murphy, & Longshore, 2009; Hser et al, 2003; Longshore et al, 2005; Prendergast, Greenwell, Farabee, & Hser, 2009; Urada et al, 2009; Wiley et al, 2004), treatment services utilization and outcomes (Cosden et al, 2006; Evans, Hser, & Huang 2009; Evans, Li, & Hser, 2008; Farabee, Hser, Anglin, & Huang, 2004; Fosados, Evans, & Hser, 2007; Hser, Evans, Teruya, Huang, & Anglin 2007), and cost effectiveness (Hawken, 2008; Longshore, Hawken, Urada, & Anglin, 2006). …”

Section: Introductionmentioning

confidence: 99%

Promising practices for delivery of court-supervised substance abuse treatment: Perspectives from six high-performing California counties operating Proposition 36

Evans¹,

Anglin²,

Urada³

et al. 2011

Evaluation and Program Planning

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Operative for nearly a decade, California's voter-initiated Proposition 36 program offers many offenders community-based substance abuse treatment in lieu of likely incarceration. Research has documented program successes and plans for replication have proliferated, yet very little is known about how the Proposition 36 program works or practices for achieving optimal program outcomes. In this article, we identify policies and practices that key stakeholders perceive to be most responsible for the successful delivery of court-supervised substance abuse treatment to offenders under Proposition 36. Data was collected via focus groups conducted with 59 county stakeholders in six high-performing counties during 2009. Discussion was informed by seven empirical indicators of program performance and outcomes and was focused on identifying and describing elements contributing to success. Program success was primarily attributed to four strategies, those that: (1) fostered program engagement, monitored participant progress, and sustained cooperation among participants; (2) cultivated buy-in among key stakeholders; (3) capitalized on the role of the court and the judge; and (4) created a setting which promoted a highquality treatment system, utilization of existing resources, and broad financial and political support for the program. Goals and practices for implementing each strategy are discussed. Findings provide a "promising practices" resource for Proposition 36 program evaluation and improvement and inform the design and study of other similar types of collaborative justice treatment efforts.

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“…The ARRM has led to useful empirically supported insights regarding leverage points for risk behavior change and has identified correlates of HIV risk behavior that should be considered in designing interventions [32] . Progression through ARRM stages is dependent on the influence of several psychosocial factors as depicted in Figure 1 .…”

Section: Introductionmentioning

confidence: 99%

Initial Commitment to Pre-Exposure Prophylaxis and Circumcision for HIV Prevention amongst Indian Truck Drivers

et al. 2010

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Studies of HIV prevention interventions such as pre-exposure prophylaxis (PREP) and circumcision in India are limited. The present study sought to investigate Indian truck-drivers initial commitment to PREP and circumcision utilizing the AIDS Risk Reduction Model. Ninety truck-drivers completed an in-depth qualitative interview and provided a blood sample for HIV and HSV-2 testing. Truck-drivers exhibited low levels of initial commitment towards PREP and even lower for circumcision. However, potential leverage points for increasing commitment were realized in fear of infecting family rather than self, self-perceptions of risk, and for PREP focusing on cultural beliefs towards medication and physicians. Cost was a major barrier to both HIV prevention interventions. Despite these barriers, our findings suggest that the ARRM may be useful in identifying several leverage points that may be used by peers, health care providers and public health field workers to enhance initial commitment to novel HIV prevention interventions in India.

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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

Cited by 8 publications

References 68 publications

How Willing are Men Who Have Sex with Men in China to Be Circumcised for the Sake of Protecting His Female Sex Partner?

How Willing are Men Who Have Sex with Men in China to Be Circumcised for the Sake of Protecting His Female Sex Partner?

Promising practices for delivery of court-supervised substance abuse treatment: Perspectives from six high-performing California counties operating Proposition 36

Initial Commitment to Pre-Exposure Prophylaxis and Circumcision for HIV Prevention amongst Indian Truck Drivers

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