Communicating HIV status in sexual interactions: assessing social cognitive constructs, situational factors, and individual characteristics among South African MSM.
Identifieur interne : 002A06 ( Main/Curation ); précédent : 002A05; suivant : 002A07Communicating HIV status in sexual interactions: assessing social cognitive constructs, situational factors, and individual characteristics among South African MSM.
Auteurs : Justin Knox [États-Unis] ; Vasu Reddy ; Farnaz Kaighobadi ; Dawie Nel ; Theo SandfortSource :
- AIDS and behavior [ 1573-3254 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Auto-efficacité, Communication, Comportement sexuel à risque (), Connaissances, attitudes et pratiques en santé, Enquêtes de santé, Entretiens comme sujet, Facteurs de risque, Facteurs socioéconomiques, Homosexualité masculine (), Homosexualité masculine (psychologie), Humains, Infections à VIH (), Infections à VIH (psychologie), Jeune adulte, Motivation, Mâle, Partenaire sexuel, Prise de risque, République d'Afrique du Sud, Révélation de la vérité, Soutien social.
- MESH :
- psychologie : Homosexualité masculine, Infections à VIH.
- Adolescent, Adulte, Auto-efficacité, Communication, Comportement sexuel à risque, Connaissances, attitudes et pratiques en santé, Enquêtes de santé, Entretiens comme sujet, Facteurs de risque, Facteurs socioéconomiques, Homosexualité masculine, Humains, Infections à VIH, Jeune adulte, Motivation, Mâle, Partenaire sexuel, Prise de risque, République d'Afrique du Sud, Révélation de la vérité, Soutien social.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Adolescent, Adult, Communication, HIV Infections (prevention & control), HIV Infections (psychology), Health Knowledge, Attitudes, Practice, Health Surveys, Homosexuality, Male (psychology), Homosexuality, Male (statistics & numerical data), Humans, Interviews as Topic, Male, Motivation, Risk Factors, Risk-Taking, Self Efficacy, Sexual Partners, Social Support, Socioeconomic Factors, South Africa, Truth Disclosure, Unsafe Sex (statistics & numerical data), Young Adult.
- MESH :
- geographic : South Africa.
- prevention & control : HIV Infections.
- psychology : HIV Infections, Homosexuality, Male.
- statistics & numerical data : Homosexuality, Male, Unsafe Sex.
- Adolescent, Adult, Communication, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Interviews as Topic, Male, Motivation, Risk Factors, Risk-Taking, Self Efficacy, Sexual Partners, Social Support, Socioeconomic Factors, Truth Disclosure, Young Adult.
Abstract
This study assessed whether social cognitive constructs, situational factors, and individual characteristics were associated with communicating HIV status and whether communication was related to sexual risk behavior. A quota-sampling method stratified by age, race, and township was used to recruit 300 men who have sex with men to participate in a community-based survey in Pretoria in 2008. Participants reported characteristics of their last sexual encounter involving anal sex, including whether they or their partner had communicated their HIV status. Fifty-nine percent of participants reported that they or their partner had communicated their HIV status. HIV communication self-efficacy (aOR = 1.2, 95 % CI: 1.04-1.68), being with a steady partner (aOR = 0.36, 95 % CI: 0.19-0.67), and being Black (versus White; aOR = 0.08, 95 % CI: 0.03-0.27) were independently associated with communicating HIV status. Communicating HIV status was not associated with unprotected anal intercourse. HIV communication self-efficacy increases men's likelihood of communicating HIV status. Being with a steady partner and being Black reduces that likelihood. Communication about HIV status did not lead to safer sex.
DOI: 10.1007/s10461-012-0337-4
PubMed: 23065127
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<term>Adulte</term>
<term>Auto-efficacité</term>
<term>Communication</term>
<term>Comportement sexuel à risque</term>
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<term>Entretiens comme sujet</term>
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<term>Facteurs socioéconomiques</term>
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<front><div type="abstract" xml:lang="en">This study assessed whether social cognitive constructs, situational factors, and individual characteristics were associated with communicating HIV status and whether communication was related to sexual risk behavior. A quota-sampling method stratified by age, race, and township was used to recruit 300 men who have sex with men to participate in a community-based survey in Pretoria in 2008. Participants reported characteristics of their last sexual encounter involving anal sex, including whether they or their partner had communicated their HIV status. Fifty-nine percent of participants reported that they or their partner had communicated their HIV status. HIV communication self-efficacy (aOR = 1.2, 95 % CI: 1.04-1.68), being with a steady partner (aOR = 0.36, 95 % CI: 0.19-0.67), and being Black (versus White; aOR = 0.08, 95 % CI: 0.03-0.27) were independently associated with communicating HIV status. Communicating HIV status was not associated with unprotected anal intercourse. HIV communication self-efficacy increases men's likelihood of communicating HIV status. Being with a steady partner and being Black reduces that likelihood. Communication about HIV status did not lead to safer sex.</div>
</front>
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