title: Unsafe sex: do feelings matter?
abstract: The purpose of this study was to investigate the relationships among self-efficacy for condom use during distress (SE-Condom Distress), self-efficacy related to general HIV prevention skills (SE-HIV), and HIV risk behaviors, attitudes, and knowledge. Two hundred and twenty two adolescents with psychiatric disorders between 13 and 18 years-old participated. Participants completed measures related to HIV Self-Efficacy, HIV Attitudes, and Sexual Behaviors. Self-efficacy for condom use during distress (SE-Condom Distress) was significantly associated with more HIV protective behaviors. Controlling for observed covariates, SE-Condom Distress was the only variable significantly associated with consistent condom use in a multiple logistic regression (OR=2.43). Self-efficacy regarding condom use during affective arousal is closely associated with HIV-related attitudes and behaviors. Clinicians need to be alert to subtle signs of distress as adolescents contemplate safer sexual behavior.
authors.affiliation: Brown University School of Medicine, Bradley/Hasbro Research Center, Providence, RI 02903, USA. clescano@lifespan.org
authors.forename: Celia M
authors.initials: CM
authors.lastname: Lescano
authors.forename: Larry K
authors.initials: LK
authors.lastname: Brown
authors.forename: Paul M
authors.initials: PM
authors.lastname: Miller
authors.forename: Kristie L
authors.initials: KL
authors.lastname: Puster
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000339:Affect; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D028642:Persons with Psychiatric Disorders / Q000523:psychology*; D012307:Risk Factors; D012309:Risk-Taking; D021841:Safe Sex / Q000523:psychology*; D020377:Self Efficacy; D013315:Stress, Psychological