Changed Personal Attitudes Predict Sexual Behaviours Among Men Living With HIV in the Era of U=U: A Half-Longitudinal Study
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View abstract on PubMed
Summary
This summary is machine-generated.Changes in personal attitudes among men living with HIV may increase condomless sex and multiple partners, with safe sex self-efficacy acting as a key mediator. These findings are crucial for developing targeted interventions in the Undetectable=Untransmittable era.
Area Of Science
- Public Health
- Behavioral Science
- Infectious Disease Epidemiology
Background
- The Undetectable=Untransmittable (U=U) era has seen reduced condom use among men living with HIV, potentially increasing STI and HIV superinfection risks.
- Shifts in personal attitudes towards sexual behavior and HIV risk may influence these trends, but their impact on actual behaviors requires further investigation.
Purpose Of The Study
- To investigate the influence of evolving personal attitudes and self-efficacy in safe sex practices on sexual decision-making among men living with HIV.
- To understand the mediating role of safe sex self-efficacy in the relationship between personal attitudes and sexual behaviors.
Main Methods
- A 3-month longitudinal study involving HIV-positive men initiating ART in Changsha, China.
- Utilized cross-lagged panel and half-longitudinal mediation analyses to examine the dynamic interplay between personal attitudes and sexual behaviors over time.
- Included 427 men at baseline, with 301 completing the follow-up survey.
Main Results
- Personal attitudes related to safe sex fatigue, viral load/transmission beliefs, and sexual sensation seeking were significantly associated with sexual behaviors.
- More positive attitudes predicted lower safe sex self-efficacy, while reduced self-efficacy increased the likelihood of condomless sex and/or multiple partners.
- Safe sex self-efficacy significantly mediated the relationship between personal attitudes and sexual behaviors.
Conclusions
- In the U=U era, altered personal attitudes among men living with HIV can elevate the risk of condomless sex and multiple partnerships.
- Safe sex self-efficacy plays a crucial mediating role in this association, highlighting its importance in sexual health.
- Findings underscore the need for interventions addressing both behavioral outcomes and underlying personal attitudes to mitigate sexual health risks.
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