Gender role orientation, self-efficacy for safer sex, and HIV risk among severely mentally ill women

Date of Award




Degree Name

Doctor of Philosophy (Ph.D.)

First Committee Member

Robert C. McMahon, Committee Chair


This study examined the relations between gender role orientation, self-efficacy for safer sex, and HIV transmission risk behaviors (measured as percent condom use during the past 3 months) among 120 severely mentally ill (SMI), adult women attending outpatient substance abuse treatment programs in the Miami-Dade area. While previous research has focused upon gender role orientation, self-efficacy for safer sex, and HIV risk independently, no study to date has examined these variables in relation to each other, among severely mentally ill adult substance abusing women. A series of multiple regression analyses and a structural equation model were used to examine the associations between variables. The Bem Sex Role Inventory was used to measure the gender role orientation dimensions of masculinity, femininity, and androgyny. Gender role orientation variables were not found to be significant predictors of self-efficacy for safer sex. Self-efficacy for safer sex was not significantly associated with percent condom use. Femininity proved to be a significant positive predictor and masculinity a significant negative predictor of percent condom use. Androgyny did not prove to be a significant predictor of percent condom use. Implications of findings are discussed, with proposals for HIV prevention research.


Health Sciences, Mental Health; Health Sciences, Public Health; Psychology, Clinical

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