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Sexual Transmission-Risk Behavior Among HIV-Positive Persons: A Multisite Study Using Social Action Theory.

Sexual Transmission-Risk Behavior Among HIV-Positive Persons: A Multisite Study Using Social Action Theory.
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Sullivan KM, Rose CD, Phillips JC, Holzemer WL, Webel AR, Nicholas P, Corless IB, Kirksey K, Eller LS, Voss J, Tyer-Viola L, Portillo C, Johnson MO, Brion J, Sefcik E, Nokes K, Reid P, Rivero-Mendez M, Chen WT,


Sullivan KM, Rose CD, Phillips JC, Holzemer WL, Webel AR, Nicholas P, Corless IB, Kirksey K, Eller LS, Voss J, Tyer-Viola L, Portillo C, Johnson MO, Brion J, Sefcik E, Nokes K, Reid P, Rivero-Mendez M, Chen WT, (click to view)

Sullivan KM, Rose CD, Phillips JC, Holzemer WL, Webel AR, Nicholas P, Corless IB, Kirksey K, Eller LS, Voss J, Tyer-Viola L, Portillo C, Johnson MO, Brion J, Sefcik E, Nokes K, Reid P, Rivero-Mendez M, Chen WT,

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Journal of advanced nursing 2016 8 3() doi 10.1111/jan.13087

Abstract
AIM
Sexual risk behavior 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 behavior 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 and 2011.

FINDINGS
Having multiple sex partners with inconsistent condom use during a three-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. This article is protected by copyright. All rights reserved.

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