Guided by the AIDS Risk Reduction Model (ARRM), psychosocial correlates of HIV risk behavior were examined among noninjection cocaine dependent, heterosexual men (NI-CD-HM) in treatment.
Subjects (N=111) completed a structured interview to measure ARRM mediating variables and HIV risk behaviors.
The results indicated that greater perceived susceptibility to contracting HIV, lower sexual self-efficacy, higher lifetime incidence of sexually transmitted diseases, and being under the influence of alcohol or other drugs during sex predicted having more sexual partners in the month prior to admission.
Despite adequate knowledge of safer sex guidelines, subjects remained misinformed regarding certain aspects of HIV transmission.
Men who perceived that their partners viewed condoms more positively and who exchanged drugs for sex were more likely to use condoms, yet condom use skills were typically inadequate to ensure effective prevention.
These results suggest that HIV prevention interventions among NI-CD-HM should focus on improving knowledge, enhancing beliefs in the capacity to enact safer sex behaviors for preventing HIV and other STDs, building relevant skills (e.g., condom use, open sexual communication between partners), and emphasizing psychoactive substance abstinence.
Couple interventions, in which partners actually rehearse safer sex negotiations, may be particularly effective in this regard.
Mots-clés Pascal : SIDA, Virose, Infection, Prise risque, Comportement sexuel, Homme, Cocaïne, Toxicomanie, Traitement, Programme sanitaire, Prévention, Etats Unis, Amérique du Nord, Amérique, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Risk taking, Sexual behavior, Human, Cocaine, Drug addiction, Treatment, Sanitary program, Prevention, United States, North America, America, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0326945
Code Inist : 002B30A03C. Création : 10/04/1997.