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Talebi-Tamijani Z, Lotfi R, Kabir K. Tele-counseling based on motivational interviewing to change sexual behavior of women living with HIV: a randomized controlled clinical trial. AIDS Behav 2022; 26:3506-3515. [PMID: 35467228 DOI: 10.1007/s10461-022-03678-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2022] [Indexed: 11/28/2022]
Abstract
Sexual transmission accounts for the majority of new HIV infections in Iran. More than 80% of HIV-positive persons are sexually active, and nearly 68% reported never using a condom. The present RCT study was conducted on a group of HIV-positive women using internet-based motivational interviewing. The participants, including 100 HIV-positive women, were randomly assigned to an intervention or control group. The intervention group received five weekly internet-based group motivational interviewing sessions focused on reducing risky behaviors, and the control group received routine care. Follow-ups occurred one month and three months after the end of the intervention. The participants completed demographic information, sexual behaviors, HIV knowledge, condom negotiation skills, and HIV-specific perceived social support scales before, one month, and three months after the intervention. Motivational interviewing was effective in improving knowledge about HIV/AIDS, condom negotiation skills, and HIV-specific perceived social support in the intervention group compared to controls. The intervention significantly increased using condoms in vaginal or anal intercourse in the last three months. Still, it was not effective at consistent condom use in all vaginal and anal sex. Further investigation or a larger RCT needs to confirm the using tele-counseling for women living with HIV.
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Affiliation(s)
| | - Razieh Lotfi
- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
- Department of Midwifery and Reproductive Health, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
| | - Kourosh Kabir
- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
- Department of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
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Ballester-Arnal R, Ruiz-Palomino E, Gil-Llario MD. Structural Equation Modeling Test of an Integrated Model of Spanish Youth's Condom Use. AIDS Behav 2017; 21:1407-1416. [PMID: 27217037 DOI: 10.1007/s10461-016-1430-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Heterosexual transmission represents 26 % of newly diagnosed infection in Spanish youth. Behavioral change models have emphasized the influence of multiple variables to predict condom use behavior. The aim of this study is to examine how those variables are organized and which theory explains the condom use behavior better. A sample of 424 young heterosexuals (M age = 20.62; SD = 2.16) filled out a battery of self-report questionnaires for assessing AIDS-related variables, personality traits and clinical variables (general, sexuality-related and health-related). A structural model was specified that included perceived pleasure and condom use self-efficacy as predictive variables. Depression and sexual compulsivity indirectly influence behavior. The final model accounted for 65.9 % of the variance in behavior. These results highlight the importance of cognitive and emotional variables as predictors of behavior (ex. expectations of pleasure and self-efficacy beliefs). This is important information for designing effective psychological interventions.
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Addoh O, Sng E, Loprinzi PD. Safe sex self-efficacy and safe sex practice in a Southern United States College. Health Promot Perspect 2017; 7:74-79. [PMID: 28326287 PMCID: PMC5350553 DOI: 10.15171/hpp.2017.14] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Accepted: 12/18/2016] [Indexed: 11/09/2022] Open
Abstract
Background: The purpose of this study was to assess the association between safe sex self-efficacy and safe-sex practice in a Southern college setting. Methods: Multivariable logistic regression models were used to examine the association between safe sex self-efficacy in four domains (mechanics, partner disapproval, assertiveness, intoxicants) and safe sex practice (outcome variable). Results: For every 1-unit increase in the composite condom use self-efficacy score, there was an 8% increase in the odds of being beyond the median safe-sex practice score (odds ration [OR]: 1.08, 95% CI: 1.02-1.15). Additionally, for every 1-unit increase in intoxicants self-efficacy score, there was a 31% increase in the odds of being beyond the median safe-sex practice score (OR: 1.31, 95% CI: 1.08-1.58). Conclusion: A greater degree of safe-sex self-efficacy is associated with increased odds of safe-sex practice. These findings are informative for the development of targeted approaches to foster safe-sex behavior in Southern US colleges.
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Affiliation(s)
- Ovuokerie Addoh
- Exercise Psychology Laboratory, Department of Health, Exercise Science and Recreation Management, The University of Mississippi, University, MS 38677, USA
| | - Eveleen Sng
- Exercise Psychology Laboratory, Department of Health, Exercise Science and Recreation Management, The University of Mississippi, University, MS 38677, USA
| | - Paul D Loprinzi
- Department of Health, Exercise Science and Recreation Management, Physical Activity Epidemiology Laboratory, Exercise Psychology Laboratory, The University of Mississippi, University, MS, USA
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Hall KM, Brieger DG, De Silva SH, Pfister BF, Youlden DJ, John-Leader F, Pit SW. Errors and Predictors of Confidence in Condom Use amongst Young Australians Attending a Music Festival. JOURNAL OF SEXUALLY TRANSMITTED DISEASES 2016; 2016:6054870. [PMID: 27957381 PMCID: PMC5124483 DOI: 10.1155/2016/6054870] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/30/2016] [Revised: 09/24/2016] [Accepted: 10/10/2016] [Indexed: 11/17/2022]
Abstract
Objectives. To determine the confidence and ability to use condoms correctly and consistently and the predictors of confidence in young Australians attending a festival. Methods. 288 young people aged 18 to 29 attending a mixed-genre music festival completed a survey measuring demographics, self-reported confidence using condoms, ability to use condoms, and issues experienced when using condoms in the past 12 months. Results. Self-reported confidence using condoms was high (77%). Multivariate analyses showed confidence was associated with being male (P < 0.001) and having had five or more lifetime sexual partners (P = 0.038). Reading packet instructions was associated with increased condom use confidence (P = 0.011). Amongst participants who had used a condom in the last year, 37% had experienced the condom breaking and 48% had experienced the condom slipping off during intercourse and 51% when withdrawing the penis after sex. Conclusion. This population of young people are experiencing high rates of condom failures and are using them inconsistently or incorrectly, demonstrating the need to improve attitudes, behaviour, and knowledge about correct and consistent condom usage. There is a need to empower young Australians, particularly females, with knowledge and confidence in order to improve condom use self-efficacy.
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Affiliation(s)
- Karina M. Hall
- School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
- University Centre for Rural Health, Western Sydney University, 61 Uralba Street, Lismore, NSW 2480, Australia
| | - Daniel G. Brieger
- School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
- University Centre for Rural Health, Western Sydney University, 61 Uralba Street, Lismore, NSW 2480, Australia
| | - Sukhita H. De Silva
- School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
- University Centre for Rural Health, Western Sydney University, 61 Uralba Street, Lismore, NSW 2480, Australia
| | - Benjamin F. Pfister
- School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
- University Centre for Rural Health, Western Sydney University, 61 Uralba Street, Lismore, NSW 2480, Australia
| | - Daniel J. Youlden
- School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
- University Centre for Rural Health, Western Sydney University, 61 Uralba Street, Lismore, NSW 2480, Australia
| | - Franklin John-Leader
- Harm Reduction and Health Promotion Programs, HIV and Related Programs (HARP), North Coast Public Health, Mid-North Coast Local Health District, P.O. Box 419, Lismore, NSW 2480, Australia
| | - Sabrina W. Pit
- School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia
- University Centre for Rural Health, Western Sydney University, 61 Uralba Street, Lismore, NSW 2480, Australia
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Tung WC, Serratt TD, Lu M. Evidence-based HIV pilot program for Chinese college students: Differences by gender. Nurs Health Sci 2014; 17:263-8. [PMID: 25494686 DOI: 10.1111/nhs.12183] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Revised: 09/13/2014] [Accepted: 10/12/2014] [Indexed: 12/01/2022]
Abstract
This study explored gender differences in the effectiveness of the translated VOICES (Video Opportunities for Condom Education and Safer Sex) intervention on the condom use intention, perceived benefits and barriers to condom use, condom use self-efficacy, and HIV/AIDS knowledge among Chinese students in a US university. We utilized a pretest/post-test quasi-experimental design and recruited 67 Chinese students at the local university. Participants viewed a 20-min video with Chinese subtitles, attended one 25-min small group discussion and condom interactive educational activity. Female participants showed significantly greater mean scores of perceived benefits and condom use self-efficacy, in comparison with male participants. Female participants also reported significantly higher scores than male participants in five of the perceived benefits items and one self-efficacy item. These study results provide important information for developing more differentiated intervention strategies specific to gender for HIV and STI education programs.
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Affiliation(s)
- Wei-Chen Tung
- Orvis School of Nursing, University of Nevada, Reno, Nevada, USA
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Hsu HY, Yu HY, Lou JH, Eng CJ. Relationships among sexual self-concept and sexual risk cognition toward sexual self-efficacy in adolescents: cause-and-effect model testing. Jpn J Nurs Sci 2014; 12:124-34. [PMID: 25346398 DOI: 10.1111/jjns.12056] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Accepted: 05/26/2014] [Indexed: 11/28/2022]
Abstract
AIM Sexual self-efficacy plays an important role in adolescents' sexual health. The aim of this study was to test a cause-and-effect model of sexual self-concept and sexual risk cognition toward sexual self-efficacy in adolescents. METHODS The study was a cross-sectional survey. Using a random sampling method, a total of 713 junior nursing students were invited to participate in the study, and 465 valid surveys were returned, resulting in a return rate of 65.2%. The data was collected using an anonymous mailed questionnaire. Structural equation modeling was used to test the relationships among sexual self-concept, sexual risk cognition, and sexual self-efficacy, as well as the mediating role of sexual risk cognition. RESULTS The results revealed that the postulated model fits the data well. Sexual self-concept significantly predicted sexual risk cognition and sexual self-efficacy. Sexual risk cognition significantly predicted sexual self-efficacy and had a mediating effect on the relationship between sexual self-concept and sexual self-efficacy. CONCLUSION Based on social cognitive theory and a structural equation model technique, this study confirmed the mediating role of sexual risk cognition in the relationship between sexual self-concept and sexual self-efficacy. Also, sexual self-concept's direct and indirect effects explaining adolescents' sexual self-efficacy were found in this study.
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Affiliation(s)
- Hsiu-Yueh Hsu
- Department of Nursing, Hsin Sheng College of Medical Care and Management, Tao-Yuan, Taiwan
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