Information, Motivation, and Self-Efficacy Among Men Who Have Sex With Men and Transgender Women in the State of Maharashtra, India.
Information, Motivation, and Self-Efficacy Among Men Who Have Sex With Men and Transgender Women in the State of Maharashtra, India.
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DOI：
10.1177/1090198118796880
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发表时间：
2019-04
期刊：
影响因子：
--
通讯作者：
Ekstrand M
中科院分区：
文献类型：
--
作者：
Wilkerson JM;Rhoton JM;Li D;Rawat SA;Patankar P;Rosser BRS;Ekstrand M
印度的国家艾滋病控制方案除其他外，呼吁采取有针对性的行为干预措施，解决导致男男性行为者和变性妇女新感染的决定因素。确定信息动机行为技能（IMB）模型是否可转移到印度的背景下。我们招募了442名MSM和7名海吉拉进入一项在线横断面研究，询问有关安全套使用知识，动机，自我效能和性行为的问题。使用结构方程模型来测试IMB的整体结构。模型的总体拟合良好：χ2（201，N=447）=445.002，p<0.0001，RMSEA=0.052，90%CI [0.046，0.059]，CFI= 0.989，TLI= 0.987。安全套使用和艾滋病风险知识并没有显着预测安全套使用自我效能或有一个以上的男性伴侣在过去3个月的无安全套肛交，和知识没有显着相关的态度barebacking。尽管如此，最终的结构模型解释了14.4%的安全套使用自我效能的方差和20.0%的风险性行为的方差。由于药物获得和公共卫生基础设施的差异，印度对艾滋病毒流行的公共卫生反应目前与西方不同。随着印度男男性接触者和海吉拉了解更多关于病毒抑制的有效性，并希望有更多的机会获得PrEP，研究人员应该监测对避孕套的态度变化，并准备与公共卫生基础设施合作，制定干预措施，加强对避孕套使用的积极态度。
India’s National AIDS Control Programme calls for, among other things, targeted behavioral interventions that address determinants contributing to new infections among men who have sex with men (MSM) and hijras (transgender women). To determine if the information-motivation-behavioral skills (IMB) model was transferable to an Indian context. We recruited 442 MSM and 7 hijras into an online cross-sectional study that asked questions about condom use knowledge, motivation, self-efficacy, and sexual behavior. Structural equation modeling was used to test the overall IMB structure. Overall fit of the model was good: χ2(201, N=447)=445.002, p<0.0001, RMSEA=0.052, 90%CI [.046, .059], CFI=.989, TLI=.987. Condom use and HIV risk knowledge did not significantly predict condom use self-efficacy or having condomless anal sex with more than one male partner in the past 3 months, and knowledge was not significantly correlated with attitudes toward barebacking. Despite this, the final structural model explained 14.4% of the variance in condom use self-efficacy and 20.0% of the variance in risky sexual behavior The public health response to India’s HIV epidemic is currently different than in the West due to differences in medication access and public health infrastructure. As Indian MSM and hijras learn more about the effectiveness of viral suppression and hopefully have greater access to PrEP, researchers should monitor for changing attitudes towards condoms and be prepared to collaborate with the public health infrastructure to develop interventions that reinforce positive attitudes towards condom use.
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影响因子：
1.7
作者：
Mimiaga MJ;Biello KB;Sivasubramanian M;Mayer KH;Anand VR;Safren SA
通讯作者：
Safren SA
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.9
作者：
Avants, SK;Margolin, A;Doebrick, C
通讯作者：
Doebrick, C
影响因子：
3.8
作者：
Brahmam, Ginnela N. V.;Kodavallaa, Venkaiah;Ramesh, Banadakoppa M.
通讯作者：
Ramesh, Banadakoppa M.
影响因子：
2
作者：
Bryan, AD;Fisher, JD;Murray, DM
通讯作者：
Murray, DM