Understanding the HIV Risk Reduction Needs of Heterosexual African American Substance-Abusing Men

Cederbaum, Julie A.; Coleman, Christopher Lance; Goller, Gretchen; Jemmott, Loretta Sweet

doi:10.1016/j.jana.2006.09.001

Cited by 7 publications

(8 citation statements)

References 25 publications

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“…Furthermore, substance abusers may have unique barriers to condom use compared with those in the general population, including loss of inhibition and impaired judgment associated with drug effects. 15 …”

Section: Introductionmentioning

confidence: 99%

Differences between Men and Women in Condom Use, Attitudes, and Skills in Substance Abuse Treatment Seekers

et al. 2013

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Examining attitudes and skills regarding condom use by men and women in substance abuse treatment who engage in high risk sexual behavior may help to explain their inconsistent condom use. Men and women enrolled in two multi-site HIV risk reduction studies were administered the Condom Barriers Scale, Condom Use Skills and an audio computer-assisted structured interview assessing sexual risk behavior. Men endorsed more barriers to condom use than women, especially in the Effects on Sexual Experience factor. For both men and women, stronger endorsement of barriers to condom use was associated with less use of condoms. However, the difference between condom users and condom non-users in endorsement of condom barriers in general is greater for men than women, especially for those who report having casual partners. Findings support the need to focus on gender-specific barriers to condom use in HIV/STI prevention interventions, especially risk behavior intervention techniques that address sexual experience with condoms.

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Section: Introductionmentioning

confidence: 99%

Differences between Men and Women in Condom Use, Attitudes, and Skills in Substance Abuse Treatment Seekers

et al. 2013

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“…It is well documented that the use of crack cocaine and methamphetamine increases the sexual risk of acquiring HIV (Cederbaum, Coleman, Goller, & Jemmott, 2006; Ross, Timpson, Williams, & Bowen, 2003). Individuals under the influence of stimulants were found to be more likely to participate in HIV risk-taking behaviors, such as having multiple sexual partners, trading sex for drugs or other commodities, and foregoing condom use during sexual contact (Cederbaum et al, 2006; Deren, Efthimiou-Mordaunt, Rhodes & Levy, 2002). …”

mentioning

confidence: 99%

“…This may have been, in part, because they perceived the threat of acquiring HIV as less of a problem than other threats they faced in their lives (Feist-Price, Logan Leukefeld, Moore, & Ebreo, 2003). In addition, numerous studies have documented that partner type (e.g., primary vs. casual) was a predictor of condom use (Cederbaum et al, 2006; Chatterjee, Hosain, & Williams, 2006; Gazabon, Morokoff, Harlow, Ward, & Quina, 2007; Timpson et al, 2001) and that condoms were used more inconsistently with primary partners, particularly as trust developed in a relationship (Chatterjee et al, 2006; Hacker, Brown, Cabral, & Dobbs, 2005; Harlow et al, 1999; Lescano, Vazquez, Brown, Litvin, & Pugatch, 2006). …”

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confidence: 99%

Stages of Change, Decisional Balance, and Self-Efficacy in Condom Use Among Rural African-American Stimulant Users

Gullette

Wright²,

Booth³

et al. 2009

Journal of the Association of Nurses in AIDS Care

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This pilot study (a) examined the stages of change (SOC) for condom use with primary and casual partners among rural heterosexual African American stimulant users, (b) identified gender differences in variables associated with SOC, and (c) assessed the association of SOC with decisional balance and self-efficacy. Seventy-two participants completed the study. SOC with a primary partner was much lower than SOC with a casual partner, indicating more consistent condom use with casual partners. Significant gender differences existed in decisional balance for condom use for both primary (p = 0.02) and casual partners (p = 0.03), with women having higher decisional balance scores than men. Women also reported higher self-efficacy scores for condom use with casual partners than men. In regression models, age, decisional balance, and self-efficacy were significantly associated with SOC for condom use with a primary partner; however, only self-efficacy was significantly associated with SOC with casual partners. The findings provide support for the development of interventions that promote the advantages of and increase self-efficacy for condom use.Correspondence to: Donna L. Gullette. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. The Centers for Disease Control and Prevention (CDC, 2008) has estimated that there are over 1.1 million cases of HIV in the United States. African Americans, Hispanics, and men who have sex with men are disproportionately affected by HIV infection (CDC, 2008; CDC, 2007a). The rates of new HIV infections are estimated to be 83.8 per 100,000 population among African Americans, 29.4 per 100,000 among Hispanics, and 11.5 per 100,000 among Caucasians (CDC, 2008; CDC, 2007b). The HIV prevalence rate for African American men is 6 times the rate of Caucasian men. The HIV prevalence rate for African American women is 18 times the rate of Caucasian women (CDC, 2008). The CDC (2008) has estimated that approximately 21% of people living with HIV are unaware of their infection, placing others at risk for contracting HIV through unprotected sexual contact. High-risk heterosexual contact remains the primary mode of transmission for HIV among African American women and accounts for 80% of the new infections compared to 13% of new infections among African American men (CDC, 2008). NIH Public AccessThe South has the largest number of AIDS cases (40%) of any region in the United States (CDC, 2008). Of those who have died from HIV infection, there has been a steady increase from 28% to 51% of the proportion who reside in the South. The South shares a substantial...

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“…Within these larger racial and ethnic groupings, HIV and AIDS prevalence rates are staggeringly high. Men who have sex with men (MSM), heterosexual women, substance users, and people living with hepatitis C infection are particularly overrepresented (Buseh et al, 2006;Cederbaum, Coleman, Goller, & Jemmott, 2006;Estrada, 2005).…”

Section: Historically Oppressed Significantly Affected African Amerimentioning

confidence: 99%

Lessons Learned: Building the Capacity of Community-Based Organizations and Health Departments Implementing HIV Interventions in African American Communities

Abrahams¹,

Dacus²,

Wheeler

et al. 2008

Journal of HIV/AIDS & Social Services

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Even with the medicalization of HIV=AIDS, bringing programs and services into communities requires effective programs and service delivery systems. Developing and maintaining the capacities of these programs are critical. Because capacity building has become such an important part of HIV prevention work, greater attention must be given to the best practices in this area. In this article, the best practices and lessons learned from one national capacity building initiative are presented. Using a nonexperimental approach, the authors present 4 years of capacity building assistance service provision in the field of HIV prevention.

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Understanding the HIV Risk Reduction Needs of Heterosexual African American Substance-Abusing Men

Cited by 7 publications

References 25 publications

Differences between Men and Women in Condom Use, Attitudes, and Skills in Substance Abuse Treatment Seekers

Differences between Men and Women in Condom Use, Attitudes, and Skills in Substance Abuse Treatment Seekers

Stages of Change, Decisional Balance, and Self-Efficacy in Condom Use Among Rural African-American Stimulant Users

Lessons Learned: Building the Capacity of Community-Based Organizations and Health Departments Implementing HIV Interventions in African American Communities

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