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Does Efficacy Mediate Stage of Change and Condom Use in Injected-Drug Users?

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Objective: To examine condom efficacy and the stages of change in explaining condom usage among a sample of 278 injected-drug users (IDUs). Methods: Data were collected as part of a statewide behavioral surveillance study. Results: Participants reported multiple risk behaviors, including having unprotected sex with multiple partners and exchanging sex. Approximately half the sample was in the precontemplation or contemplation stage for condom use, whereas 21% were in maintenance. Mediational analyses indicated that condom efficacy partially mediated the association between stage of change and self-reported condom use. Conclusions: The findings are discussed within the context of targeting HIV prevention interventions.

Keywords: HIV; condom use; efficacy; injected-drug users; stage of change

Document Type: Research Article


Affiliations: 1: Department of Psychology, Southern Illinois University, Carbondale, IL 2: Department of Psychology, Delaware State University, Dover, DE 3: Department of Health Education, Southern Illinois University, Carbondale, IL 4: College of Applied Sciences and Arts, Southern Illinois University, Carbondale, IL

Publication date: 2005-01-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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