Neurological Function, Information-Motivation-Behavioral Skills Factors, and Risk Behaviors Among HIV-Positive Alcohol Users

被引:8
|
作者
Malow, Robert M. [1 ]
Devieux, Jessy G. [1 ]
Stein, Judith A. [2 ]
Rosenberg, Rhonda [1 ]
Lerner, Brenda G. [1 ]
Attonito, Jennifer [1 ]
Villalba, Karina [1 ]
机构
[1] Florida Int Univ, Robert Stempel Coll Publ Hlth & Social Work, Dept Hlth Promot & Dis Prevent, N Miami, FL 33181 USA
[2] Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90024 USA
关键词
IMB model; Neurological function; Condom skills; HIV-positive; Alcohol use; MENTALLY-ILL ADULTS; SOCIAL SUPPORT; NEUROCOGNITIVE DISORDERS; CONDOM USE; PSYCHOMETRIC EVALUATION; WORKING-MEMORY; NORMATIVE DATA; SUBSTANCE USE; IMB MODEL; GAY MEN;
D O I
10.1007/s10461-012-0246-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The purpose of this study was to examine neurological impairment in combination with information-motivation-behavioral skills (IMB) variables. The study tests the role of IMB variables as mediators of antecedent variables of demographics, life stress, social support, and neurological impairment with outcome measures of HIV preventive and risk behaviors in a sample of HIV-positive, alcohol-using adults (n = 250) with a history of alcohol abuse/dependence. Neurological impairment was measured with the Color Trails Test (CTT). Average performance on the CTT by the sample was substantially worse than established norms. In a directional latent variable model, neurological impairment directly predicted lower transmission knowledge scores and poorer performance on an observational condom skills assessment. Greater neurological impairment was significantly associated with greater age. Future interventions geared toward HIV+ adults who use alcohol should take into consideration HIV-related and age-related neurological functioning which may impede the facilitation of safe sex behaviors.
引用
收藏
页码:2297 / 2308
页数:12
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