The idiographic study of inconsistent condom use behavior of persons living with HIV.
A pilot study was conducted to assess the feasibility of using, in a multiply disadvantaged population, an electronic daily diary to test hypotheses linking affective states to variability in psychosocial determinants of condom use. Twenty-one mostly non-Caucasian individuals reporting profound economic disadvantage, heavy alcohol use and HIV infection completed a 5-7 minute interactive voice response (IVR) telephone-based survey daily for three weeks. Potentially affect-related within-person variability was observed in HIV-preventive attitudes, intentions and self-efficacy. Surprisingly, in this sample, HIV-preventive attitudes, intentions and self-efficacy exhibited as much, or greater, variability within persons as compared to between persons. Positive affect was found to significantly co-vary with self-efficacy to practice safer sex B=0.20, t((199))=2.14, p=0.03. For each unit increase in daily positive affect, daily self-efficacy increased by 0.20. Results suggest that a daily diary methodology is both feasible in a high-risk population and may offer new insights into understanding unprotected sexual behavior.
Barta
W D
WD
University of Connecticut, Department of Psychology and Center for Health, Intervention, and Prevention, Storrs, Connecticut 06269, USA. william.barta@uconn.edu
Kiene
S M
SM
Tennen
H
H
Abu-Hasaballah
K S
KS
Ferrer
R
R
D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D005240:Feasibility Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010865:Pilot Projects; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology; D019529:Sexuality