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HIV Risk Reduction for Substance Using Seriously Mentally Ill Adults: Test of the Information-Motivation-Behavior Skills (IMB) Model

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Abstract

The information-motivation-behavioral skills (IMB) model (Fisher & Fisher, 1992) was used as the theoretical framework for predicting unprotected sexual behavior among substance abusing men and women diagnosed with serious mental illnesses (n = 320; 150 men and 170 women, primarily of minority ethnicity). In a structural equation model, gender, HIV transmission knowledge, and motivational variables of pro-condom norms and attitudes, and perceived susceptibility predicted behavioral skills markers: condom use skills and condom use self-efficacy. Along with the other variables in the model, condom skills and condom self-efficacy were hypothesized to predict condom use over a six-month period. Results showed that greater condom skills were predicted by female gender, positive condom attitudes, and transmission knowledge. Engaging in lower rates of unprotected sex was predicted by pro-condom norms, less perceived susceptibility, and greater condom self-efficacy. Positive attitudes toward condoms had a significant indirect effect on rates of unprotected sex, exerting its influence through condom use self-efficacy. Results suggest that changing personal attitudes about condoms and reinforcing pro-condom attitudes among significant others will encourage condom use among seriously mentally ill (SMI) adults who are at high risk for HIV and other sexually transmitted diseases (STDs).

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Authors and Affiliations

  1. Psychology Department, University of Connecticut, 406 Babbidge Road, Storrs, CT, 06269

    Seth Kalichman Ph.D

  2. Florida International University, Miami, USA

    Robert Malow Ph.D & Jessy Dévieux Ph.D

  3. University of California, Los Angeles, USA

    Judith A. Stein Ph.D

  4. University of Miami, Miami, USA

    Fred Piedman M.A.

Authors
  1. Seth Kalichman Ph.D
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  2. Robert Malow Ph.D
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  3. Jessy Dévieux Ph.D
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  4. Judith A. Stein Ph.D
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  5. Fred Piedman M.A.
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Correspondence to Seth Kalichman Ph.D.

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Kalichman, S., Malow, R., Dévieux, J. et al. HIV Risk Reduction for Substance Using Seriously Mentally Ill Adults: Test of the Information-Motivation-Behavior Skills (IMB) Model. Community Ment Health J 41, 277–290 (2005). https://doi.org/10.1007/s10597-005-5002-1

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  • DOI: https://doi.org/10.1007/s10597-005-5002-1

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