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Modeling condom‐use stage of change in low‐income, single, urban women *
Author(s) -
MorrisonBeedy Dianne,
Carey Michael P.,
Lewis Brian P.
Publication year - 2002
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.10026
Subject(s) - condom , transtheoretical model , casual , behavior change , structural equation modeling , psychological intervention , social cognitive theory , psychology , medicine , social psychology , gerontology , human immunodeficiency virus (hiv) , family medicine , psychiatry , composite material , statistics , materials science , mathematics , syphilis
This study was undertaken to identify and test a model of the cognitive antecedents to condom use stage of change in low‐income, single, urban women. A convenience sample of 537 women ( M =30 years old) attending two urban primary health care settings in western New York State anonymously completed questionnaires based primarily on two leading social‐cognitive models, the transtheoretical model and the information–motivation–behavioral skills model. We used structural equation modeling to examine the direct and indirect effects of HIV‐related knowledge, social norms of discussing HIV risk and prevention, familiarity with HIV‐infected persons, general readiness to change sexual behaviors, perceived vulnerability to HIV, and pros and cons of condom use on condom‐use stage of change. The results indicated two models that differ by partner type. Condom‐use stage of change in women with steady main partners was influenced most by social norms and the pros of condom use. Condom‐use stage of change in women with “other” types (multiple, casual, or new) of sexual partners was influenced by HIV‐related knowledge, general readiness to change sexual behaviors, and the pros of condom use. These findings suggest implications for developing gender‐relevant HIV‐prevention interventions. © 2002 Wiley Periodicals, Inc. Res Nurs Health 25:122–134, 2002