Skip to main content

Advertisement

Log in

Psychological Distress Moderates the Intention–Behavior Association for Sexual Partner Concurrency Among Adults

  • Brief Report
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

Research suggests that intentions are an important determinant of sexual risk behavior. However, this association is often weaker than hypothesized. This research investigated whether psychological distress (i.e., depression, anxiety) can help to explain the intentions–behavior gap. We used data from 397 patients seeking care at an STI clinic to test whether the association between partner concurrency intentions and behavior 3 months later was moderated by distress. Intentions predicted concurrency behavior only among less-distressed individuals; however, exploratory analyses for condom use did not demonstrate this effect. Comprehensive sexual health intervention programs should address affective determinants of risk behavior.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Fishbein M. A theory of reasoned action: some applications and implications. In: Howe H, Page M, editors. Nebraska symposium on motivation, 1979. Lincoln: University of Nebraska Press; 1980.

    Google Scholar 

  2. Fishbein M, Triandis HC, Kanfer FH, Becker M, Middlestadt SE, Eichler A. Factors influencing behavior and behavior change. In: Baum A, Revenson TA, Singer JE, editors. Handbook of health psychology. Mahwah: Lawrence; 2001.

    Google Scholar 

  3. Albarracin D, Johnson BT, Fishbein M, Muellerleile PA. Theories of reasoned action and planned behavior as models of condom use: a meta-analysis. Psychol Bull. 2001;127:142–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Montanaro EA, Bryan AD. Comparing theory-based condom interventions: health belief model versus theory of planned behavior. Health Psychol. 2014;33:1251–60.

    Article  PubMed  Google Scholar 

  5. Sheeran P. Intention–behavior relations: a conceptual and empirical review. Eur Rev Soc Psychol. 2002;12:1–36.

    Article  Google Scholar 

  6. Conner M, McEachan R, Jackson C, McMillan B, Woolridge M, Lawton R. Moderating effect of socioeconomic status on the relationship between health cognitions and behaviors. Ann Behav Med. 2013;46:19–30.

    Article  PubMed  Google Scholar 

  7. McGarrity LA, Huebner DM. Behavioral intentions to HIV test and subsequent testing: the moderating role of sociodemographic characteristics. Health Psychol. 2014;33:396–400.

    Article  PubMed  Google Scholar 

  8. Safren SA, Traeger L, Skeer MR, et al. Testing a social-cognitive model of HIV transmission risk behaviors in HIV-infected MSM with and without depression. Health Psychol. 2010;29:215–21.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Sainsbury K, Mullan B, Sharpe L. Gluten free diet adherence in celiac disease: the role of psychological symptoms in bridging the intention–behavior gap. Appetite. 2013;61:52–8.

    Article  PubMed  Google Scholar 

  10. Fairlie TG, Gillman MW, Rich-Edwards J. High pregnancy-related anxiety and prenatal depressive symptoms as predictors of intention to breastfeed and breastfeeding initiation. J Womens Health. 2009;18:945–53.

    Article  Google Scholar 

  11. Alvy LM, McKirnan DJ, Mansergh G, et al. Depression is associated with sexual risk among men who have sex with men, but is mediated by cognitive escape and self-efficacy. AIDS Behav. 2011;15:1171–9.

    Article  PubMed  Google Scholar 

  12. Lennon CA, Huedo-Medina TB, Gerwien DP, Johnson BT. A role for depression in sexual risk reduction for women? A meta-analysis of HIV prevention trials with depression outcomes. Soc Sci Med. 2012;75:688–98.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Doherty IA, Shiboski S, Ellen JM, Adimora AA, Padian NS. Sexual bridging socially and over time: a simulation model exploring the relative effects of mixing and concurrency on viral sexually transmitted infection transmission. Sex Transm Dis. 2006;33:368–73.

    Article  PubMed  Google Scholar 

  14. Ludema C, Doherty IA, White BL, et al. Characteristics of African–American women and their partners with perceived concurrent partnerships in 4 rural counties in the southeastern United States. Sex Transm Dis. 2015;42:498–504.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Carey MP, Senn TE, Coury-Doniger P, Urban MA, Vanable PA, Carey KB. Optimizing the scientific yield from a randomized controlled trial: evaluating two behavioral interventions and assessment reactivity with a single trial. Contemp Clin Trials. 2013;36:135–46.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Carey MP, Senn TE, Walsh JL, et al. Evaluating a brief, video-based sexual risk reduction intervention and assessment reactivity with STI clinic patients: results from a randomized controlled trial. AIDS Behav. 2015;19:1228–46.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Allgower A, Wardle J, Steptoe A. Depressive symptoms, social support, and personal health behaviors in young men and women. Health Psychol. 2001;20:223–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgement

We gratefully acknowledge the study participants as well as the clinical and research staffs.

Funding

This research was supported by a grant from the National Institute of Mental Health (R01-MH068171) to Michael P. Carey. Clinicaltrials.gov identifier NCT00947271.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Larissa A. McGarrity.

Ethics declarations

Conflict of Interest

None of the study authors have conflicts of interest to disclose.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

McGarrity, L.A., Senn, T.E., Walsh, J.L. et al. Psychological Distress Moderates the Intention–Behavior Association for Sexual Partner Concurrency Among Adults. AIDS Behav 21, 1567–1571 (2017). https://doi.org/10.1007/s10461-016-1548-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-016-1548-x

Keywords

Navigation