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Sexual protection behavior in HIV-positive gay men: testing a modified information-motivation-behavioral skills model

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dc.contributor.author Nöstlinger, C.
dc.contributor.author Nideröst, S.
dc.contributor.author Platteau, T.
dc.contributor.author Müller, M. C.
dc.contributor.author Stanekov, D.
dc.contributor.author Gredig, D.
dc.contributor.author Roulin, C.
dc.contributor.author Rickenbach, M.
dc.contributor.author Colebunders, R.
dc.date.accessioned 2011-06-30T09:13:48Z
dc.date.available 2011-06-30T09:13:48Z
dc.date.issued 2011
dc.identifier.issn 0004-0002
dc.identifier.doi http://dx.doi.org/10.1007/s10508-010-9682-4
dc.identifier.other ITG-M1A
dc.identifier.other ITG-C3B
dc.identifier.other ITG-CLA
dc.identifier.other MICRO
dc.identifier.other U-HIVSTD
dc.identifier.other CLINIC
dc.identifier.other U-HIVCLI
dc.identifier.other DOI
dc.identifier.other MULTI
dc.identifier.other Not available
dc.identifier.other Abstract
dc.identifier.other UPD35
dc.identifier.uri http://hdl.handle.net/10390/6604
dc.description.abstract This study on determinants of sexual protection behavior among HIV-positive gay men used the empirically tested information-motivation-behavioral skills (IMB) model. HIV-specific variables were added to the model to determine factors decisive for condom use with steady and casual partners. Data were collected using an anonymous, standardized self-administered questionnaire. Study participants were recruited at HIV outpatient clinics associated with the Eurosupport Study Group and the Swiss HIV Cohort Study. To identify factors associated with condom use, backward elimination regression analyses were performed. Overall, 838 HIV-infected gay men from 14 European countries were included in this analysis. About 53% of them reported at least one sexual contact with a steady partner; 62.5% had sex with a casual partner during the last 6 months. Forty-three percent always used condoms with steady partners and 44% with casual partners. High self-efficacy and subjective norms in favor of condom-use were associated with increased condom use with casual and steady partners, whereas feeling depressed was associated with decreased condom use with casual partners. Condoms were used less often with HIV-positive partners. Self-efficacy as an important behavioral skill to perform protection behavior was influenced by lower perceived vulnerability, higher subjective norms, and more positive safer sex attitudes. The IMB-model constructs appeared to be valid; however, not all the model predictors could be determined as hypothesized. Besides the original IMB constructs, HIV-specific variables, including sexual partners' serostatus and mental health, explained condom use. Such factors should be considered in clinical interventions to promote "positive prevention." en
dc.language English en
dc.subject Viral diseases en
dc.subject HIV en
dc.subject AIDS en
dc.subject Seropositivity en
dc.subject Men en
dc.subject Homosexuals en
dc.subject Sexual behavior en
dc.subject Risk behavior en
dc.subject Personal protection en
dc.subject Prevention en
dc.subject Modeling en
dc.subject Information en
dc.subject Motivation en
dc.subject Condom use en
dc.subject Determinants en
dc.subject Sexual partners en
dc.title Sexual protection behavior in HIV-positive gay men: testing a modified information-motivation-behavioral skills model en
dc.type Book-E en
dc.citation.issue 4 en
dc.citation.jtitle Archives of Sexual Behavior en
dc.citation.volume 40 en
dc.citation.pages 817-827 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/20878223
dc.citation.jabbreviation Arch Sex Behav en


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