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  • Title: Differences in condom behaviors and beliefs among female drug users recruited from two cities.
    Author: Wood MM, Tortu S, Rhodes F, Deren S.
    Journal: Women Health; 1998; 27(1-2):137-60. PubMed ID: 9640639.
    Abstract:
    This paper examines predictors of condom cognitions and condom use for vaginal sex within women's main and paying partnerships. The sample consisted of active injection drug and crack-using women recruited from two cities with disparate HIV rates. A total of 338 drug-using women who reported vaginal sex with a main and/or paying partner in the prior 30 days were recruited for this study. Recruitment site was a significant predictor for several of the variables examined, for both main and paying partners. Ethnicity and prior HIV test result were also significant predictors, but only for main sex partners. Findings support previous research and suggest that the factors which predict condom beliefs, intention, and behaviors are different for main versus paying partners. Interventions designed to increase condom use must recognize that cognitive factors associated with condom use may vary by partner type, ethnicity, and recruitment site, particularly when important contextual variables, such as local seroprevalence, vary. The predictors of condom beliefs and behaviors related to vaginal intercourse with main and paying sexual partners were investigated in 325 female drug users recruited from two US cities with disparate HIV rates: East Harlem, New York, and Long Beach, California. The HIV seropositivity rate was 33% among respondents in East Harlem and 5% in Long Beach. 28% of study participants in East Harlem and 37% in Long Beach had exchanged sex for money in the 30 days preceding the study; 32% and 61%, respectively, were current injecting drug users. 51% were African American, 26% were Latina, and 23% were White. The results of regression analyses indicated the factors that successfully predict condom beliefs, self-efficacy, intention, and behaviors are different for main and paying partners. The belief that condom use would negatively impact a relationship with one's main partner was strongest among White women, those from East Harlem, and women with a negative HIV result, while the belief that condom use would provide protection against sexually transmitted diseases was highest among African American and women from East Harlem for a main partner and Long Beach for a paying partner. African American women had higher self-efficacy for condom use with a main partner. African American women and those who had tested positive for HIV were most likely to report intention to use condoms the next time they had vaginal sex with their main partner, while Long Beach women were most likely to have this intention with a paying partner. Finally, women from East Harlem, African Americans, and those who tested positive for HIV were more likely to have used condoms with a main partner in the preceding 30 days; there were no significant determinants of use with a paying partner. Interventions designed to increase condom use must recognize that cognitive factors associated with condom use may vary by partner type, ethnicity, and recruitment site, particularly when local HIV seroprevalence is divergent.
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