An exploration into the role of depression and self-efficacy on township men who have sex with men's ability to engage in safer sexual practices
| Autor: | Geoffrey Jobson, Helen Struthers, Kevin Rebe, de Swardt G, Andrew Tucker, Jose Liht, James McIntyre |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Mediation (statistics) medicine.medical_specialty Health (social science) Sobel test Adolescent Urban Population Social Psychology Sexual Behavior Population HIV Infections Human sexuality Men who have sex with men Cohort Studies South Africa Risk-Taking Risk Factors Surveys and Questionnaires Humans Medicine Homosexuality Male education Psychiatry Self-efficacy education.field_of_study Unsafe Sex Depression business.industry Public Health Environmental and Occupational Health Health Surveys Mental health Self Efficacy Sexual Partners Cohort business Demography |
| Zdroj: | AIDS Care. 25:1227-1235 |
| ISSN: | 1360-0451 0954-0121 |
| DOI: | 10.1080/09540121.2013.764383 |
| Popis: | Men who have sex with men (MSM) in South Africa remain at particular risk of HIV infection. The Ukwazana baseline survey is the first to explore this risk in relation to psychological factors associated with unprotected anal intercourse (UAI). A cohort of 316 MSM from township peri-urban Cape Town took part in the survey. The survey found that 55.2% had engaged in UAI over the preceding 6 months. Depression was significantly associated with UAI. Respondents with self-efficacy scores less than two standard deviations above the mean were also more likely to have engaged in UAI. A Sobel test for mediation highlighted that the depression-UAI association was partially mediated by self-efficacy, indicating that most of the effect of depression on UAI was not covarying with self-efficacy. This study, therefore, highlights that both depression and self-efficacy should be considered factors to be addressed in HIV-prevention programmes aimed at peri-urban MSM. |
| Databáze: | OpenAIRE |
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