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Predictors of African American adolescents' condom use and HIV risk behavior.

Abstract This study evaluated predictors of risky and safer behavior in a sample of low-income African American adolescents, assessed their perceptions of the risk associated with their sexual behavior, and examined differences between adolescents who used condoms consistently, inconsistently, or engaged only in unprotected intercourse. African American adolescents (N = 312) completed measures related to AIDS knowledge, frequency of condom use, attitudes toward condoms, and sexual behavior over the preceding 2 months. Multiple regression analyses for the sexually active youths (N = 114) revealed that lower self-efficacy, higher perceived risk, and male gender were associated with high-risk behavior. Positive attitudes toward condoms and younger age had the strongest association with condom use. Consistent condom users were more knowledgeable and held more positive attitudes toward condoms, and nonusers were older. Regardless of their behavior, the adolescents generally did not perceive themselves to be a risk for HIV infection. The findings suggest that precautionary practices (condom use) and high-risk behavior (unprotected sex with multiple partners) may have different correlates. In addition, the data indicate that theoretical models developed with homosexual male populations may also be generalizable to African American adolescents' sexual behavior.
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Authors

Mayor MeshTerms

Condoms

Health Knowledge, Attitudes, Practice

Risk-Taking

Keywords

Acquired Immunodeficiency Syndrome--prevention and control

Adolescents

Blacks

Condom

Correlation Studies

Hiv Infections--prevention and control

Low Income Population

Premarital Sex Behavior

Research Report

Risk Behavior--determinants

Risk Reduction Behavior--determinants

Age Factors

Americas

Barrier Methods

Behavior

Contraception

Contraceptive Methods

Cultural Background

Demographic Factors

Developed Countries

Diseases

Economic Factors

Ethnic Groups

Family Planning

Mississippi

North America

Northern America

Population

Population Characteristics

Research Methodology

Sex Behavior

Social Class

Socioeconomic Factors

Socioeconomic Status

Statistical Studies

Studies

United States

Viral Diseases

Youth

Journal Title aids education and prevention : official publication of the international society for aids education
Publication Year Start
%A Reitman, D.; St Lawrence, J. S.; Jefferson, K. W.; Alleyne, E.; Brasfield, T. L.; Shirley, A.
%T Predictors of African American adolescents' condom use and HIV risk behavior.
%J AIDS education and prevention : official publication of the International Society for AIDS Education, vol. 8, no. 6, pp. 499-515
%D 12/1996
%V 8
%N 6
%M eng
%B This study evaluated predictors of risky and safer behavior in a sample of low-income African American adolescents, assessed their perceptions of the risk associated with their sexual behavior, and examined differences between adolescents who used condoms consistently, inconsistently, or engaged only in unprotected intercourse. African American adolescents (N = 312) completed measures related to AIDS knowledge, frequency of condom use, attitudes toward condoms, and sexual behavior over the preceding 2 months. Multiple regression analyses for the sexually active youths (N = 114) revealed that lower self-efficacy, higher perceived risk, and male gender were associated with high-risk behavior. Positive attitudes toward condoms and younger age had the strongest association with condom use. Consistent condom users were more knowledgeable and held more positive attitudes toward condoms, and nonusers were older. Regardless of their behavior, the adolescents generally did not perceive themselves to be a risk for HIV infection. The findings suggest that precautionary practices (condom use) and high-risk behavior (unprotected sex with multiple partners) may have different correlates. In addition, the data indicate that theoretical models developed with homosexual male populations may also be generalizable to African American adolescents' sexual behavior.
%K Adolescent, Adolescent Behavior, Adult, African Americans, Child, Condoms, Female, HIV Infections, Health Knowledge, Attitudes, Practice, Humans, Male, Poverty, Predictive Value of Tests, Regression Analysis, Risk Factors, Risk-Taking, Sexual Behavior, Surveys and Questionnaires
%P 499
%L 515
%W PHY
%G AUTHOR
%R 1996........8..499R

@Article{Reitman1996,
author="Reitman, D.
and St Lawrence, J. S.
and Jefferson, K. W.
and Alleyne, E.
and Brasfield, T. L.
and Shirley, A.",
title="Predictors of African American adolescents' condom use and HIV risk behavior.",
journal="AIDS education and prevention : official publication of the International Society for AIDS Education",
year="1996",
month="Dec",
volume="8",
number="6",
pages="499--515",
keywords="Adolescent",
keywords="Adolescent Behavior",
keywords="Adult",
keywords="African Americans",
keywords="Child",
keywords="Condoms",
keywords="Female",
keywords="HIV Infections",
keywords="Health Knowledge, Attitudes, Practice",
keywords="Humans",
keywords="Male",
keywords="Poverty",
keywords="Predictive Value of Tests",
keywords="Regression Analysis",
keywords="Risk Factors",
keywords="Risk-Taking",
keywords="Sexual Behavior",
keywords="Surveys and Questionnaires",
abstract="This study evaluated predictors of risky and safer behavior in a sample of low-income African American adolescents, assessed their perceptions of the risk associated with their sexual behavior, and examined differences between adolescents who used condoms consistently, inconsistently, or engaged only in unprotected intercourse. African American adolescents (N = 312) completed measures related to AIDS knowledge, frequency of condom use, attitudes toward condoms, and sexual behavior over the preceding 2 months. Multiple regression analyses for the sexually active youths (N = 114) revealed that lower self-efficacy, higher perceived risk, and male gender were associated with high-risk behavior. Positive attitudes toward condoms and younger age had the strongest association with condom use. Consistent condom users were more knowledgeable and held more positive attitudes toward condoms, and nonusers were older. Regardless of their behavior, the adolescents generally did not perceive themselves to be a risk for HIV infection. The findings suggest that precautionary practices (condom use) and high-risk behavior (unprotected sex with multiple partners) may have different correlates. In addition, the data indicate that theoretical models developed with homosexual male populations may also be generalizable to African American adolescents' sexual behavior.",
issn="0899-9546",
url="http://www.ncbi.nlm.nih.gov/pubmed/9010510",
language="eng"
}

%0 Journal Article
%T Predictors of African American adolescents' condom use and HIV risk behavior.
%A Reitman, D.
%A St Lawrence, J. S.
%A Jefferson, K. W.
%A Alleyne, E.
%A Brasfield, T. L.
%A Shirley, A.
%J AIDS education and prevention : official publication of the International Society for AIDS Education
%D 1996
%8 Dec
%V 8
%N 6
%@ 0899-9546
%G eng
%F Reitman1996
%X This study evaluated predictors of risky and safer behavior in a sample of low-income African American adolescents, assessed their perceptions of the risk associated with their sexual behavior, and examined differences between adolescents who used condoms consistently, inconsistently, or engaged only in unprotected intercourse. African American adolescents (N = 312) completed measures related to AIDS knowledge, frequency of condom use, attitudes toward condoms, and sexual behavior over the preceding 2 months. Multiple regression analyses for the sexually active youths (N = 114) revealed that lower self-efficacy, higher perceived risk, and male gender were associated with high-risk behavior. Positive attitudes toward condoms and younger age had the strongest association with condom use. Consistent condom users were more knowledgeable and held more positive attitudes toward condoms, and nonusers were older. Regardless of their behavior, the adolescents generally did not perceive themselves to be a risk for HIV infection. The findings suggest that precautionary practices (condom use) and high-risk behavior (unprotected sex with multiple partners) may have different correlates. In addition, the data indicate that theoretical models developed with homosexual male populations may also be generalizable to African American adolescents' sexual behavior.
%K Adolescent
%K Adolescent Behavior
%K Adult
%K African Americans
%K Child
%K Condoms
%K Female
%K HIV Infections
%K Health Knowledge, Attitudes, Practice
%K Humans
%K Male
%K Poverty
%K Predictive Value of Tests
%K Regression Analysis
%K Risk Factors
%K Risk-Taking
%K Sexual Behavior
%K Surveys and Questionnaires
%U http://www.ncbi.nlm.nih.gov/pubmed/9010510
%P 499-515

PT Journal
AU Reitman, D
   St Lawrence, JS
   Jefferson, KW
   Alleyne, E
   Brasfield, TL
   Shirley, A
TI Predictors of African American adolescents' condom use and HIV risk behavior.
SO AIDS education and prevention : official publication of the International Society for AIDS Education
JI AIDS Educ Prev
PD Dec
PY 1996
BP 499
EP 515
VL 8
IS 6
LA eng
DE Adolescent; Adolescent Behavior; Adult; African Americans; Child; Condoms; Female; HIV Infections; Health Knowledge, Attitudes, Practice; Humans; Male; Poverty; Predictive Value of Tests; Regression Analysis; Risk Factors; Risk-Taking; Sexual Behavior; Surveys and Questionnaires
AB This study evaluated predictors of risky and safer behavior in a sample of low-income African American adolescents, assessed their perceptions of the risk associated with their sexual behavior, and examined differences between adolescents who used condoms consistently, inconsistently, or engaged only in unprotected intercourse. African American adolescents (N = 312) completed measures related to AIDS knowledge, frequency of condom use, attitudes toward condoms, and sexual behavior over the preceding 2 months. Multiple regression analyses for the sexually active youths (N = 114) revealed that lower self-efficacy, higher perceived risk, and male gender were associated with high-risk behavior. Positive attitudes toward condoms and younger age had the strongest association with condom use. Consistent condom users were more knowledgeable and held more positive attitudes toward condoms, and nonusers were older. Regardless of their behavior, the adolescents generally did not perceive themselves to be a risk for HIV infection. The findings suggest that precautionary practices (condom use) and high-risk behavior (unprotected sex with multiple partners) may have different correlates. In addition, the data indicate that theoretical models developed with homosexual male populations may also be generalizable to African American adolescents' sexual behavior.
ER

PMID- 9010510
OWN - NLM
STAT- MEDLINE
DA  - 19970328
DCOM- 19970328
LR  - 20151119
IS  - 0899-9546 (Print)
IS  - 0899-9546 (Linking)
VI  - 8
IP  - 6
DP  - 1996 Dec
TI  - Predictors of African American adolescents' condom use and HIV risk behavior.
PG  - 499-515
AB  - This study evaluated predictors of risky and safer behavior in a sample of
      low-income African American adolescents, assessed their perceptions of the risk
      associated with their sexual behavior, and examined differences between
      adolescents who used condoms consistently, inconsistently, or engaged only in
      unprotected intercourse. African American adolescents (N = 312) completed
      measures related to AIDS knowledge, frequency of condom use, attitudes toward
      condoms, and sexual behavior over the preceding 2 months. Multiple regression
      analyses for the sexually active youths (N = 114) revealed that lower
      self-efficacy, higher perceived risk, and male gender were associated with
      high-risk behavior. Positive attitudes toward condoms and younger age had the
      strongest association with condom use. Consistent condom users were more
      knowledgeable and held more positive attitudes toward condoms, and nonusers were 
      older. Regardless of their behavior, the adolescents generally did not perceive
      themselves to be a risk for HIV infection. The findings suggest that
      precautionary practices (condom use) and high-risk behavior (unprotected sex with
      multiple partners) may have different correlates. In addition, the data indicate 
      that theoretical models developed with homosexual male populations may also be
      generalizable to African American adolescents' sexual behavior.
FAU - Reitman, D
AU  - Reitman D
AD  - Jackson State University, MS 39217-0105, USA.
FAU - St Lawrence, J S
AU  - St Lawrence JS
FAU - Jefferson, K W
AU  - Jefferson KW
FAU - Alleyne, E
AU  - Alleyne E
FAU - Brasfield, T L
AU  - Brasfield TL
FAU - Shirley, A
AU  - Shirley A
LA  - eng
GR  - MH48842(HD)/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - UNITED STATES
TA  - AIDS Educ Prev
JT  - AIDS education and prevention : official publication of the International Society
      for AIDS Education
JID - 9002873
SB  - IM
SB  - J
SB  - X
MH  - Adolescent
MH  - Adolescent Behavior/*ethnology
MH  - Adult
MH  - African Americans/*psychology
MH  - Child
MH  - *Condoms
MH  - Female
MH  - HIV Infections/*prevention & control
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Poverty
MH  - Predictive Value of Tests
MH  - Regression Analysis
MH  - Risk Factors
MH  - *Risk-Taking
MH  - Sexual Behavior/*ethnology
MH  - Surveys and Questionnaires
OID - PIP: 120763
OID - POP: 00262577
OAB - PIP: To facilitate identification of factors that place low-income African
      American adolescents at increased risk of human immunodeficiency virus (HIV),
      interviews were conducted with 312 youth 12-19 years of age attending a Public
      Health Service-funded clinic in Mississippi. The analysis was restricted to the
      114 sexually active youth in this sample. The full variable set included age,
      gender, acquired immunodeficiency syndrome (AIDS) knowledge, condom attitude,
      perceived risk of AIDS, self-efficacy, social provision, church attendance, AIDS 
      Risk Index, and Condom Use Index. Correlations between these variables were small
      to moderate (0.0 to -0.48). Separate regression analyses revealed significant
      relationships between the full variable set and the AIDS Risk Index (p 0.0001)
      and the Condom Use Index (p 0.02). Half of the teens reported unprotected
      intercourse in the preceding 2 months, yet most perceived themselves at low risk 
      for AIDS. Multivariate analyses of variance revealed that variables most
      predictive of unprotected sex with multiple partners differed from those
      associated with condom use. Males who reported lower self-efficacy in avoiding
      AIDS and perceived themselves at greater risk were most likely to engage in
      high-risk behaviors. Consistent condom users were younger than intermittent and
      non-users and had more positive attitudes about condoms and higher AIDS knowledge
      scores. Interventions aimed at Black teens may need to expand beyond condom
      promotion to include broader media and community-based educational programs.
OABL- eng
OTO - PIP
OT  - *Acquired Immunodeficiency Syndrome--prevention and control
OT  - *Adolescents
OT  - Age Factors
OT  - Americas
OT  - Barrier Methods
OT  - Behavior
OT  - *Blacks
OT  - *Condom
OT  - Contraception
OT  - Contraceptive Methods
OT  - *Correlation Studies
OT  - Cultural Background
OT  - Demographic Factors
OT  - Developed Countries
OT  - Diseases
OT  - Economic Factors
OT  - Ethnic Groups
OT  - Family Planning
OT  - *Hiv Infections--prevention and control
OT  - *Low Income Population
OT  - Mississippi
OT  - North America
OT  - Northern America
OT  - Population
OT  - Population Characteristics
OT  - *Premarital Sex Behavior
OT  - Research Methodology
OT  - *Research Report
OT  - *Risk Behavior--determinants
OT  - *Risk Reduction Behavior--determinants
OT  - Sex Behavior
OT  - Social Class
OT  - Socioeconomic Factors
OT  - Socioeconomic Status
OT  - Statistical Studies
OT  - Studies
OT  - United States
OT  - Viral Diseases
OT  - Youth
GN  - PIP: TJ: AIDS EDUCATION AND PREVENTION
EDAT- 1996/12/01
MHDA- 1996/12/01 00:01
CRDT- 1996/12/01 00:00
PST - ppublish
SO  - AIDS Educ Prev. 1996 Dec;8(6):499-515.
TY  - JOUR
AU  - Reitman, D.
AU  - St Lawrence, J. S.
AU  - Jefferson, K. W.
AU  - Alleyne, E.
AU  - Brasfield, T. L.
AU  - Shirley, A.
PY  - 1996/Dec/
TI  - Predictors of African American adolescents' condom use and HIV risk behavior.
T2  - AIDS Educ Prev
JO  - AIDS education and prevention : official publication of the International Society for AIDS Education
SP  - 499
EP  - 515
VL  - 8
IS  - 6
KW  - Adolescent
KW  - Adolescent Behavior
KW  - Adult
KW  - African Americans
KW  - Child
KW  - Condoms
KW  - Female
KW  - HIV Infections
KW  - Health Knowledge, Attitudes, Practice
KW  - Humans
KW  - Male
KW  - Poverty
KW  - Predictive Value of Tests
KW  - Regression Analysis
KW  - Risk Factors
KW  - Risk-Taking
KW  - Sexual Behavior
KW  - Surveys and Questionnaires
N2  - This study evaluated predictors of risky and safer behavior in a sample of low-income African American adolescents, assessed their perceptions of the risk associated with their sexual behavior, and examined differences between adolescents who used condoms consistently, inconsistently, or engaged only in unprotected intercourse. African American adolescents (N = 312) completed measures related to AIDS knowledge, frequency of condom use, attitudes toward condoms, and sexual behavior over the preceding 2 months. Multiple regression analyses for the sexually active youths (N = 114) revealed that lower self-efficacy, higher perceived risk, and male gender were associated with high-risk behavior. Positive attitudes toward condoms and younger age had the strongest association with condom use. Consistent condom users were more knowledgeable and held more positive attitudes toward condoms, and nonusers were older. Regardless of their behavior, the adolescents generally did not perceive themselves to be a risk for HIV infection. The findings suggest that precautionary practices (condom use) and high-risk behavior (unprotected sex with multiple partners) may have different correlates. In addition, the data indicate that theoretical models developed with homosexual male populations may also be generalizable to African American adolescents' sexual behavior.
SN  - 0899-9546
UR  - http://www.ncbi.nlm.nih.gov/pubmed/9010510
ID  - Reitman1996
ER  - 
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