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

机译:社会行为理论在居民滥用药物治疗中了解个人危险性行为相关因素的应用

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摘要

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\u27s most recent sexual encounter. This study contributes to the literature examining HIV risk behaviors among substance users within a theory-driven model of risk.
机译:危险的性行为(RSB)是导致HIV / AIDS的主要原因,尤其是在城市毒品使用者中。本研究使用社会行为理论,社会认知,动机和环境影响的综合系统模型作为指导框架,研究了(1)环境影响,(2)精神病理学和影响,(3)与HIV相关的态度和知识(4)居住在滥用药物治疗中心的156名药物使用者的样本中,自我调节技能/缺陷是与事件级安全套使用(CU)相关的因素(M年龄= 41.85; SD = 8.59; 75%男)。 RSB是使用CU的事件级度量进行评估的,因为它具有提高召回准确性和检查情境变量的能力的优势。预测事件水平CU的logistic回归表明,伴侣类型(环境影响),对安全套的态度较差(与HIV有关的态度和知识),以及冒险倾向(自我调节技能/缺陷)较高的显着贡献预测在最近一次性接触中不使用安全套的可能性更大。这项研究有助于在理论驱动的风险模型内研究物质使用者之间的HIV风险行为的文献。

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