Sexual transmission‐risk behaviour among <scp>HIV</scp>‐positive persons: a multisite study using social action theory

Sullivan, Kathleen M.; Rose, Carol Dawson; Phillips, J. Craig; Holzemer, William L.; Webel, Allison R.; Nicholas, Patrice K.; Corless, Inge B.; Kirksey, Kenn M.; Eller, Lucille Sanzero; Voss, Joachim; Tyer-Viola, Lynda; Portillo, Carmen J.; Johnson, Mallory O.; Brion, John; Sefcik, Elizabeth; Nokes, Kathleen M.; Reid, Paula; Rivero-Méndez, Marta; Chen, Wei Ti

doi:10.1111/jan.13087

Cited by 9 publications

(4 citation statements)

References 59 publications

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“…Interestingly, psychological distress was not statistically significantly associated with sexual risk behavior. This null finding is consistent with other studies involving people living with HIV, including a recent multisite study that used Social Action Theory to understand sexual transmission risk [ 58 ], and studies involving at-risk adolescents [ 89 – 93 ]. One explanation for this may be our operationalization of psychological distress, which included relatively severe indicators of poor mental health (e.g., depression, suicidality, hopelessness).…”

Section: Discussionsupporting

confidence: 89%

Psychological distress, health protection, and sexual practices among young men who have sex with men: Using social action theory to guide HIV prevention efforts

et al. 2017

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The present study addresses gaps in the literature related to theory development for young men who have sex with men (YMSM) sexual practices through the application and modification of Social Action Theory. Data come from the Healthy Young Men study (N = 526), which longitudinally tracked a diverse cohort of YMSM ages 18–24 to characterize risk and protective factors associated with drug use and sexual practices. Structural equation modeling examined the applicability of, and any necessary modifications to a YMSM-focused version of Social Action Theory. The final model displayed excellent fit (CFI = 0.955, TLI = 0.947, RMSEA = 0.037) and suggested concordance between social support and personal capacity for sexual health promotion. For YMSM, practicing health promotion and avoiding practices that may put them at risk for HIV was associated with both social isolation and psychological distress (β = -0.372, t = -4.601, p<0.001); psychological distress is an internalized response to environmental and cognitive factors and sexual practices are an externalized response. Results point to the utility of Social Action Theory as a useful model for understanding sexual practices among YMSM, the application of which shows health protective sexual practices are a function of sociocognitive factors that are influenced by environmental contexts. Social Action Theory can help prevention scientists better address the needs of this vulnerable population.

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Section: Discussionsupporting

confidence: 89%

Psychological distress, health protection, and sexual practices among young men who have sex with men: Using social action theory to guide HIV prevention efforts

et al. 2017

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“…A socio-ecological approach facilitates exploration of factors influencing health from multiple social systems levels (Figure 1 ). This approach is consistent with previous studies conducted by and the philosophical underpinnings of the International Nursing Network for HIV Research ( Corless et al, 2017 ; Dawson Rose et al, 2014 ; Phillips et al, 2013 ; Sullivan et al, 2017 ; Wang et al, 2022 ; Webel et al, 2019 ).…”

Section: Background and Rationalesupporting

confidence: 90%

The Social, Mental, and Physical Health Impacts of the COVID-19 Pandemic on People With HIV: Protocol of an Observational International Multisite Study

Cuca,

Horvat Davey,

Corless

et al. 2023

J Assoc Nurses AIDS Care

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As the COVID-19 pandemic spread across the world, immunocompromised individuals such as people with HIV (PWH) may have faced a disproportionate impact on their health and HIV outcomes, both from COVID-19 and from the strategies enacted to contain it. Based on the SPIRIT guidelines, we describe the protocol for an international multisite observational study being conducted by The International Nursing Network for HIV Research, with the Coordinating Center based at the University of California, San Francisco (UCSF) School of Nursing. Site Principal Investigators implement a standardized protocol to recruit PWH to complete the study online or in-person. Questions address demographics; HIV continuum of care indicators; mental and social health; COVID-19 and vaccination knowledge, attitudes, behaviors, and fears; and overall outcomes. Results of this study will contribute to knowledge that can inform responses to future public health crises to minimize their impacts on vulnerable populations such as PWH.

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“…HIV is the virus that causes AIDS, the terminal stage of HIV infection. The virus can be acquired through heterosexual contact, mother-to-child (MTC) transmission, and contaminated blood transfusion [ 2 , 3 ]. Apart from vertical transmission, unprotected sex is the most common route of HIV infection among people living with HIV (PLHIV), while the route of infected needles sharing is the least [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The virus can be acquired through heterosexual contact, mother-to-child (MTC) transmission, and contaminated blood transfusion [ 2 , 3 ]. Apart from vertical transmission, unprotected sex is the most common route of HIV infection among people living with HIV (PLHIV), while the route of infected needles sharing is the least [ 3 ]. However, a recent study showed that more males contracted HIV through narcotics injection, while the females contracted it through unprotected sexual contact with infected individuals [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Positive Status Disclosure and Sexual Risk Behavior Changes among People Living with HIV in the Northern Region of Ghana

Kabriku,

Ansah,

Hagan

2023

Infectious Disease Reports

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Objective: To investigate sexual behavior changes adopted by People Living with Human Immunodeficiency Virus (PLHIV) on Antiretroviral therapy (ART) in the Northern Region of Ghana. Methods: We employed a cross-sectional survey with a questionnaire to collect data from 900 clients from 9 major ART centers within the region. Chi-square and logistic regression analyses were applied to the data. Results: More than 50% of PLHIV on ART use condoms, reduce sexual partners, practice abstinence, reduce unprotected sex with married/regular partners, and avoid casual sex. Fear of others getting to know patients’ HIV-positive status (χ2 = 7.916, p = 0.005), stigma (χ2 = 5.201, p = 0.023), and fear of loss of family support (χ2 = 4.211, p = 0.040) significantly predict non-disclosure of HIV-positive status among the participants. Change in sexual behavior is influenced by the following: “to avoid spreading the disease to others” (R2 = 0.043, F (1, 898) = 40.237, p < 0.0005), “to avoid contracting other STIs” (R2 = 0.010, F (1, 898) = 8.937, p < 0.0005), “to live long” (R2 = 0.038, F (1, 898) = 35.816, p < 0.0005), “to hide HIV-positive status” (R2 = 0.038, F (1, 898) = 35.587, p < 0.0005), “to achieve good results from ART treatment” (R2 = 0.005, F (1, 898) = 4. 282, p < 0.05), and “to live a Godly life” (R2 = 0.023, F (1, 898) = 20. 880, p < 0.0005). Conclusions: High self-disclosure rate of HIV-positive status was identified, with participants disclosing to their spouses or parents. Reasons for disclosure and non-disclosure differed from person to person.

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Sexual transmission‐risk behaviour among HIV‐positive persons: a multisite study using social action theory

Cited by 9 publications

References 59 publications

Psychological distress, health protection, and sexual practices among young men who have sex with men: Using social action theory to guide HIV prevention efforts

Psychological distress, health protection, and sexual practices among young men who have sex with men: Using social action theory to guide HIV prevention efforts

The Social, Mental, and Physical Health Impacts of the COVID-19 Pandemic on People With HIV: Protocol of an Observational International Multisite Study

Positive Status Disclosure and Sexual Risk Behavior Changes among People Living with HIV in the Northern Region of Ghana

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