Abstract
Transmission rates of HIV infection have increased steadily among heterosexual adults, however current theoretical models have not been tested statistically at the dyadic level in which risk behaviors occur. The purpose of the current study was to test an Information-Motivation-Behavioral skills (IMB) model of HIV risk behavior (IMB) specifically articulated for heterosexual couples in established relationships using data from both members of 75 dyads. The multilevel relationship-oriented information-motivation-behavioral skills (RELO-IMB) model was evaluated at the individual and dyadic level of analysis to examine partner differences on core variables. Results indicated that not only did the RELO-IMB model provide a good fit to the data when analyzed at the dyadic level, but that the structural relations among the core variables were quite different between the individual- and dyadic-level models. This is the first theoretical model of HIV risk behavior to be analyzed at the dyadic level, and the results suggest ways to effectively design intervention strategies for individuals in intimate relationships.
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Albarracín, D., Johnson, B. T., Fishbein, M., & Muellerleile, P. A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127, 142–161.
Appleby, P. R., Miller, L. C., & Rothspan, S. (1999). The paradox of trust for male couples: When risking is part of loving. Personal Relationships, 6, 81–93.
Asparouhov, T., & Muthén, B. (2006). Constructing covariates in multilevel regression. White paper by Mplus programmers, request by e-mailing Mplus tech support:support@statmodel.com.
Becker, S. (1996). Couples and reproductive health: A review of couple studies. Studies in Family Planning, 27, 291–306.
Best, S. J., Krueger, B., Hubbard, C., & Smith, A. (2001). An assessment of the generalizability of internet surveys. Social Science Computer Review, 19, 131–145.
Bowen, A. M., Williams, M., McCoy, H. V., & McCoy, C. B. (2001). Crack smokers’ intention to use condoms with loved partners: Intervention development using the theory of reasoned action, condom beliefs, and processes of change. AIDS Care, 13, 579–594.
Bryan, A. D., Fisher, J. D., Fisher, W. A., & Murray, D. M. (2000). Understanding condom use among heroin addicts in methadone maintenance using the information-motivation-behavioral skills model. Substance Use and Misuse, 35, 451–471.
Buchanan, T., & Smith, J. L. (1999). Using the Internet for psychological research: Personality testing on the World Wide Web. British Journal of Psychology, 90, 125–144.
CDC (2003). AIDS Surveillance—Trends—L207 slide series (through 2003). Retrieved March 29, 2007 from http://www.cdc.gov/hiv/graphics/trends.htm.
CDC (2007). CDC HIV/AIDS fact sheet: A glance at the HIV/AIDS epidemic. Retrieved January 10, 2007 from http://www.cdc.gov/hiv/resources/factsheets/At-A-Glance.htm.
CNN Interactive (1998). Teens prefer “telling all” to computers. Retrieved March 15, 2007 from http://www.cnn.com/TECH/science/9805/14/t_t/teen.survey.technique/index.html.
Crowell, T. L. (2004). Seropositive individuals willingness to communicate, self-efficacy, and assertiveness prior to HIV infection. Journal of Health Communication, 9, 395–424.
Dagne, G. A., Howe, G. W., Brown, C. H., & Muthén, B. O. (2002). Hierarchical modeling of sequential behavioral data: An empirical Bayesian approach. Psychological Methods, 7, 262–280.
Exner, T. M., Seal, D. W., & Ehrhardt, A. A. (1997). A review of HIV interventions for at-risk women. AIDS and Behavior, 1, 93–124.
Fishbein, M., & Ajzen, I. (1975). Beliefs, attitudes, intentions, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.
Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.
Fisher, W. A., Fisher, J. D., & Harman, J. (2003). The information-motivation-behavioral skills model as a general model of health behavior change. In J. Suls, & K. Wallston (Eds.), Social psychological foundations of health (pp. 82–106). London: Blackwell Publishing.
Hammer, J. C., Fisher, J. D., Fitzgerald, P., & Fisher, W. A. (1996). When two heads aren’t better than one: AIDS risk behavior in college-age couples. Journal of Applied Social Psychology, 26, 375–397.
Härnqvist, K., Gustafsson, J., Muthén, B. O., & Nelson, G. (1994). Hierarchical models of ability at individual and class levels. Intelligence, 18, 165–187.
Hox, J. J. (2002). Multilevel analysis: Techniques and applications. Mahwah, NJ: Lawrence Erlbaum Associates.
Hox, J. J., & Kreft, I. G. G. (1994). Multilevel analysis methods. Sociological Methods and Research, 22, 283–299.
Jeffery, R. W. (1989). Risk behaviors and health: Contrasting individual and population perspectives. American Psychologist, 44, 1194–1202.
Kenny, D. A. (1995). Dyadic design and analysis issues in dyadic research. Review of Personality and Social Psychology, 11, 1164–1184.
Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. New York: The Guilford Press.
Laursen, B. (2005). Dyadic and group perspectives on close relationships. International Journal of Behavioral Development, 29, 97–100.
Mays, V. M., & Cochran, S. D. (1993). Ethnic and gender differences in beliefs about sex partner questioning to reduce HIV risk. Journal of Adolescent Research, 8, 77–88.
Misovich, S. J., Fisher, J. D., & Fisher, W. A. (1997). Close relationships and elevated HIV risk behavior: Evidence and possible underlying psychological processes. Review of General Psychology, 1, 72–107.
Misovich, S. J., Fisher, W. A., & Fisher, J. D. (1998). A measure of AIDS prevention information, motivation, and behavioral skills and behavior. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 328–337). Thousand Oaks, CA: Sage Publications.
Misovich, S. J., Martinez, T., Fisher, J. D., Bryan, A., & Capatano, N. (2003). Predicting breast self-examination: A test of the information-motivation-behavioral skills model. Journal of Applied Social Psychology, 33, 775–790.
Morrison-Beedy, D., Carey, M. P., & Lewis, P. (2002). Modeling condom-se stage of change in low-income, single urban women. Research in Nursing and Health, 25, 122–134.
Muthén, B. O. (1989). Latent variable modeling in heterogeneous populations. Psychometrika, 54, 557–585.
Muthén, B. O. (1994). Multilevel covariance structure analysis. Sociological Methods and Research, 22, 376–398.
Muthén, B. O., & Muthén, L. K. (2004). MPlus (Version 3.12) [Computer software]. Los Angeles, CA: Muthén & Muthén.
Newsom, J. T. (2002). A multilevel structural equation model for dyadic data. Structural Equation Modeling, 9, 431–447.
Noar, S. M., Zimmerman, R. S., & Atwood, K. A. (2004). Safer sex and sexually transmitted infections from a relationship perspective. In J. Harvey, A. Wenzel, & S. Sprecher (Eds.), Handbook of sexuality in close relationships. Mahwah, NJ: Lawrence Erlbaum.
Reips, U. D. (2000). The web experiment method: Advantages, disadvantages, and solutions. In: M. Birnbaum (Ed.), Psychological experiments on the Internet (pp. 89–117). London: Academic Press.
Skurnick, J. H., Abrams, J., Kennedy, C. A., Valentine, S. N., & Cordell, J. R. (1998). Maintenance of safe sex behavior by HIV-serodiscordant heterosexual couples. AIDS Education and Prevention, 10, 493–505.
Stein, J. A., Nyamathi, A., Ullman, J. B., & Bentler, P. M. (2007). Impact of marriage on HIV risk behaviors among impoverished, at-risk couples: A multilevel latent variable approach. AIDS & Behavior, 11, 87–98.
UNAIDS (2004). AIDS epidemic update: December, 2004. (NLM Classification: WC 503.41). Geneva, Switzerland: Joint United Nations Program on HIV/AIDS (2004) at World Health Organization.
Williams, M., Bowen, A., Elwood, W., McCoy, H. V., Freeman, R., Weatherby, N., & Pierce, T. (2000). Determinants of condom use among African Americans who smoke crack cocaine. Culture, Health and Sexuality, 2, 15–32.
Wyatt, G. E., Tucker, H. A., Loeb, T. B., Solis, B. M., & Mitchell-Kernan, C. (1997). Adapting a comprehensive approach to African American women’s sexual risk taking. Journal of Health Education, 28, 52–60.
Acknowledgements
This article is based on the first author’s dissertation at the University of Connecticut. This research was supported in part by a National Institute of Health grant F31-MH069079 awarded to Jennifer J. Harman. Special thanks are due to the first author’s dissertation committee and many others for their helpful comments, including, but not limited to Blair T. Johnson, Seth C. Kalichman, Michelle K. Williams, David A. Kenny, Antonius Cillessen, Kimberly Henry, and Linda Muthén.
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Harman, J.J., Amico, K.R. The Relationship-Oriented Information-Motivation-Behavioral Skills Model: A Multilevel Structural Equation Model among Dyads. AIDS Behav 13, 173–184 (2009). https://doi.org/10.1007/s10461-007-9350-4
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DOI: https://doi.org/10.1007/s10461-007-9350-4