Testing a Social-Cognitive Model of HIV Transmission Risk Behaviors in HIV-Infected MSM With and Without Depression

Steven Safren, Lara Traeger, Margie R. Skeer, Conall O'Cleirigh, Christina S. Meade, Charles Covahey, Kenneth H. Mayer

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Objective: Social-cognitive models have been used to explain health risk behaviors in numerous populations, including people with HIV. However, these models generally do not account for the influence of clinically significant psychological problems such as major depression. Design: This study examined whether a social-cognitive model would explain recent sexual transmission risk behavior among sexually active HIV-infected men who have sex with men (MSM) who meet or do not meet screening criteria for major depression. Main Outcome Measures: Participants (n = 403) completed self-report assessments of negative expectancy, social models, and self-efficacy (SE) related to condom use, as well as recent STRB and a screening measure for major depression. Multiple group modeling was used to examine whether condom use SE explained associations of negative expectancy and social models for condom use with recent STRB among participants who screened positive (n = 47) or negative (n = 356) for major depression. Results: The multiple group model fit the data well (χ 2(36) = 30.55, p = .73; CFI = 1.00; RMSEA

Original languageEnglish (US)
Pages (from-to)215-221
Number of pages7
JournalHealth Psychology
Volume29
Issue number2
DOIs
StatePublished - Mar 2010
Externally publishedYes

Fingerprint

Risk-Taking
Condoms
HIV
Depression
Self Efficacy
Self Report
Outcome Assessment (Health Care)
Psychology
Health
Population

Keywords

  • depression
  • HIV
  • men who have sex with men (MSM)
  • secondary prevention

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology

Cite this

Testing a Social-Cognitive Model of HIV Transmission Risk Behaviors in HIV-Infected MSM With and Without Depression. / Safren, Steven; Traeger, Lara; Skeer, Margie R.; O'Cleirigh, Conall; Meade, Christina S.; Covahey, Charles; Mayer, Kenneth H.

In: Health Psychology, Vol. 29, No. 2, 03.2010, p. 215-221.

Research output: Contribution to journalArticle

Safren, Steven ; Traeger, Lara ; Skeer, Margie R. ; O'Cleirigh, Conall ; Meade, Christina S. ; Covahey, Charles ; Mayer, Kenneth H. / Testing a Social-Cognitive Model of HIV Transmission Risk Behaviors in HIV-Infected MSM With and Without Depression. In: Health Psychology. 2010 ; Vol. 29, No. 2. pp. 215-221.
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