title: Determinants of condom use among HIV-positive men who have sex with men.
abstract: The main objectives of this study were to identify the determinants of condom use among HIV-positive men having anal sex with HIV-negative men or men of unknown HIV status and moderators of the intention-behaviour relationship. A cohort of 237 sexually active HIV-positive men having sex with men was followed over a period of six months. The cognitive variables measured were guided by an extended version of the theory of planned behaviour. Results indicated that past behaviour (odds ratio [OR] = 9.75; 95% confidence interval [CI]: 4.48-21.26), intention (OR = 3.13; 95% CI: 1.25-7.81), self-efficacy (OR = 3.62; 95% CI: 1.40-9.37) and use of sex drugs (OR = 0.16; 95% CI: 0.06-0.45) contributed to the prediction of 100% condom use. Self-efficacy also interacted with intention as a significant moderator of the intention-behaviour relationship (OR = 20.96; 95% CI: 2.90-151.51). Interventions promoting condom use should increase self-efficacy to use condoms and target users of sex drugs.
authors: Department of Work and Social Psychology, Maastricht University, Maastricht, Netherlands.
authors: M
authors: M
authors: Schutz
authors: G
authors: G
authors: Godin
authors: G
authors: G
authors: Kok
authors: L-A
authors: LA
authors: Vézina-Im
authors: H
authors: H
authors: Naccache
authors: J
authors: J
authors: Otis
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult