This study examined the relationships of HIV/AIDS beliefs, self-efficacy for AIDS preventive behaviors, perception of HIV as a chronic disease, and HIV risk behaviors among young Thai men who have sex with men. Participants were recruited for a self-administered anonymous survey through Facebook. Logistic regression analysis was used to identify factors associated with each of four HIV risk behavior outcomes. Factors associated with sexual risk behaviors included age (18 and 21 years), having a current regular male partner, self-efficacy for AIDS preventive behaviors (self-efficacy in refusing sexual intercourse, self-efficacy in questioning potential sex partners, and self-efficacy in condom use), AIDS health belief (perceived susceptibility to HIV/AIDS, perceived severity of HIV/AIDS, perceived barriers to condom use, and cues to action for HIV/AIDS prevention), and perception of HIV/AIDS as a chronic disease (perceived HIV sero-status disclosure). Knowledge generated from this study has the potential to inform prevention messages for young Thai MSM.
This study examined the relationships between personal characteristics, social support, spiritual well-being, coping style and adaptation process, and quality of life (QOL) among Thai people living with HIV infection (Thai PLWH) in Suphanburi Province, Thailand. Predictors of QOL were also investigated. Molassiotis's Quality of Life Assessment in Chronic Patients provided the theoretical framework for this descriptive correlational design. The sample consisted of 120 Thai PLWH. Multiple regressions were used to estimate correlates between the independent study variables and QOL in Thai PLWH. The results revealed that age, education level, employment status, monthly income, living in own house, living with family member, social support, spiritual well-being, and coping style and adaptation process were related to QOL. This study provides a backdrop for the implementation of nursing interventions that will be designed to reshape QOL among Thai PLWH.
This formative research aimed to describe the use of the ADAPT-ITT framework to modify the HASMEP for use with HIV-positive Thai men who have sex with men (MSM). We selected, adapted, and tested the acceptability and feasibility of the HASMEP intervention for delivery in an HIV clinic in Thailand. We chose to base our adaptation on the HASMEP that was initially developed in South Africa. The ADAPT-ITT framework was used to guide the study. Our adaptation was informed by qualitative data collected during focus groups from 48 participants (40 HIV-positive Thai MSM and 8 health care providers) and online surveys of Thai MSM. Findings of focus groups indicate that the HASMEP is feasible and acceptable when administered to the participants. The result of this work is an adapted HASMEP intervention and training materials. This study provides a strong foundation for further research on HIV/AIDS self-management in HIV-positive MSM.
This study examined the relationships among attitudes toward condom use, personal characteristics, condom use self-efficacy, and actual condom use among Thai adolescents. Predictors of condom use were also investigated. Bandura's self-efficacy model for safer sexual behavior provided the theoretical framework for this descriptive correlational design. The sample consisted of 270 Thai vocational students aged 18 to 21 years. Multiple regressions were used to estimate the correlates between the independent study variables and condom use among Thai adolescents. Additionally, two open-ended questions regarding attitudes toward premarital sex among males and females in Thai culture were asked. The results showed that self-reported history of alcohol/drug use, attitudes toward condom use, and condom use self-efficacy were related to actual condom use. Results that emerged from the open-ended questions suggested sexual double standards among Thais. This study contributes to strengthening Thai health policy and expanding nursing knowledge about condom use and prevention of sexually transmitted diseases.
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