How do social norms impact HIV sexual risk behavior in HIV-positive men who have sex with men? Multiple mediator effects

Michael H. Miner, John L. Peterson, Seth L. Welles, Scott M. Jacoby, B. R. Simon Rosser

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

This study examines mediation of the association between social norms and unsafe sexual behavior. Self-report data were collected from 675 HIVinfected men enrolled in a study exploring interventions for HIV risk behavior. Unsafe sex included any unprotected anal sex with HIVnegative or HIV status unknown partners in the last three months. Norms for condom use indirectly influenced unsafe sex through condom self-efficacy and/or safer sex intentions. Additionally, sexual behavior discontrol influenced unsafe sex regardless of other individual or social factors. Our results suggest that interventions consider the combined effects of condom self-efficacy, safer sex intentions and sexual behavior control.

Original languageEnglish (US)
Pages (from-to)761-770
Number of pages10
JournalJournal of Health Psychology
Volume14
Issue number6
DOIs
StatePublished - Sep 2009

Keywords

  • Intentions
  • Self-efficacy
  • Social norms
  • Theory of Planned Behavior
  • Unsafe sex

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