Decision Processes about Condom Use among Shelter-Homeless LGBT Youth in Manhattan
Health behavior interventions based on Theory of Planned Behavior address participants’ personally-held beliefs, perceived social norms, and control over the behavior. New data are always needed to “member check” participants’ decision processes and inform interventions. This qualitative study inves...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2012/659853 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545897811017728 |
|---|---|
| author | Geoffrey L. Ream Kate F. Barnhart Kevin V. Lotz |
| author_facet | Geoffrey L. Ream Kate F. Barnhart Kevin V. Lotz |
| author_sort | Geoffrey L. Ream |
| collection | DOAJ |
| description | Health behavior interventions based on Theory of Planned Behavior address participants’ personally-held beliefs, perceived social norms, and control over the behavior. New data are always needed to “member check” participants’ decision processes and inform interventions. This qualitative study investigates decision processes around condom use among 81 homeless LGBT youth ages 18–26. Findings indicated considerable endorsement of the conventional policy of always using condoms, promulgated in HIV prevention education targeting this population. Although some participants reported risk behavior in contexts of sex work, survival sex, casual encounters, open relationships, and substance use, most were aware of these risks and consistently safe in those situations. Condoms use boundaries became vulnerable in states of emotional need and negative mood. The only effect participants acknowledged of homelessness on condom use was indirect, through negative mood states. The most prevalent context of condom non-use was with long-term primary partners, a potential area of vulnerability because, of 13 participants for HIV or HCV, nine mentioned how they had been infected, and all nine believed they had acquired it from a primary partner. Findings imply programs should emphasize HIV risk potential within long-term romantic partnerships and mental health services to remediate negative mood states. |
| format | Article |
| id | doaj-art-00f77e1a2f4642ee83b07551063090a4 |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-00f77e1a2f4642ee83b07551063090a42025-02-03T07:24:25ZengWileyAIDS Research and Treatment2090-12402090-12592012-01-01201210.1155/2012/659853659853Decision Processes about Condom Use among Shelter-Homeless LGBT Youth in ManhattanGeoffrey L. Ream0Kate F. Barnhart1Kevin V. Lotz2School of Social Work, Adelphi University, Garden City, NY 11530, USANew Alternatives for Homeless LGBT Youth, New York, NY 10009, USATrinity Place Shelter, New York, NY 10025, USAHealth behavior interventions based on Theory of Planned Behavior address participants’ personally-held beliefs, perceived social norms, and control over the behavior. New data are always needed to “member check” participants’ decision processes and inform interventions. This qualitative study investigates decision processes around condom use among 81 homeless LGBT youth ages 18–26. Findings indicated considerable endorsement of the conventional policy of always using condoms, promulgated in HIV prevention education targeting this population. Although some participants reported risk behavior in contexts of sex work, survival sex, casual encounters, open relationships, and substance use, most were aware of these risks and consistently safe in those situations. Condoms use boundaries became vulnerable in states of emotional need and negative mood. The only effect participants acknowledged of homelessness on condom use was indirect, through negative mood states. The most prevalent context of condom non-use was with long-term primary partners, a potential area of vulnerability because, of 13 participants for HIV or HCV, nine mentioned how they had been infected, and all nine believed they had acquired it from a primary partner. Findings imply programs should emphasize HIV risk potential within long-term romantic partnerships and mental health services to remediate negative mood states.http://dx.doi.org/10.1155/2012/659853 |
| spellingShingle | Geoffrey L. Ream Kate F. Barnhart Kevin V. Lotz Decision Processes about Condom Use among Shelter-Homeless LGBT Youth in Manhattan AIDS Research and Treatment |
| title | Decision Processes about Condom Use among Shelter-Homeless LGBT Youth in Manhattan |
| title_full | Decision Processes about Condom Use among Shelter-Homeless LGBT Youth in Manhattan |
| title_fullStr | Decision Processes about Condom Use among Shelter-Homeless LGBT Youth in Manhattan |
| title_full_unstemmed | Decision Processes about Condom Use among Shelter-Homeless LGBT Youth in Manhattan |
| title_short | Decision Processes about Condom Use among Shelter-Homeless LGBT Youth in Manhattan |
| title_sort | decision processes about condom use among shelter homeless lgbt youth in manhattan |
| url | http://dx.doi.org/10.1155/2012/659853 |
| work_keys_str_mv | AT geoffreylream decisionprocessesaboutcondomuseamongshelterhomelesslgbtyouthinmanhattan AT katefbarnhart decisionprocessesaboutcondomuseamongshelterhomelesslgbtyouthinmanhattan AT kevinvlotz decisionprocessesaboutcondomuseamongshelterhomelesslgbtyouthinmanhattan |