Exploring Factors Associated with Nonchange in Condom Use Behavior following Participation in an STIHIV Prevention Intervention for African-American Adolescent Females

الملخص EN

To enhance future STI/HIV prevention efforts, this study examined factors associated with adolescents’ failure to improve their condom use behaviors after participating in an STI/HIV prevention intervention.

African-American adolescent females (N=205; M age = 17.9) in an STI/HIV prevention intervention trial completed ACASI interviews and provided self-collected vaginal swabs to assess two prevalent STIs at baseline and 6 months after intervention.

Analyses compared those who increased condom use after intervention (change group) to those whose condom use did not increase (nonchange group).

43.4% did not increase their condom use after the intervention and were more likely to have an STI at followup (χ2=4.64, P=.03).

In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR = .91, P=.023), (b) a boyfriend (AOR = .32, P=.046), and/or (c) a physical abuse history (AOR = .56, P=.057).

There were also differences in the extent to which psychosocial mediators changed between the two groups.

Findings highlight the need to tailor STI/HIV interventions to adolescents with a greater degree of sensation seeking and address key relationship characteristics and trauma histories to bolster intervention efficacy.