title: Modeling condom-use stage of change in low-income, single, urban women.
abstract: This study was undertaken to identify and test a model of the cognitive antecedents to condom use stage of change in low-income, single, urban women. A convenience sample of 537 women (M=30 years old) attending two urban primary health care settings in western New York State anonymously completed questionnaires based primarily on two leading social-cognitive models, the transtheoretical model and the information-motivation-behavioral skills model. We used structural equation modeling to examine the direct and indirect effects of HIV-related knowledge, social norms of discussing HIV risk and prevention, familiarity with HIV-infected persons, general readiness to change sexual behaviors, perceived vulnerability to HIV, and pros and cons of condom use on condom-use stage of change. The results indicated two models that differ by partner type. Condom-use stage of change in women with steady main partners was influenced most by social norms and the pros of condom use. Condom-use stage of change in women with "other" types (multiple, casual, or new) of sexual partners was influenced by HIV-related knowledge, general readiness to change sexual behaviors, and the pros of condom use. These findings suggest implications for developing gender-relevant HIV-prevention interventions.
authors.affiliation: Center for High-Risk Children and Youth, University of Rochester, Rochester, NY 14642, USA.
authors.forename: Dianne
authors.initials: D
authors.lastname: Morrison-Beedy
authors.forename: Michael P
authors.initials: MP
authors.lastname: Carey
authors.forename: Brian P
authors.initials: BP
authors.lastname: Lewis
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001294:Attitude to Health; D003071:Cognition; D017280:Condoms / Q000706:statistics & numerical data*; D003657:Decision Making; D005163:Factor Analysis, Statistical; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D008960:Models, Psychological; D009042:Motivation; D009518:New York; D011203:Poverty / Q000523:psychology*; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners / Q000523:psychology; D012847:Single Person / Q000523:psychology*; D011795:Surveys and Questionnaires; D014505:Urban Population; D014930:Women / Q000193:education / Q000523:psychology*