Psychosocial risk and protective factors for condom use among female injection drug users.
The authors examined the influences of domains of psychosocial risk and protective factors on male-partner condom use in a cobort of 209 female HIV-positive (HIV+) and HIV-negative (HIV-) injection drug users (IDUs) by use of a cross-sectional, retrospective design. Information collected from a structured questionnaire included data on psychosocial risk and protective factors in the personality, family, and peer domains; HIV status; and condom use. Among HIV+ IDUs, personality risk factors (e.g., unconventionality), family (e.g., low maternal identification), and peer factors were related to less male-partner condom use. Resources and condom availability were associated with greater male condom use with both HIV+ and HIV- IDUs. The psychosocial domains affected male condom use with both HIV+ and HIV- female IDU patients via two different mediational models. The findings suggest the need to use specific psychosocial interventions for risky sexual behavior among HIV+ and HIV- female IDUs.
Brook
D W
DW
Department of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Brook
J S
JS
Whiteman
M
M
Win
P T
PT
Masci
J R
JR
Roberto
J
J
de Catalogne
J
J
Amundsen
F
F
D000293:Adolescent; D000328:Adult; D017280:Condoms; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D018023:HIV Seronegativity; D006679:HIV Seropositivity; D006801:Humans; D008875:Middle Aged; D012309:Risk-Taking; D012725:Sexual Behavior; D015819:Substance Abuse, Intravenous / Q000523:psychology*