We assessed determinants of condom use postulated by the IMB model among STD patients (N = 1474). The model provided acceptable fit to the data (CFI = 0.99, RMSEA = .04). Information was unrelated to condom use but had a negative effect on behavioral skills. Motivation had a positive effect on behavioral skills and condom use. Behavioral skills had a positive effect on condom use. In multiple-groups analyses, stronger associations between motivation and condom use were found among participants reporting no prior STD treatment. Interventions among STD patients should include activities addressing condom use motivation and directly enhancing condom skills.
Brown, I.S. ( 1984). Development of a scale to measure attitude toward the condom as a method of birth control. Journal of Sex Research , 20, 255-263.
4.
Bryan, A.D., Fisher, J.D., & Benziger, T.J. (2001). Determinants of HIV risk among Indian truck drivers. Social Science and Medicine, 53, 1413-1426.
5.
Bryan, A.D., Fisher, J.D., Fisher, W.A., & Murray, D.M. ( 2000). Understanding condom use among heroin addicts in methadone maintenance using the Information-Motivation-Behavioral Skills model. Substance Use & Misuse, 35, 451-471.
6.
Byrne, B.M. ( 2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah, NJ: Erlbaum.
7.
Carey, M.P., Braaten, L.S., Maisto, S.A., Gleason, J.R., Forsyth, A.D., Durant, L.E., & Jaworski, B.C. (2000). Using information, motivational enhancement, and skills training to reduce the risk of HIV infection for low-income urban women: A second randomized clinical trial. Health Psychology , 19, 3-11.
8.
Carey, M.P., Carey, K.B., Maisto, S.A., Gordon, C.M., Schroder, K.E., & Vanable, P.A. ( 2004). Reducing HIV-risk behavior among adults receiving outpatient psychiatric treatment: Results from a randomized controlled trial . Journal of Consulting Clinical Psychology, 72, 252-268.
9.
Carey, M.P., Maisto, S.A., Kalichman, S.C., Forsyth, A.D., Wright, E.M., & Johnson, B.T. ( 1997). Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women. Journal of Consulting Clinical Psychology, 65, 531-541.
10.
Carey, M.P., & Schroder, K.E. (2002). Development and psychometric evaluation of the brief HIV Knowledge Questionnaire. AIDS Education and Prevention, 14, 172-182.
11.
Carey, M.P., Senn, T.E., Vanable, P.A., Coury-Doniger, P., & Urban, M.A. ( 2008). Do STD clinic patients who consent to sexual health research differ from those who decline? Findings from a randomized controlled trial with implications for the generalization of research results. Sexually Transmitted Diseases, 35, 73-77.
12.
Carey, M.P., Vanable, P.A., Senn, T.E., Coury-Doniger, P., & Urban, M.A. ( 2008). Evaluating a two-step approach to sexual risk reduction in a publicly-funded STI clinic: Rationale, design, and baseline data from the Health Improvement Project-Rochester (HIP-R). Contemporary Clinical Trials, 29, 569-586.
13.
CDC. (2007a). The role of STD prevention and treatment in HIV prevention. Retrieved from http://www.cdc.gov/std/hiv/STDFact-STD&HIV.htm
14.
CDC. (2007b). Trends in reportable sexually transmitted diseases in the United States, 2006. Retrieved from http://www.cdc.gov/std/stats/trends2006.htm
Cook, R.L., Comer, D.M., Wiesenfeld, H.C., Chang, C.C., Tarter, R., Lave, J.R., & Clark, D.B. ( 2006). Alcohol and drug use and related disorders: An under-recognized health issue among adolescents and young adults attending sexually transmitted disease clinics. Sexually Transmitted Diseases, 33, 565-570.
17.
Des Jarlais, D.C., Paone, D., Milliken, J., Turner, C.F., Miller, H., Gribble, J., ... Friedman, S.R. ( 1999). Audio-computer interviewing to measure risk behaviour for HIV among injecting drug users: A quasi-randomised trial. Lancet, 353, 1657-1661.
Fisher, J.D., Fisher, W.A., & Shuper, P.A. ( 2009). The Information-Motivation-Behavioral Skills model of HIV preventive behavior. In R. J. DiClemente , R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research (pp. 21-63). San Francisco, CA: Jossey-Bass.
20.
Fisher, J.D., Fisher, W.A., Williams, S.S., & Malloy, T.E. ( 1994). Empirical tests of an Information-Motivation- Behavioral Skills model of AIDS-preventive behavior with gay men and heterosexual university students. Health Psychology, 13, 238-250.
21.
Fisher, W.A., Williams, S.S., Fisher, J.D., & Malloy, T.E. ( 1999). Understanding AIDS risk behavior among sexually active urban adolescents: An empirical test of the Information-Motivation-Behavioral Skills model. AIDS and Behavior, 3, 13-23.
22.
Floyd, F.J., & Widaman, K.F. ( 1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment , 7, 286-299.
23.
Harman, J.J., & Amico, K.R. ( 2008). The relationship-oriented Information-Motivation-Behavioral Skills model: A multilevel structural equation model among dyads. AIDS and Behavior, 13, 173-184.
24.
Hightow, L.B., Miller, W.C., Leone, P.A., Wohl, D., Smurzynski, M., & Kaplan, A.H. ( 2003). Failure to return for HIV posttest counseling in an STD clinic population. AIDS Education and Prevention , 15, 282-290.
25.
Hightow, L.B., Miller, W.C., Leone, P.A., Wohl, D.A., Smurzynski, M., & Kaplan, A.H. ( 2004). Predictors of repeat testing and HIV seroconversion in a sexually transmitted disease clinic population. Sexually Transmitted Diseases, 31, 455-459.
26.
Howards, P.P., Thomas, J.C., & Earp, J.A. ( 2002). Do clinic-based STD data reflect community patterns ? International Journal of STD & AIDS, 13, 775-780.
27.
Jaworski, B.C., & Carey, M.P. ( 2007). Development and psychometric evaluation of a self-administered questionnaire to measure knowledge of sexually transmitted diseases. AIDS and Behavior, 11, 557-574.
28.
Johnson, B.T., Carey, M.P., Chaudoir, S.R., & Reid, A.E. ( 2006). Sexual risk reduction for persons living with HIV: Research synthesis of randomized controlled trials, 1993 to 2004. Journal of Acquired Immune Deficiency Syndromes, 41, 642-650.
29.
Kalichman, S.C., & Cain, D. ( 2008). Repeat HIV testing and HIV transmission risk behaviors among sexually transmitted infection clinic patients. Journal of Clinical Psychology in Medical Settings, 15, 127-133.
30.
Kalichman, S.C., Picciano, J.F., & Roffman, R.A. ( 2008). Motivation to reduce HIV risk behaviors in the context of the Information, Motivation and Behavioral skills (IMB) model of HIV prevention . Journal of Health Psychology, 13, 680-689.
31.
Kalichman, S., Stein, J.A., Malow, R., Averhart, C., Devieux, J., Jennings, T., ... Feaster, D.J. ( 2002). Predicting protected sexual behaviour using the Information-Motivation-Behaviour skills model among adolescent substance abusers in court-ordered treatment . Psychology, Health & Medicine , 7, 327-338.
32.
Kenny, D.A. ( 2008, November 20). Multiple group models. Retrieved July 21, 2009, from http://davidakenny.net/cm/mgroups.htm
33.
Kline, R.B. ( 2005). Principles and practice of structural equation modeling , 2nd edn. New York: Guilford Press .
34.
Langer, L.M., Zimmerman, R.S., & Cabral, R.J. ( 1994). Perceived versus actual condom skills among clients at sexually transmitted disease clinics. Public Health Reports , 109, 683-687.
35.
Leichliter, J.S., Ellen, J.M., & Gunn, R.A. ( 2007). STD repeaters: Implications for the individual and STD transmission in a population . In S. O. Aral, J. M. Douglas, & J. A. Lipshutz (Eds.), Behavioral interventions for prevention and control of sexually transmitted diseases (pp. 354-373). New York: Springer.
36.
Mustanski, B., Donenberg, G., & Emerson, E. ( 2006). I can use a condom, I just don’t: The importance of motivation to prevent HIV in adolescent seeking psychiatric care. AIDS and Behavior, 10, 753-762.
37.
Newman, J.C., des Jarlais, D.C., Turner, C.F., Gribble, J., Cooley, P., & Paone, D. ( 2002). The differential effects of face-to-face and computer interview modes. American Journal of Public Health, 92, 294-297.
38.
Noar, S.M., Morokoff, P.J., & Harlow, L.L. ( 2004a). Condom influence strategies in a community sample of ethnically diverse men and women. Journal of Applied Social Psychology, 34, 1730-1751.
39.
Noar, S.M., Morokoff, P.J., & Harlow, L.L. ( 2004b). Condom negotiation in heterosexually active men and women: Development and validation of a condom influence strategy questionnaire . Psychology and Health, 17, 557-574.
40.
Robertson, A.A., Stein, J.A., & Baird-Thomas, C. (2006). Gender differences in the prediction of condom use among incarcerated juvenile offenders: Testing the Information-Motivation-Behavior skills (IMB) model. Journal of Adolescent Health, 38, 18-25.
41.
Sacco, W.P., Levine, B., Reed, D.L., & Thompson, K. ( 1991). Attitudes about condom use as an AIDS-relevant behavior: Their factor structure and relation to condom use. Psychological Assessment: A Journal of Consulting and Clinical Psychology , 3, 265-272.
42.
Schroder, K.E., Carey, M.P., & Vanable, P.A. ( 2003). Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports. Annals of Behavioral Medicine, 26, 104-123.
43.
Weinstock, H.S., Sweeney, S., Satten, G.A., & Gwinn, M. ( 1998). HIV seroincidence and risk factors among patients repeatedly tested for HIV attending sexually transmitted disease clinics in the United States, 1991 to 1996. STD Clinic HIV Seroincidence Study Group. Journal of Acquired Immune Deficiency Syndrome and Human Retrovirology , 19, 506-512.
