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. 1996;111(Suppl 1):59–68.

Measuring the adoption of consistent use of condoms using the stages of change model. AIDS Community Demonstration Projects.

D J Schnell 1, C Galavotti 1, M Fishbein 1, D K Chan 1
PMCID: PMC1382045  PMID: 8862159

Abstract

The stages of behavior change model has been used to understand a variety of health behaviors. Since consistent condom use has been promoted as a risk-reduction behavior for prevention of human immunodeficiency virus (HIV) infection, an algorithm for staging the adoption of consistent condom use during vaginal sex was empirically developed using three considerations: HIV prevention efficacy, analogy with work on staging other health-related behaviors, and condom use data from groups at high risk for HIV infection. This algorithm suggests that the adoption of consistent condom use among persons at high risk can be meaningfully measured with the model. However, variations in the algorithm details affect both the interpretation of stages and apportionment of persons across stages.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. DiClemente C. C., Prochaska J. O., Fairhurst S. K., Velicer W. F., Velasquez M. M., Rossi J. S. The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. J Consult Clin Psychol. 1991 Apr;59(2):295–304. doi: 10.1037//0022-006x.59.2.295. [DOI] [PubMed] [Google Scholar]
  2. Kauth M. R., St Lawrence J. S., Kelly J. A. Reliability of retrospective assessments of sexual HIV risk behavior: a comparison of biweekly, three-month, and twelve-month self-reports. AIDS Educ Prev. 1991 Fall;3(3):207–214. [PubMed] [Google Scholar]
  3. O'Reilly K. R., Higgins D. L. AIDS Community Demonstration Projects for HIV prevention among hard-to-reach groups. Public Health Rep. 1991 Nov-Dec;106(6):714–720. [PMC free article] [PubMed] [Google Scholar]
  4. Prochaska J. O., DiClemente C. C., Norcross J. C. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992 Sep;47(9):1102–1114. doi: 10.1037//0003-066x.47.9.1102. [DOI] [PubMed] [Google Scholar]
  5. Saracco A., Musicco M., Nicolosi A., Angarano G., Arici C., Gavazzeni G., Costigliola P., Gafa S., Gervasoni C., Luzzati R. Man-to-woman sexual transmission of HIV: longitudinal study of 343 steady partners of infected men. J Acquir Immune Defic Syndr. 1993 May;6(5):497–502. [PubMed] [Google Scholar]

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