Erschienen in:
01.01.2007 | Other Research Articles
Impact of Marriage on HIV/AIDS Risk Behaviors Among Impoverished, At-Risk Couples: A Multilevel Latent Variable Approach
verfasst von:
Judith A. Stein, PhD, Adeline Nyamathi, Jodie B. Ullman, Peter M. Bentler
Erschienen in:
AIDS and Behavior
|
Ausgabe 1/2007
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Abstract
Studies among normative samples generally demonstrate a positive impact of marriage on health behaviors and other related attitudes. In this study, we examine the impact of marriage on HIV/AIDS risk behaviors and attitudes among impoverished, highly stressed, homeless couples, many with severe substance abuse problems. A multilevel analysis of 368 high-risk sexually intimate married and unmarried heterosexual couples assessed individual and couple-level effects on social support, substance use problems, HIV/AIDS knowledge, perceived HIV/AIDS risk, needle-sharing, condom use, multiple sex partners, and HIV/AIDS testing. More variance was explained in the protective and risk variables by couple-level latent variable predictors than by individual latent variable predictors, although some gender effects were found (e.g., more alcohol problems among men). The couple-level variable of marriage predicted lower perceived risk, less deviant social support, and fewer sex partners but predicted more needle-sharing.