Abstract
There is a paucity of research on the association between methamphetamine use (meth) and sexual risk behavior among heterosexual meth users. This study used a multiple theories approach to identify factors associated with stage of change for condom use in a sample of 181 HIV-negative, heterosexually identified meth users. Background characteristics, drug use variables, and theoretical mechanism of change variables were examined in relation to Prochaska’s contemplative and preparation stages of change. Sexual risk behavior was highest among those in the contemplation stage of change. When compared with those in the preparation stage of change, contemplators were more likely to be never married, more likely to have an STD, consumed larger amounts of meth and other illicit drugs, had lower scores on self-efficacy and outcome expectancies for condom use and negotiation of safer sex practices, and had less positive social norms in relation to AIDS preventive behaviors. A multivariate logistic regression revealed that the preparation stage of change was associated with increased self-efficacy for condom use, stronger social norms regarding condom use, and reduced occurrence of sexually transmitted diseases. The findings are discussed in relation to the development of sexual risk reduction interventions for heterosexual meth users.
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References
Ajzen, I., and Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
Bandura, A. (1989). Perceived self-efficacy. In V. Mays, G. Albee, and S. Schneider (Eds.), Primary prevention of AIDS: Psychological approaches (pp. 128–141). Newbury Park, CA: Sage.
Beck, A. T. (1967). Depression: Clinical, experimental and theoretical aspects. New York: Harper and Row.
Beck, A. T. (1976). Cognitive therapy and emotional disorder. New York: Hoeber.
Des Jarlais, D. C., Paone, D., Milliken, J., Turner, C. F., Miller, H., Gribble, J., Shi, Q., Hagan, H., and Friedman, S. R. (1999). Audio-computer interviewing to measure risk behavior for HIV among injecting drug users: A quasi-randomised trial. Lancet, 353, 1657–1661.
DiClemente, R. J., and Peterson, J. L. (1994). Changing HIV/AIDS risk behaviors. The role of interventions. In R. J. DiClemente, and J. L. Peterson (Eds.), Preventing AIDS: Theories and methods of behavioral interventions (pp.1–4). New York: Plenum.
Fishbein, M., and Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Adison-Wesley.
Fisher, J. D., Kimble-Willcutts, D. L., Misovich, S. J., and Weinstein, B. (1998). Dynamics of sexual risk behavior in HIV-infected men who have sex with men. AIDS and Behavior, 2, 101–113.
Frosch, D., Shoptaw, S., Huber, A., Rawson, R. A., and Ling, W. (1996). Sexual HIV risk among gay and bisexual male methamphetamine abusers. Journal of Substance Abuse Treatment, 13, 483–486.
George, J. R., Fitchen, J. H., Goldstein, A. S., and Hindalhl, M. S. (1997). Evaluation of a system using oral mucosal transudate for HIV-1 antibody screening and confirmatory testing. JAMA, 277, 254–258.
Gorman, M. (1998, March). A tale of two epidemics: HIV and stimulant use. FOCUS, 13, 1–8.
Gorman, E. M., Morgan, P., and Lambert, E. Y. (1995). Qualitative research considerations and other issues in the study of methamphetamine use among men who have sex with other men. NIDA Research Monograph, 157, 156–181.
Hando, J., and Hall, W. (1994). HIV risk-taking behavior among amphetamine users in Sydney, Australia. Addiction, 89, 79–85.
Klee, H. (1992). A new target for behavioral research–amphetamine misuse. British Journal of Addiction, 87, 439–446.
Miller, W. R., and Rollnick, S. (1991). Motivational interviewing. Preparing people to change addictive behavior. New York: The Guilford Press.
Molitor, F., Truax, S., Ruiz, J., and Sun, R. (1998). Association of methamphetamine use during sex with risky sexual behaviors and HIV infection among non-injection drug users. Western Journal of Medicine, 168, 93–97.
Morgan, P., and Beck, J. E. (1997). The legacy and the paradox: Hidden contexts of methamphetamine use in the United States. In H. Klee (Ed.), Amphetamine misuse. International perspectives on current trends (pp. 135–162). The Netherlands: Harwood Academic Press.
Morrison-Beedy, D., and Lewis, B. P. (2001). HIV prevention in single, urban women: Condom-use readiness. Journal of Obstetrics and Gynecological Neonatal Nursing, 30, 148–156.
Morrison-Beedy, D., Carey, M. P., and Lewis, B. P. (2002). Modeling condom-use stage of change in low-income, single, urban women. Research in Nursing and Health, 25, 122–134.
National Institute of Justice. (1999). Meth matters. Report on methamphetamine users in five western cities. Washington, DC: U.S. Department of Justice.
Paul, J. P., Stall, R., and Davis, F. (1993). Sexual risk for HIV transmission among gay and bisexual men in substance abuse treatment. AIDS Education and Prevention, 5, 11–24.
Polacsek, M., Celentano, D., O’Campo, P., and Santelli, J. (1999). Correlates of condom use stage of change: Implications for intervention. AIDS Education and Prevention, 11, 38–52.
Prochaska, J., and DiClemente, C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research, and Practice, 19, 276–288.
Prochaska, J. O., and DiClemente, C. C. (1983). Stages and process of self-change in smoking: Toward an integrative model of change. Journal of Clinical and Consulting Psychology, 5, 390–395.
Prochaska, J., and DiClemente, C. (1992). Stages of change in the modification of problem behaviors. In M. Heresen, R. M. Eisler, and P. M. Miller (Eds.), Progress in behavior modification (pp. 184–214). Sycamore, IL: Sycamore Press.
Prochaska, J. O., DiClemente, C. D., and Norcross, J. C. (1992). In search of how people change—Applications to addictive behaviors. American Psychologist, 47, 1102–1114.
Prochaska, J. O., Velicer, W. F., Rossi, J. S., Goldstein, M. G., Marcus, B. H., Rakowski, W., Fiore, C., Harlow, L., Redding, C., Rosenbloom, D., and Rossi, S. R. (1994). Stages of change and decisional balance for twelve problem behaviors. Health Psychology, 13, 39–46.
Reback, C. J. (1997). The social construction of a gay drug: Methamphetamine use among gay and bisexual males in Los Angeles. Executive Summary. City of Los Angeles, AIDS Coordinator.
Reddy, P., Meyer-Weitz, A., van den Borne, B., and Kok, G. (2000). Determinants of condom-use behaviour among STD clinic attenders in South Africa. International Journal of STD and AIDS, 11, 521–530.
San Diego Association of Governments. (1998). Quarterly Report (Vol. 1, No. 2).
Santelli, J. S., Kouzis, A. C., Hoover, D. R., Polacsek, M., Burwell, L. G., and Celentano, D. D. (1996). Stage of behavior change for condom use: The influence of partner type, relationship and pregnancy factors. Family Planning Perspectives, 28, 101–107.
Semple, S. J., Patterson, T. L., and Grant, I. (2000). Partner type and sexual risk behavior among HIV positive gay and bisexual men: Social cognitive correlates. AIDS Education and Prevention, 12, 340–356.
Semple, S. J., Patterson, T. L., and Grant, I. (2002). Motivations associated with methamphetamine use among HIV+ men who have sex with men. Journal of Substance Abuse Treatment, 22, 1–8.
Smith, T. W. (1989). Adult sexual behavior in 1989: Number of partners, frequency of intercourse and risk of AIDS. Family Planning Perspectives, 23, 102–107.
Stark, M. J., Tesselaar, H. M., O’Connell, A. A., Person, B., Galavotti, C., Cohen, A., and Wallis, C. (1998). Psychosocial factors associated with the stages of change for condom use among women at risk for HIV and STDs: implications for intervention development. Journal of Consulting and Clinical Psychology, 66, 967–978.
Temoshok, L., and Nannis, E. D. (1992). Tri-service biopsychosocial study protocol. Rockville, MD: The Military Medical Consortium for Applied Retroviral Research.
Timpson, S. C., Pollak, K. I., Bowen, A. M., Williams, M. L., Ross, M. W., McCoy, C. B., and McCoy, H. V. (2001). Gender differences in the processes of change for condom use: Patterns across stages of change in crack cocaine users. Health Education Research, 16, 541–
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Semple, S.J., Patterson, T.L. & Grant, I. Determinants of Condom Use Stage of Change Among Heterosexually-Identified Methamphetamine Users. AIDS Behav 8, 391–400 (2004). https://doi.org/10.1007/s10461-004-7323-4
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DOI: https://doi.org/10.1007/s10461-004-7323-4