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Do Safer Sex Self-Efficacy, Attitudes toward Condoms, and HIV Transmission Risk Beliefs Differ among Men Who Have Sex with Men, Heterosexual Men, and Women Living with HIV?

Citation

Widman, Laura M.; Golin, Carol Elaine; Grodensky, Catherine A.; & Suchindran, Chirayath M. (2013). Do Safer Sex Self-Efficacy, Attitudes toward Condoms, and HIV Transmission Risk Beliefs Differ among Men Who Have Sex with Men, Heterosexual Men, and Women Living with HIV?. AIDS and Behavior, 17(5), 1873-1882. PMCID: PMC3657340

Abstract

To understand sexual decision-making processes among people living with HIV, we compared safer sex self-efficacy, condom attitudes, sexual beliefs, and rates of unprotected anal or vaginal intercourse with at-risk partners (UAVI-AR) in the past 3 months among 476 people living with HIV: 185 men who have sex with men (MSM), 130 heterosexual men, and 161 heterosexual women. Participants were enrolled in SafeTalk, a randomized, controlled trial of a safer sex intervention. We found 15% of MSM, 9% of heterosexual men, and 12% of heterosexual women engaged in UAVI-AR. Groups did not differ in self-efficacy or sexual attitudes/beliefs. However, the associations between these variables and UAVI-AR varied within groups: greater self-efficacy predicted less UAVI-AR for MSM and women, whereas more positive condom attitudes-but not self-efficacy-predicted less UAVI-AR for heterosexual men. These results suggest HIV prevention programs should tailor materials to different subgroups.

URL

http://dx.doi.org/10.1007/s10461-011-0108-7

Reference Type

Journal Article

Year Published

2013

Journal Title

AIDS and Behavior

Author(s)

Widman, Laura M.
Golin, Carol Elaine
Grodensky, Catherine A.
Suchindran, Chirayath M.

PMCID

PMC3657340