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Communicating HIV Status in Sexual Interactions: Assessing Social Cognitive Constructs Situational Factors and Individual Characteristics Among South African MSM

机译：在性互动中沟通艾滋病毒状况：评估社会认知构建情境因素和南非MSM之间的个体特征

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This study assessed whether social cognitive constructs, situational factors, and individual characteristics were associated with communicating HIV status and whether communication was related to sexual risk behavior. A quota-sampling method stratified by age, race, and township was used to recruit 300 men who have sex with men to participate in a community-based survey in Pretoria in 2008. Participants reported characteristics of their last sexual encounter involving anal sex, including whether they or their partner had communicated their HIV status. Fifty-nine percent of participants reported that they or their partner had communicated their HIV status. HIV communication self-efficacy (aOR = 1.2, 95 % CI: 1.04–1.68), being with a steady partner (aOR = 0.36, 95 % CI: 0.19–0.67), and being Black (versus White; aOR = 0.08, 95 % CI: 0.03–0.27) were independently associated with communicating HIV status. Communicating HIV status was not associated with unprotected anal intercourse. HIV communication self-efficacy increases men’s likelihood of communicating HIV status. Being with a steady partner and being Black reduces that likelihood. Communication about HIV status did not lead to safer sex.
机译：这项研究评估了社会认知结构，情境因素和个人特征是否与交流HIV状况有关，以及交流是否与性危险行为有关。通过按年龄，种族和乡镇分层的配额抽样方法，招募了300名与男性发生性关系的男性参加了2008年在比勒陀利亚进行的一项社区调查。参与者报告了他们最近一次涉及肛交的性交经历的特征，包括他们或他们的伴侣是否已经传达了自己的艾滋病毒状况。 59％的参与者报告说他们或他们的伴侣已经通报了他们的艾滋病毒状况。 HIV传播自我效能（aOR = 1.2，95％CI：1.04–1.68），与一个稳定的伴侣（aOR = 0.36，95％CI：0.19–0.67），并且是黑人（与白人相对； aOR = 0.08，95） ％CI：0.03-0.27）与传播HIV状况独立相关。传播艾滋病毒状况与无保护的肛门性交无关。 HIV交流的自我效能提高了男性交流HIV状况的可能性。与一个稳定的伴侣在一起并成为黑人可以减少这种可能性。关于艾滋病毒状况的交流并没有导致更安全的性行为。

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