title: Predictors of intention to change HIV sexual and injection risk behaviors among heterosexual methamphetamine-using offenders in drug treatment: a test of the AIDS Risk Reduction Model.
abstract: This study tested components of the acquired immunodeficiency syndrome (AIDS) Risk Reduction Model (ARRM) for a sample of methamphetamine-using offenders in drug treatment. Analyses included the first two stages of the ARRM, problem recognition and intention to reduce risk (potential precursors to later possible behavior change), assessing predictors of intentions to increase condom use, reduce other sexual risk, and disinfect needles. Path analysis results showed potential applicability of the ARRM as a basis for intervention development for this population. There was a consistent effect of self-efficacy for risk reduction strategies, as well as direct or indirect effects of problem recognition factors (AIDS knowledge, peer norms), on the three intention indicators. Prior sex risk behavior (condom use) was directly negatively related to intention to use condoms; prior needle use was indirectly negatively related to intention to disinfect. Intention to use condoms was lower for women. Results can help identify areas for intervention development.
authors.affiliation: Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California-Los Angeles, 1640 S. Sepulveda Blvd., Suite 200, Los Angeles, CA 90025, USA. lbrecht@ucla.edu
authors.forename: Mary-Lynn
authors.initials: ML
authors.lastname: Brecht
authors.forename: Judith
authors.initials: J
authors.lastname: Stein
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Evans
authors.forename: Debra A
authors.initials: DA
authors.lastname: Murphy
authors.forename: Douglas
authors.initials: D
authors.lastname: Longshore
mesh_terms: D000328:Adult; D019969:Amphetamine-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D006801:Humans; D033182:Intention; D008297:Male; D008694:Methamphetamine; D012309:Risk-Taking; D015819:Substance Abuse, Intravenous / Q000517:prevention & control / Q000523:psychology / Q000534:rehabilitation*; D047568:Unsafe Sex / Q000517:prevention & control / Q000523:psychology
chemical_list: D008694:Methamphetamine