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

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Abstract

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.

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Acknowledgment

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

Author information

Authors and Affiliations

  1. National Institute of Mental Health, 6001 Executive Blvd. Rm 6201, Bethesda, MD, 20892, USA

    Cynthia Grossman

  2. Rhode Island Hospital, Brown Medical School, Providence, RI, USA

    Wendy Hadley, Larry K. Brown, Christopher D. Houck, April Peters & Marina Tolou-Shams

Authors
  1. Cynthia Grossman
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  2. Wendy Hadley
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  3. Larry K. Brown
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  4. Christopher D. Houck
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  5. April Peters
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  6. Marina Tolou-Shams
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Consortia

Project SHIELD Study Group

Corresponding author

Correspondence to Cynthia Grossman.

Additional information

This work was not written as part of Cynthia I. Grossman’s official duties as a Government employee. The views expressed in this manuscript do not necessarily represent the views of the NIMH, NIH, HHS, or the United States Government.

Project SHIELD Study Group

Principal Investigators

Larry Brown, M.D.—Rhode Island Hospital, Providence, RI

Ralph DiClemente, Ph.D.—Emory University, Atlanta, GA

M. Isabel Fernandez, Ph.D.—University of Miami, Miami, FL

Timothy Flanigan, M.D.—Miriam Hospital, Providence, RI

Deborah Haller, Ph.D.—Virginia Commonwealth University, Richmond, VA

Lori Leonard, Sc.D.—University of Texas, Houston Health Science Center, Houston, TX

Lydia O’Donnell, Ed.D.—Education Development Center, Inc., Newton, MA

William E. Schlenger, Ph.D.—Research Triangle Institute, Research Triangle Park, NC

Barbara Silver, Ph.D.—Substance Abuse and Mental Health Services Administration, Rockville, MD

Site Investigators

Richard Crosby, Ph.D.—Emory University, Atlanta, GA

Caryl Gay, Ph.D.—University of Miami, Miami, FL

Janet Knisely, Ph.D.—Virginia Commonwealth University, Richmond, VA

Celia Lescano, Ph.D.—Rhode Island Hospital, Providence, RI

Kevin Lourie, Ph.D.—Rhode Island Hospital, Providence, RI

Louise Masse, Ph.D.—University of Texas, Houston Health Science Center, Houston, TX

Janet O’Connell, MPH—Miriam Hospital, Providence, RI

David Pugatch, M.D.—Miriam Hospital, Providence, RI

Eve Rose, Ph.D.—Emory University, Atlanta, GA

Ann Stueve, Ph.D.—Columbia School of Public Health, New York, NY

Leah Varga, M.A.—University of Miami, Miami, FL

Sue Vargo, Ph.D.—Education Development Center, Inc., Newton, MA

Gina Wingood, Sc.D., MPH—Emory University, Atlanta, GA

Coordinating Center Investigators—Research Triangle Institute, Research Triangle Park, NC

Jamia L. Bacharach, J.D.

Sylvia Cohn

Courtney Johnson, Ph.D.

Jacquelyn R. Murphy, BSc

Allison Rose, Ph.D.

Scott Royal, Ph.D., MPH

Consumer Representatives

Christian Aldridge

Beri Hull

Sean Scott

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Grossman, C., Hadley, W., Brown, L.K. et al. Adolescent Sexual Risk: Factors Predicting Condom Use Across the Stages of Change. AIDS Behav 12, 913–922 (2008). https://doi.org/10.1007/s10461-008-9396-y

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  • DOI: https://doi.org/10.1007/s10461-008-9396-y

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