The Information-Motivation-Behavioral Skills Model Revisited: A Network-Perspective Structural Equation Model Within a Public Sexually Transmitted Infection Clinic Sample of Hazardous Alcohol Users. AIDS Behav 2017 Apr;21(4):1208-1218
Date
06/05/2016Pubmed ID
27260181Pubmed Central ID
PMC5136346DOI
10.1007/s10461-016-1446-2Scopus ID
2-s2.0-85014923131 (requires institutional sign-in at Scopus site) 39 CitationsAbstract
The information-motivation-behavioral skills (IMB) model is useful for understanding sexual risk behavior, but has not been tested with hazardously-drinking sexually transmitted infection (STI) clinic patients, a subpopulation at greater HIV risk, or with a network-perspective sexual risk behavior outcome. Participants (N = 569) were STI clinic patients who screened positive for hazardous drinking and risky sexual behavior. Sexual risk behavior (SRB) was operationalized as a latent variable with three indicators: (1) number of sexual partners, (2) number of unprotected sex occasions with primary partner, and (3) number of unprotected sex occasions with non-primary partner(s). Preliminary analyses suggested SRB was best operationalized as a latent variable with two indicators, while unprotected sex with primary partners should be considered separately. In structural models with good fit, the IMB model was generally supported. The IMB model functioned differently for non-primary and multiple partners compared to primary partners in STI clinic patients with hazardous alcohol use.
Author List
John SA, Walsh JL, Weinhardt LSAuthors
Steven A. John PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinJennifer L. Walsh PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Lance S. Weinhardt MS,PhD Associate Dean for Research and Professor of Community and Behavioral Health Promotion in the Joseph. J. Zilber School of Public Health department at University of Wisconsin - Milwaukee
MESH terms used to index this publication - Major topics in bold
AdultAlcohol Drinking
Alcohol-Related Disorders
Ambulatory Care Facilities
Behavior Therapy
Female
HIV Infections
Humans
Male
Middle Aged
Models, Psychological
Motivation
Patient Education as Topic
Risk-Taking
Sexual Behavior
Sexual Partners
Sexually Transmitted Diseases
Unsafe Sex