AIDS and Behavior

, 12:913 | Cite as

Adolescent Sexual Risk: Factors Predicting Condom Use Across the Stages of Change

  • Cynthia Grossman
  • Wendy Hadley
  • Larry K. Brown
  • Christopher D. Houck
  • April Peters
  • Marina Tolou-Shams
  • Project SHIELD Study Group
Original Paper


This study examined factors associated with high-risk adolescents’ movement toward or away from adopting consistent condom use behavior using the Transtheoretical Model Stages of Change. Participants drawn from the inactive comparison condition of a randomized HIV prevention trial (Project SHIELD) responded to items assessing pros and cons of condom use, peer norms, condom communication, and perceived invulnerability to HIV. Participants were categorized based on their condom use behavior using the Transtheoretical Model. Multiple logistic regressions found that progression to consistent condom use was predicted by continuing to perceive more advantages to condom use, reporting greater condom use communication with partners, and less perceived invulnerability to HIV. Movement away from adopting consistent condom use was predicted by a decrease in perceived advantages to condom use, increased perceived condom disadvantages, and fewer condom discussions. Future interventions may be tailored to enhance these factors that were found to change over time.


Adolescent Sexual risk behavior Stages of change Condom use 



Research supported by SAMHSA grant U10 SMS2073 to the cooperating sites: Rhode Island Hospital, Miriam Hospital, Emory University, and University of Miami.


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Cynthia Grossman
    • 1
  • Wendy Hadley
    • 2
  • Larry K. Brown
    • 2
  • Christopher D. Houck
    • 2
  • April Peters
    • 2
  • Marina Tolou-Shams
    • 2
  • Project SHIELD Study Group
    • 3
  1. 1.National Institute of Mental HealthBethesdaUSA
  2. 2.Rhode Island HospitalBrown Medical School ProvidenceUSA
  3. 3. ProvidenceUSA

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