Resource Logo

Compliance with AIDS prevention measures among intravenous drug users: health beliefs or social/environmental factors?


Int Conf AIDS. 1989 Jun 4-9;5:695 (abstract no. M.D.O.5). Unique

OBJECTIVE: To examine the relative influence of health beliefs and social/environmental factors as they affect compliance with AIDS prevention behaviors (needle hygiene and condom use) among intravenous drug users (IVDUs). METHODS: Subjects were 578 IVDUs recruited from 3 street sites and 2 drug treatment settings in San Francisco. Respondents were verbally administered self- report instruments which measured: (1) health locus of control; (2) health beliefs (perceived threat, perceived benefits of compliance, perceived barriers to compliance, and perceived self- efficacy in complying); (3) social/environmental factors associated with compliance; and (4) frequency of compliance within the previous 6 months. RESULTS: In separate stepwise multiple regression equations for men (N=356) and women (N=171), social/environmental factors predicted a statistically significant proportion of variance in needle hygiene (Adj.R2=0.06,p less than .0005). For women, internal health locus of control accounted for an additional 2% of the variance (p less than .05). Social/environmental factors also predicted the largest amount of variance in condom use for both men (Adj.R2=0.21,p less than .0001) and women (Adj.R2=0.24,p less than .0001). For men, perceived self-efficacy in using condoms and internal health locus of control each accounted for an additional 1% of the variance (p less than .01 and p less than .05, respectively). CONCLUSION: In our study of IVDUs, compliance with AIDS prevention behaviors was strongly associated with social/environmental factors, and only weakly associated with health beliefs. By implication, further research and intervention with this population should emphasize the social/environmental factors that facilitate or impede safer sex and safer needle hygiene compliance.

Acquired Immunodeficiency Syndrome/COMPLICATIONS/*PREVENTION & CONTROL/TRANSMISSION Attitude to Health *Behavior Contraceptive Devices, Male Female Human Internal-External Control Male Needles *Patient Compliance Regression Analysis Risk Factors San Francisco Sex Behavior *Substance Abuse, Intravenous ABSTRACT


Information in this article was accurate in September 30, 1990. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.