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

Details

Serval ID
serval:BIB_692F8454B25F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Condom use with steady partners among heterosexual people living with HIV in Europe: testing the information-motivation-behavioral skills model.
Journal
Aids Patient Care and Stds
Author(s)
Nöstlinger C., Nideröst S., Gredig D., Platteau T., Gordillo V., Roulin C., Rickenbach M., Dias S.F., Rojas D.
Working group(s)
Swiss HIV Cohort Study, Eurosupport5 Study Group
Contributor(s)
Battegay M., Bernasconi E., Böni J., Bucher HC., Bürgisser P., Calmy A., Cavassini M., Dubs R., Egger M., Elzi L., Fischer M., Flepp M., Fontana A., Francioli P., Furrer H., Fux CA., Gorgievski M., Günthard HF., Hirsch H., Hirschel B., Hösli I., Kahlert C., Kaiser L., Karrer U., Kind C., Klimkait T., Ledergerber B., Martinetti G., Müller N., Nadal D., Paccaud F., Pantaleo G., Rauch A., Regenass S., Rickenbach M., Rudin C., Schmid P., Schultze D., Schöni-Affolter F., Schüpbach J., Speck R., de Tejada BM. , Taffé P., Telenti A., Trkola A., Vernazza P., Weber R., Yerly S., Colebunders R., Nöstlinger C., Platteau T., Borms R., Mumelter B., Schmied G., Bogner J., Müller M., Dedes N., Giaquinto C., Bartoli G., Faggion S., Novello C., Olleto S., Uberti C., Galotta G., Caldeira L., Gordillo V., Wilkins E., Murphy C., Prochazka I., Stanekova D., Csépe P., Kelle I., Izdebski Z., Pozdal M., Gredig D., Nideröst S.
ISSN
1557-7449 (Electronic)
ISSN-L
1087-2914
Publication state
Published
Issued date
12/2010
Peer-reviewed
Oui
Volume
24
Number
12
Pages
771-780
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
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.
Keywords
Adult, Ambulatory Care Facilities, Condoms/utilization, Cross-Sectional Studies, Europe, Female, HIV Infections/prevention & control, Heterosexuality, Humans, Male, Models, Psychological, Motivation, Questionnaires, Regression Analysis, Safe Sex, Sexual Behavior/statistics & numerical data, Sexual Partners
Pubmed
Web of science
Create date
29/12/2010 15:41
Last modification date
20/08/2019 14:24
Usage data