Condom Use with Steady Partners Among Heterosexual People Living with HIV in Europe: Testing the Information-Motivation-Behavioral Skills Model
| Autor: | Nöstlinger, Christiana, Nideröst, Sibylle, Gredig, Daniel, Platteau, Tom, Gordillo, Victoria, Roulin, Christophe, Rickenbach, M., Dias, Sónia F., Rojas, Daniela, EUROSUPPORT 5 Study Group, Uberti Foppa, C |
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| Přispěvatelé: | Greps, Laboratoire, Nöstlinger, Christiana, Nideröst, Sibylle, Gredig, Daniel, Platteau, Tom, Gordillo, Victoria, Roulin, Christophe, Rickenbach, M., Dias, Sónia F., Rojas, Daniela, Eurosupport, 5 Study Group, Uberti Foppa, C, Groupe de Recherche en Psychologie Sociale (GRePS), Université Lumière - Lyon 2 (UL2) |
| Rok vydání: | 2010 |
| Předmět: |
Male
Safe Sex Sexual behavior Cross-sectional study [SHS.PSY]Humanities and Social Sciences/Psychology HIV Infections Ambulatory Care Facilities law.invention Developmental psychology Condoms 0302 clinical medicine 5. Gender equality law Surveys and Questionnaires Information Surveys and Questionnaire Outpatient clinic HIV Infection Condom use 030212 general & internal medicine Risk behavior virus diseases Men Sexual Partner 3. Good health AIDS Europe Knowledge Infectious Diseases Serodiscordant Sexual partners Regression Analysis Female 0305 other medical science Developed country Human Adult Sexual Behavior Viral diseases Models Psychological Regression Analysi Educational level [SHS.PSY] Humanities and Social Sciences/Psychology 03 medical and health sciences Condom Acquired immunodeficiency syndrome (AIDS) medicine Humans Women Heterosexuality Cross-Sectional Studie Motivation Disease transmission sexual 030505 public health Descriptive statistics business.industry Prevention Heterosexual Modeling Public Health Environmental and Occupational Health HIV medicine.disease Ambulatory Care Facilitie Cross-Sectional Studies Attitudes business Demography |
| Zdroj: | HAL IDS Patient Care and STDS IDS Patient Care and STDS, 2010, 24 (12), pp.771-780 |
| ISSN: | 1557-7449 1087-2914 |
| DOI: | 10.1089/apc.2010.0246 |
| Popis: | Guided by a modified information-motivation-behavioral skills model, this study identified predictors of condom use among heterosexual people living with HIV with their steady partners. Consecutive patients at 14 European HIV outpatient clinics received an anonymous, standardized, self-administered questionnaire between March and December 2007. Data were analyzed using descriptive statistics and two-step backward elimination regression analyses stratified by gender. The survey included 651 participants (n=364, 56% women; n=287, 44%). Mean age was 39 years for women and 43 years for men. Most had acquired HIV sexually and more than half were in a serodiscordant relationship. Sixty-three percent (n=229) of women and 59% of men (n=169) reported at least one sexual encounter with a steady partner 6 months prior to the survey. Fifty-one percent (n=116) of women and 59% of men (n=99) used condoms consistently with that partner. In both genders, condom use was positively associated with subjective norm conducive to condom use, and self-efficacy to use condoms. Having a partner whose HIV status was positive or unknown reduced condom use. In men, higher education and knowledge about condom use additionally increased condom use, while the use of erectile-enhancing medication decreased it. For women, HIV disclosure to partners additionally reduced the likelihood of condom use. Positive attitudes to condom use and subjective norm increased self-efficacy in both genders, however, a number of gender-related differences appeared to influence self-efficacy. Service providers should pay attention to the identified predictors of condom use and adopt comprehensive and gender-related approaches for preventive interventions with people living with HIV. © Copyright 2010, Mary Ann Liebert, Inc. |
| Databáze: | OpenAIRE |
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