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Sexual transmission‐risk behaviour among HIV ‐positive persons: a multisite study using social action theory
Author(s) -
Sullivan Kathleen M.,
Dawson Rose Carol,
Phillips J. Craig,
Holzemer William L.,
Webel Allison R.,
Nicholas Patrice,
Corless Inge B.,
Kirksey Kenn,
Sanzero Eller Lucille,
Voss Joachim,
TyerViola Lynda,
Portillo Carmen,
Johnson Mallory O.,
Brion John,
Sefcik Elizabeth,
Nokes Kathleen,
Reid Paula,
RiveroMendez Marta,
Chen WeiTi
Publication year - 2017
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13087
Subject(s) - condom , context (archaeology) , psychological intervention , medicine , outreach , social support , clinical psychology , psychology , demography , gerontology , social psychology , human immunodeficiency virus (hiv) , family medicine , psychiatry , paleontology , syphilis , sociology , political science , law , biology
Aim Sexual risk behaviour was explored and described using Social Action Theory. Background The sexual transmission of HIV is complex and multi‐factorial. Social Action Theory provides a framework for viewing self‐regulation of modifiable behaviour such as condom use. Condom use is viewed within the context of social interaction and interdependence. Design Cross‐sectional survey. Methods Self‐report questionnaire administered to adults living with HIV / AIDS , recruited from clinics, service organizations and by active outreach, between 2010 ‐ 2011. Findings Having multiple sex partners with inconsistent condom use during a 3‐month recall period was associated with being male, younger age, having more years of education,substance use frequency and men having sex with men being a mode of acquiring HIV . In addition, lower self‐efficacy for condom use scores were associated with having multiple sex partners and inconsistent condom use. Conclusion Social Action Theory provided a framework for organizing data from an international sample of seropositive persons. Interventions for sexually active, younger, HIV positive men who have sex with men, that strengthen perceived efficacy for condom use, and reduce the frequency of substance use, may contribute to reducing HIV ‐transmission risk.