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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Disclosure and Self-Efficacy Among HIV-Positive Men Who Have Sex with Men: A Comparison Between Older and Younger Adults</title><author><name sortKey="Brown, Monique J" sort="Brown, Monique J" uniqKey="Brown M" first="Monique J." last="Brown">Monique J. Brown</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Serovich, Julianne M" sort="Serovich, Julianne M" uniqKey="Serovich J" first="Julianne M." last="Serovich">Julianne M. Serovich</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kimberly, Judy A" sort="Kimberly, Judy A" uniqKey="Kimberly J" first="Judy A." last="Kimberly">Judy A. Kimberly</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Umasabor Bubu, Ogie" sort="Umasabor Bubu, Ogie" uniqKey="Umasabor Bubu O" first="Ogie" last="Umasabor-Bubu">Ogie Umasabor-Bubu</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26348705</idno><idno type="pmc">4808275</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808275</idno><idno type="RBID">PMC:4808275</idno><idno type="doi">10.1089/apc.2015.0133</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000292</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000292</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Disclosure and Self-Efficacy Among HIV-Positive Men Who Have Sex with Men: A Comparison Between Older and Younger Adults</title><author><name sortKey="Brown, Monique J" sort="Brown, Monique J" uniqKey="Brown M" first="Monique J." last="Brown">Monique J. Brown</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Serovich, Julianne M" sort="Serovich, Julianne M" uniqKey="Serovich J" first="Julianne M." last="Serovich">Julianne M. Serovich</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kimberly, Judy A" sort="Kimberly, Judy A" uniqKey="Kimberly J" first="Judy A." last="Kimberly">Judy A. Kimberly</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Umasabor Bubu, Ogie" sort="Umasabor Bubu, Ogie" uniqKey="Umasabor Bubu O" first="Ogie" last="Umasabor-Bubu">Ogie Umasabor-Bubu</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author></analytic><series><title level="j">AIDS Patient Care and STDs</title><idno type="ISSN">1087-2914</idno><idno type="eISSN">1557-7449</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>Men who have sex with men (MSM) continue to be disproportionately affected by HIV in the US. HIV among older adults also continues to be an important public health problem. Age is associated with disclosure of HIV serostatus and self-efficacy for condom use. However, studies examining self-efficacy and disclosure among older MSM (age 50 and older) living with HIV are lacking. The aim of this study was to assess the associations between being 50 and older, and disclosure behaviors, intentions and attitudes, and self-efficacy for condom use, disclosure, and negotiation for safer sex practices among HIV-positive MSM. Data were gathered from 340 participants at the baseline assessment of a longitudinal disclosure intervention study. Linear regression was used to determine the association between being older (age 50 and older) and disclosure behaviors, intentions and attitudes, and self-efficacy for condom use, disclosure, and negotiation for safer sex practices. After adjusting for time since diagnosis and number of sexual partners, MSM aged 50 and older scored lower in disclosure behavior (β = −7.49; 95% CI: −14.8, −0.18) and in self-efficacy for negotiation of safer sex practices (β = −0.80; 95% CI: −1.57, −0.04) compared to MSM 18–34 years. Intervention and prevention programs should endeavor to improve disclosure and self-efficacy for negotiating safer sex practices among older HIV-positive MSM. More health care providers should initiate sexual health discussions, especially among older HIV-positive MSM populations, which may help to improve their disclosure behavior and self-efficacy for negotiating safer sex practices.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">AIDS Patient Care STDS</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Patient Care STDS</journal-id><journal-id journal-id-type="publisher-id">apc</journal-id><journal-title-group><journal-title>AIDS Patient Care and STDs</journal-title></journal-title-group><issn pub-type="ppub">1087-2914</issn><issn pub-type="epub">1557-7449</issn><publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name><publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26348705</article-id><article-id pub-id-type="pmc">4808275</article-id><article-id pub-id-type="publisher-id">10.1089/apc.2015.0133</article-id><article-id pub-id-type="doi">10.1089/apc.2015.0133</article-id><article-categories><subj-group subj-group-type="heading"><subject>Behavioral and Psychosocial Research</subject></subj-group></article-categories><title-group><article-title>Disclosure and Self-Efficacy Among HIV-Positive Men Who Have Sex with Men: A Comparison Between Older and Younger Adults</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Brown</surname><given-names>Monique J.</given-names></name><degrees>PhD, MPH</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Serovich</surname><given-names>Julianne M.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kimberly</surname><given-names>Judy A.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Umasabor-Bubu</surname><given-names>Ogie</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><aff id="aff1"><label><sup>1</sup></label>College of Behavioral and Community Sciences,<institution>University of South Florida</institution>, Tampa, Florida.</aff><aff id="aff2"><label><sup>2</sup></label>College of Public Health,<institution>University of South Florida</institution>, Tampa, Florida.</aff></contrib-group><author-notes><corresp><addr-line>Address correspondence to:</addr-line><addr-line><italic>Monique J. Brown, PhD, MPH</italic></addr-line><addr-line><italic>College of Behavioral and Community Sciences</italic></addr-line><institution><italic>University of South Florida</italic></institution><addr-line><italic>13301 Bruce B. Downs Blvd.</italic></addr-line><addr-line><italic>Tampa, FL 33612</italic></addr-line><italic>E-mail:</italic><email xlink:href="mailto:brownm3@usf.edu">brownm3@usf.edu</email></corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>11</month><year>2015</year><pmc-comment>string-date: November 2015</pmc-comment>
</pub-date><volume>29</volume><issue>11</issue><fpage>625</fpage><lpage>633</lpage><permissions><copyright-statement>Copyright 2015, Mary Ann Liebert, Inc.</copyright-statement><copyright-year>2015</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="apc.2015.0133.pdf"></self-uri><abstract><title>Abstract</title><p>Men who have sex with men (MSM) continue to be disproportionately affected by HIV in the US. HIV among older adults also continues to be an important public health problem. Age is associated with disclosure of HIV serostatus and self-efficacy for condom use. However, studies examining self-efficacy and disclosure among older MSM (age 50 and older) living with HIV are lacking. The aim of this study was to assess the associations between being 50 and older, and disclosure behaviors, intentions and attitudes, and self-efficacy for condom use, disclosure, and negotiation for safer sex practices among HIV-positive MSM. Data were gathered from 340 participants at the baseline assessment of a longitudinal disclosure intervention study. Linear regression was used to determine the association between being older (age 50 and older) and disclosure behaviors, intentions and attitudes, and self-efficacy for condom use, disclosure, and negotiation for safer sex practices. After adjusting for time since diagnosis and number of sexual partners, MSM aged 50 and older scored lower in disclosure behavior (β = −7.49; 95% CI: −14.8, −0.18) and in self-efficacy for negotiation of safer sex practices (β = −0.80; 95% CI: −1.57, −0.04) compared to MSM 18–34 years. Intervention and prevention programs should endeavor to improve disclosure and self-efficacy for negotiating safer sex practices among older HIV-positive MSM. More health care providers should initiate sexual health discussions, especially among older HIV-positive MSM populations, which may help to improve their disclosure behavior and self-efficacy for negotiating safer sex practices.</p></abstract><counts><table-count count="4"></table-count><ref-count count="54"></ref-count><page-count count="9"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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