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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

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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.

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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.

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Authors and Affiliations

  1. University of Illinois at Chicago, Institute for Juvenile Research, Chicago, Illinois, USA

    Brian Mustanski, Geri Donenberg & Erin Emerson

  2. Institute for Juvenile Research, Department of Psychiatry (M/C 747), University of Illinois at Chicago, 1747 W. Roosevelt Rd, Chicago, Illinois, 60608, USA

    Brian Mustanski

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  1. Brian Mustanski
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  2. Geri Donenberg
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  3. Erin Emerson
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Correspondence to Brian Mustanski.

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Mustanski, B., Donenberg, G. & Emerson, E. I Can Use a Condom, I Just Don’t: The Importance of Motivation to Prevent HIV in Adolescent Seeking Psychiatric Care. AIDS Behav 10, 753–762 (2006). https://doi.org/10.1007/s10461-006-9098-2

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