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AIDS Research and Treatment
Volume 2012 (2012), Article ID 231417, 9 pages
Research Article

Exploring Factors Associated with Nonchange in Condom Use Behavior following Participation in an STI/HIV Prevention Intervention for African-American Adolescent Females

1Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
2Center for AIDS Research, Social and Behavioral Sciences Core, Emory University, Atlanta, GA 30322, USA

Received 31 January 2012; Accepted 30 March 2012

Academic Editor: Xiaoming Li

Copyright © 2012 Jessica M. Sales et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


To enhance future STI/HIV prevention efforts, this study examined factors associated with adolescents’ failure to improve their condom use behaviors after participating in an STI/HIV prevention intervention. African-American adolescent females ( 𝑁 = 2 0 5 ; M age = 17.9) in an STI/HIV prevention intervention trial completed ACASI interviews and provided self-collected vaginal swabs to assess two prevalent STIs at baseline and 6 months after intervention. Analyses compared those who increased condom use after intervention (change group) to those whose condom use did not increase (nonchange group). 43.4% did not increase their condom use after the intervention and were more likely to have an STI at followup ( 𝜒 2 = 4 . 6 4 , 𝑃 = . 0 3 ). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR = .91, 𝑃 = . 0 2 3 ), (b) a boyfriend (AOR = .32, 𝑃 = . 0 4 6 ), and/or (c) a physical abuse history (AOR = .56, 𝑃 = . 0 5 7 ). There were also differences in the extent to which psychosocial mediators changed between the two groups. Findings highlight the need to tailor STI/HIV interventions to adolescents with a greater degree of sensation seeking and address key relationship characteristics and trauma histories to bolster intervention efficacy.