Women in American correctional facilities make up an at-risk group for STDs/HIV, both in terms of disease history and STD risk behaviors. Using a sample of incarcerated women in two southern states, a theoretically driven model of incarcerated women’s risk behaviors prior to and during incarceration was described and tested. The model is based on links among beliefs, attitudes, perceived behavioral control and norms, and behavioral intentions. Results indicated that beliefs related to condoms were associated with favorable attitudes toward condoms. Condom attitudes were related to positive behavioral intentions to use condoms and also mediated some belief/intention associations. Perceived behavioral control and norms were also associated with intentions; norms were especially strongly related. The model provides a structure for measuring the predicates of incarcerated women’s risk behaviors and for testing the efficacy of risk reduction interventions.
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References
1.
Ajzen, I. (1991). The theory of planned behavior. Organizational and Behavioral Human Decision Processes, 50, 179-211.
2.
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice Hall.
3.
Albarracin, D., Ho, R. M., McNatt, P. S., Williams, W. R., Rhodes, F., Malotte, C. K., Hoxworth, T., Bolan, G. A., Zenilman, J., & Iatesta, M. (2000). Structure of outcome beliefs in condom use. Health Psychology, 19, 458-468.
4.
Albarracin, D., Johnson, B. T., Fishbein, M., & Mullerleile, P. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127, 142-161.
5.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 84, 191-215.
6.
Bandura, A. (1990). Perceived self-efficacy in the exercise of control over AIDS infection. Evaluation & Program Planning, 13, 9-17.
7.
Bandura, A. (1994). Social cognitive theory and exercise of control over HIV infection. In R. J. DiClemente & J. Peterson (Eds.), Preventing AIDS (pp. 25-59). New York: Plenum.
8.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social science research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
9.
Blank, S., McDonnell, D. D., Rubin, S. R., Neal, J. J., Brome, M. W., Masterson, M. B., & Greenspan, J. R. (1997). New approaches to syphilis control: Finding opportunities for syphilis treatment and congenital syphilis prevention in a women’s correctional setting. Sexually Transmitted Diseases, 24, 218-226.
10.
Bollen, K. A. (1989). Structural equations with latent variables. New York: Wiley.
11.
Bond, L., & Semaan, S. (1996). At risk for HIV infection: Incarcerated women in a county jail in Philadelphia. Women & Health, 24, 27-45.
12.
Byrne, D. (1983). Sex without contraception. In D. Byrne & W. A. Fisher (Eds.), Adolescents, sex, and contraception (pp. 3-31). Hillsdale, NJ: Lawrence Erlbaum.
13.
Fishbein, M., & Ajzen, I. (1975). Beliefs, attitudes, intentions, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.
14.
Fishbein, M., Guenther-Grey, C., Johnson, W., Wolitski, R. J., McAlister, A., Rietmeijer, C. A., & O’Reilly, K. (1997). Using a theory-based community intervention to reduce AIDS risk behaviors: The CDC’s AIDS community demonstration projects. In M. E. Goldberg & M. Fishbein (Eds.), Social marketing: Theoretical and practical perspectives. Advertising and consumer psychology (pp. 123-146). Mahwah, NJ: Lawrence Erlbaum.
15.
Fisher, W. A., Fisher, J. D., & Rye, B. J. (1995). Understanding and promoting AIDS-preventive behavior: Insights from the theory of reasoned action. Health Psychology, 14, 255-264.
16.
Hogben, M., St. Lawrence, J. S., & Eldridge, G. D. (2001). Sexual risk behavior, drug use, and STD rates among incarcerated women. Women and Health, 34, 63-78.
17.
Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599-610.
18.
Hoyle, R. H., & Panter, A. T. (1995). Writing about structural equation models. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues, and applications (pp. 76-99). Thousand Oaks, CA: Sage.
19.
Magura, S., Kang, S-Y., Shapiro, J., & O’Day, J. (1993). HIV risk among women injecting drug users who are in jail. Addiction, 88, 1351-1360.
20.
Office of AIDS Research. (1998). HIV seroprevalence update, 1996. New York: New York City Department of Health.
21.
Smith, P. F., Mikl, J., Truman, B., Lessner, L., Lehman, J. S., Stevens, R. W., Lord, E. A., Broaddus, R. K., & Morse, D. L. (1991). HIV infection among women entering the New York State correctional system. American Journal of Public Health, 81(Suppl.), 35-40.
22.
St. Lawrence, J. S. (1993). African-American adolescents’ knowledge, health-related attitudes, sexual behavior, and contraceptive decisions: Implications for the prevention of HIV infection. Journal of Consulting and Clinical Psychology, 61, 104-112.
23.
St. Lawrence, J. S., Chapdelaine, A. P., Devieux, J. G., O’Bannon, R. E., Brasfield, T. L., & Eldridge, G. D. (1999). Measuring perceived barriers to condom use: Development and psychometric evaluation of the Condom Barriers Scale. Psychological Assessment, 6, 329-342.
24.
St. Lawrence, J. S., Reitman, D., Jefferson, K. W., Alleyne, E., Brasfield, T. L., & Shirley, A. (1994). Factor structure and validation of an adolescent version of the Condom Attitude Scale: An instrument for measuring adolescents’ attitudes toward condoms. Psychological Assessment, 6, 352-359.
25.
Tanaka, J. S. (1993). Multifaceted conceptions of fit in structural equation models. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 10-39). Newbury Park, CA: Sage.
26.
Temple, M. T. (1993). Patterns of sexuality in a high-risk sample: Results from a survey of new intakes at a county jail. Archives of Sexual Behavior, 22, 111-129.
27.
Torabi, M. R., & Yarber, W. (1992). Alternate forms of HIV prevention attitude scale measure for teenagers. AIDS Education and Prevention, 4, 172-182.
