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

Research output: Contribution to journalArticle

29 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 languageEnglish (US)
Pages (from-to)753-762
Number of pages10
JournalAIDS and behavior
Volume10
Issue number6
DOIs
StatePublished - Nov 1 2006

Keywords

  • Adolescent
  • HIV
  • Longitudinal
  • Mental health
  • Sexual risk taking

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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