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Condom use with steady partners among heterosexual people living with HIV in Europe: testing the information-motivation-behavioral skills model

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dc.contributor.author Nöstlinger, C.
dc.contributor.author Nideröst, S.
dc.contributor.author Gredig, D.
dc.contributor.author Platteau, T.
dc.contributor.author Gordillo, V.
dc.contributor.author Roulin, C.
dc.contributor.author Rickenbach, M.
dc.contributor.author Dias, S. F.
dc.contributor.author Rojas, D.
dc.date.accessioned 2010-12-17T09:45:36Z
dc.date.available 2010-12-17T09:45:36Z
dc.date.issued 2010
dc.identifier.issn 1087-2914
dc.identifier.doi http://dx.doi.org/10.1089/apc.2010.0246
dc.identifier.other ITG-M1A
dc.identifier.other ITG-M4B
dc.identifier.other MICRO
dc.identifier.other U-HIVSTD
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other Abstract
dc.identifier.other UPD28
dc.identifier.other FTA
dc.identifier.uri http://hdl.handle.net/10390/6384
dc.description.abstract 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 en
dc.language English en
dc.subject Viral diseases en
dc.subject HIV en
dc.subject AIDS en
dc.subject Disease transmission, sexual en
dc.subject Heterosexual en
dc.subject Men en
dc.subject Women en
dc.subject Sexual behavior en
dc.subject Risk behavior en
dc.subject Condom use en
dc.subject Sexual partners en
dc.subject Modeling en
dc.subject Information en
dc.subject Motivation en
dc.subject Educational level en
dc.subject Knowledge en
dc.subject Attitudes en
dc.subject Prevention en
dc.subject Europe en
dc.title Condom use with steady partners among heterosexual people living with HIV in Europe: testing the information-motivation-behavioral skills model en
dc.type Article en
dc.citation.issue 12 en
dc.citation.jtitle AIDS Patient Care and STDs en
dc.citation.volume 24 en
dc.citation.pages 771-780 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/21091237
dc.citation.jabbreviation AIDS Patient Care STDs en


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