Title

Application of the Social Action Theory to Understand Factors Associated with Risky Sexual Behavior among Individuals in Residential Substance Abuse Treatment

Document Type

Article

Publication Date

6-2010

Keywords

Adolescent, Adult, Condoms, Female, HIV Infections, Health Knowledge, Attitudes, Practice, Humans, Logistic Models, Male, Middle Aged, Psychological Theory, Residential Treatment, Risk-Taking, Sexual Behavior, Social Control, Informal, Substance Abuse Treatment Centers, Substance-Related Disorders

Digital Object Identifier (DOI)

http://dx.doi.org/10.1037/a0018929

Abstract

Risky sexual behavior (RSB) is a leading cause of HIV/AIDS, particularly among urban substance users. Using the social action theory, an integrative systems model of sociocognitive, motivational, and environmental influences, as a guiding framework, the current study examined (1) environmental influences, (2) psychopathology and affect, (3) HIV-related attitudes and knowledge, and (4) self-regulatory skills/deficits as factors associated with event-level condom use (CU) among a sample of 156 substance users residing at a residential substance abuse treatment center (M age = 41.85; SD = 8.59; 75% male). RSB was assessed using event-level measurement of CU given its advantages for improved accuracy of recall and ability for an examination of situational variables. A logistic regression predicting event-level CU indicated the significant contribution of partner type (environmental influences), less favorable attitudes towards condoms (HIV-related attitudes and knowledge), and higher levels of risk-taking propensity (self-regulatory skills/deficits) in predicting greater likelihood of not having used a condom at one's most recent sexual encounter. This study contributes to the literature examining HIV risk behaviors among substance users within a theory-driven model of risk.

Comments

Psychology of Addictive Behaviors, V. 24, Issue 2, P. 311-321.

Was this content written or created while at USF?

Yes