Application of the Social Action Theory to Understand Factors Associated with Risky Sexual Behavior among Individuals in Residential Substance Abuse Treatment
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)
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.
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Scholar Commons Citation
Reynolds, Elizabeth K; Magidson, Jessica F; Bornovalova, Marina; Gwadz, Marya; Ewart, Craig K; Daughters, Stacey B; and Lejuez, C W, "Application of the Social Action Theory to Understand Factors Associated with Risky Sexual Behavior among Individuals in Residential Substance Abuse Treatment" (2010). Psychology Faculty Publications. 121.