How do social norms impact HIV sexual risk behavior in HIV-positive men who have sex with men?: multiple mediator effects.
This study examines mediation of the association between social norms and unsafe sexual behavior. Self-report data were collected from 675 HIV-infected men enrolled in a study exploring interventions for HIV risk behavior. Unsafe sex included any unprotected anal sex with HIV-negative or HIV status unknown partners in the last three months. Norms for condom use indirectly influenced unsafe sex through condom self-efficacy and/or safer sex intentions. Additionally, sexual behavior discontrol influenced unsafe sex regardless of other individual or social factors. Our results suggest that interventions consider the combined effects of condom self-efficacy, safer sex intentions and sexual behavior control.
Miner
Michael H
MH
Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, 55454, USA. miner001@umn.edu
Peterson
John L
JL
Welles
Seth L
SL
Jacoby
Scott M
SM
Rosser
B R Simon
BR
D000293:Adolescent; D000328:Adult; D000368:Aged; D015658:HIV Infections / Q000517:prevention & control*; D006679:HIV Seropositivity; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008875:Middle Aged; D012309:Risk-Taking; D020377:Self Efficacy; D012927:Social Control, Informal; D014481:United States; D047568:Unsafe Sex; D055815:Young Adult
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