Do safer sex self-efficacy, attitudes toward condoms, and HIV transmission risk beliefs differ among men who have sex with men, heterosexual men, and women living with HIV?

Do safer sex self-efficacy, attitudes toward condoms, and HIV transmission risk beliefs differ among men who have sex with men, heterosexual men, and women living with HIV?
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DOI:
10.1007/s10461-011-0108-7
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发表时间:
2013-06
期刊:
影响因子:
4.4
通讯作者:
Suchindran, Chirayath
Suchindran, Chirayath
中科院分区:
医学2区
文献类型:
--
作者:
Widman, Laura;Golin, Carol E.;Grodensky, Catherine A.;Suchindran, Chirayath

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为了了解艾滋病毒携带者的性决策过程,我们比较了476名艾滋病毒携带者在过去3个月中的安全性自我效能、避孕套态度、性信念和与高危伴侣进行无保护肛交或阴道性交的比率(UAVI-AR):185名男性男男性行为者(MSM)、130名异性恋男性和161名异性恋女性。参与者参加了SafeTalk,这是一项关于安全性行为干预的随机对照试验。我们发现15%的MSM,9%的异性恋男性和12%的异性恋女性从事UAVI-AR。不同群体在自我效能感或性态度/信念上没有差异。然而,这些变量与UAVI-AR之间的关联在组内有所不同:对于MSM和女性来说,自我效能越高预测UAVI-AR越少,而对于异性恋男性来说,更积极的避孕套态度--但不是自我效能--预测更少UAVI-AR。这些结果表明,艾滋病毒预防计划应该为不同的亚群定制材料。
To understand sexual decision-making processes among people living with HIV, we compared safer sex self-efficacy, condom attitudes, sexual beliefs, and rates of unprotected anal or vaginal intercourse with at-risk partners (UAVI-AR) in the past 3 months among 476 people living with HIV: 185 men who have sex with men (MSM), 130 heterosexual men, and 161 heterosexual women. Participants were enrolled in SafeTalk, a randomized, controlled trial of a safer sex intervention. We found 15% of MSM, 9% of heterosexual men, and 12% of heterosexual women engaged in UAVI-AR. Groups did not differ in self-efficacy or sexual attitudes/beliefs. However, the associations between these variables and UAVI-AR varied within groups: greater self-efficacy predicted less UAVI-AR for MSM and women, whereas more positive condom attitudes – but not self-efficacy – predicted less UAVI-AR for heterosexual men. These results suggest HIV prevention programs should tailor materials to different subgroups.
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