Sexual transmission-risk behaviour among HIV-positive persons: a multisite study using social action theory
Date
Authors
ORCID
https://orcid.org/0000-0002-4400-9432
https://orcid.org/0000-0002-7538-5780
https://orcid.org/0000-0001-9519-7587
https://orcid.org/0000-0003-0438-2037
https://orcid.org/0000-0002-4251-6801
https://orcid.org/0000-0003-1883-8509
https://orcid.org/0000-0002-8072-6244
https://orcid.org/0000-0002-8997-3671
https://orcid.org/0000-0002-2741-7821
https://orcid.org/0000-0002-4592-3525
https://orcid.org/0000-0002-3551-8016
https://orcid.org/0000-0001-9026-4189
https://orcid.org/0000-0002-3687-9817
https://orcid.org/0000-0001-8710-6139
https://orcid.org/0000-0001-6066-1853
https://orcid.org/0000-0002-4400-9432
https://orcid.org/0000-0002-7538-5780
https://orcid.org/0000-0001-9519-7587
https://orcid.org/0000-0003-0438-2037
https://orcid.org/0000-0002-4251-6801
https://orcid.org/0000-0003-1883-8509
https://orcid.org/0000-0002-8072-6244
https://orcid.org/0000-0002-8997-3671
https://orcid.org/0000-0002-2741-7821
https://orcid.org/0000-0002-4592-3525
https://orcid.org/0000-0002-3551-8016
https://orcid.org/0000-0001-9026-4189
https://orcid.org/0000-0002-3687-9817
https://orcid.org/0000-0001-8710-6139
Journal Title
Journal ISSN
Volume Title
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Abstract
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.