Item – Theses Canada

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OCLC number
665191411
Link(s) to full text
LAC copy
LAC copy
Author
Peterman, Andrea (Foy)
Title
Physician initiated STI prevention counselling : targeting women to reach couples.
Degree
Ph. D. -- University of Western Ontario, 2008
Publisher
Ottawa : Library and Archives Canada = Bibliothèque et Archives Canada, [2009]
Description
2 microfiches
Notes
Includes bibliographical references.
Abstract
Despite efforts directed at reducing the risk of STI/HIV infection, STI prevention strategies for those involved in serial monogamous relationships are lacking. Participants in the current research included 47 female university students between 18-29 years of age ('M' = 22.3, 'SE ' = .34) seeking oral contraception and recruited through an on-campus student health clinic. Participants were randomly assigned to standard contraceptive care (23 individuals), or to a physician-initiated STI/HIV prevention intervention (24 individuals). In the STI/HIV intervention condition, physicians were asked to discuss and complete a behavioural prescription (e.g., recommendation) for consistent condom use, or mutual STI/HIV testing with mutual monogamy, and hand out safer-sex information packages during women's appointments for oral contraceptive prescription. Contrary to expectation, women who received the intervention did not report more consistent condom use, or increased rates of mutual STI/HIV testing when compared to women receiving standard contraceptive care. Women in the intervention condition, however, were more likely to report ' planned' condom use over the next 3 months when compared to women in the comparison group. Although condom use consistency and length of sexual relationship at baseline were not related to safer-sex behaviours at follow-up, consistent condom use at baseline was significantly related to condom use at follow-up. Exploratory analyses revealed that women are more likely to engage in safer-sex behaviours when both they and their male partner are sexually inexperienced when they meet, and the relationship is perceived as nonmonogamous. Directions for future research and implications for intervention strategies are discussed.
ISBN
9780494393130
0494393130