I can use a condom, i just don't: The importance of motivation to prevent HIV in adolescent seeking psychiatric care

Brian Mustanski; Geri Donenberg; Erin Emerson

doi:10.1007/s10461-006-9098-2

I can use a condom, i just don't: The importance of motivation to prevent HIV in adolescent seeking psychiatric care

Brian Mustanski^*, Geri Donenberg, Erin Emerson

^*Corresponding author for this work

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

30 Scopus citations

Abstract

Youth continue to show high HIV infection rates, and adolescents with mental health problems are especially at risk. We used longitudinal data to test a cognitive-behavioral model of risky sexual behavior among 175, ethnically diverse urban adolescents seeking mental health services. Path analyses of the cross-sectional data revealed that Motivation was a strong predictor of Behavioral Skills and Sexual Risk Taking. The model explained 42% of the variance in Sexual Risk Taking with age included-29% without age. In the longitudinal path analyses, Motivation had a significant negative effect on levels of Sexual Risk Taking 6 months later, controlling for Information, Behavioral Skills, age, and baseline levels of Sexual Risk Taking. These longitudinal effects explained 60% of the variance in Sexual Risk Taking. These results underscore the need to address motivational factors in HIV prevention programs designed for adolescents with mental health problems.

Original language	English (US)
Pages (from-to)	753-762
Number of pages	10
Journal	AIDS and behavior
Volume	10
Issue number	6
DOIs	https://doi.org/10.1007/s10461-006-9098-2
State	Published - Nov 2006

Keywords

Adolescent
HIV
Longitudinal
Mental health
Sexual risk taking

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-006-9098-2

Cite this

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title = "I can use a condom, i just don't: The importance of motivation to prevent HIV in adolescent seeking psychiatric care",

abstract = "Youth continue to show high HIV infection rates, and adolescents with mental health problems are especially at risk. We used longitudinal data to test a cognitive-behavioral model of risky sexual behavior among 175, ethnically diverse urban adolescents seeking mental health services. Path analyses of the cross-sectional data revealed that Motivation was a strong predictor of Behavioral Skills and Sexual Risk Taking. The model explained 42% of the variance in Sexual Risk Taking with age included-29% without age. In the longitudinal path analyses, Motivation had a significant negative effect on levels of Sexual Risk Taking 6 months later, controlling for Information, Behavioral Skills, age, and baseline levels of Sexual Risk Taking. These longitudinal effects explained 60% of the variance in Sexual Risk Taking. These results underscore the need to address motivational factors in HIV prevention programs designed for adolescents with mental health problems.",

keywords = "Adolescent, HIV, Longitudinal, Mental health, Sexual risk taking",

author = "Brian Mustanski and Geri Donenberg and Erin Emerson",

note = "Funding Information: Acknowledgments This research was supported by R01 MH58545, the Warren Wright Adolescent Center at Northwestern Memorial Hospital, and Northwestern Memorial Hospital{\textquoteright}s Intramural Grants Program. The authors gratefully acknowledge the Healthy Youths Program staff and the families who participated. We thank the administrators and staff at Northwestern Memorial Hospital, Children{\textquoteright}s Memorial Hospital, Cook County Bureau of Health, and the Institute for Juvenile Research.",

year = "2006",

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doi = "10.1007/s10461-006-9098-2",

language = "English (US)",

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T2 - The importance of motivation to prevent HIV in adolescent seeking psychiatric care

AU - Mustanski, Brian

AU - Donenberg, Geri

AU - Emerson, Erin

N1 - Funding Information: Acknowledgments This research was supported by R01 MH58545, the Warren Wright Adolescent Center at Northwestern Memorial Hospital, and Northwestern Memorial Hospital’s Intramural Grants Program. The authors gratefully acknowledge the Healthy Youths Program staff and the families who participated. We thank the administrators and staff at Northwestern Memorial Hospital, Children’s Memorial Hospital, Cook County Bureau of Health, and the Institute for Juvenile Research.

PY - 2006/11

Y1 - 2006/11

N2 - Youth continue to show high HIV infection rates, and adolescents with mental health problems are especially at risk. We used longitudinal data to test a cognitive-behavioral model of risky sexual behavior among 175, ethnically diverse urban adolescents seeking mental health services. Path analyses of the cross-sectional data revealed that Motivation was a strong predictor of Behavioral Skills and Sexual Risk Taking. The model explained 42% of the variance in Sexual Risk Taking with age included-29% without age. In the longitudinal path analyses, Motivation had a significant negative effect on levels of Sexual Risk Taking 6 months later, controlling for Information, Behavioral Skills, age, and baseline levels of Sexual Risk Taking. These longitudinal effects explained 60% of the variance in Sexual Risk Taking. These results underscore the need to address motivational factors in HIV prevention programs designed for adolescents with mental health problems.

AB - Youth continue to show high HIV infection rates, and adolescents with mental health problems are especially at risk. We used longitudinal data to test a cognitive-behavioral model of risky sexual behavior among 175, ethnically diverse urban adolescents seeking mental health services. Path analyses of the cross-sectional data revealed that Motivation was a strong predictor of Behavioral Skills and Sexual Risk Taking. The model explained 42% of the variance in Sexual Risk Taking with age included-29% without age. In the longitudinal path analyses, Motivation had a significant negative effect on levels of Sexual Risk Taking 6 months later, controlling for Information, Behavioral Skills, age, and baseline levels of Sexual Risk Taking. These longitudinal effects explained 60% of the variance in Sexual Risk Taking. These results underscore the need to address motivational factors in HIV prevention programs designed for adolescents with mental health problems.

KW - Adolescent

KW - HIV

KW - Longitudinal

KW - Mental health

KW - Sexual risk taking

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I can use a condom, i just don't: The importance of motivation to prevent HIV in adolescent seeking psychiatric care

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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