scholarly journals Applying the health belief model to identify predictors of self-perceived risk of HIV infection among undergraduates in mainland China

2020 ◽  
Author(s):  
Fang Ruan ◽  
Guochen Fu ◽  
Mingyu Zhou ◽  
Xin Li ◽  
Yuhua Chen ◽  
...  

Abstract Objective This cross-sectional study aimed to identify predictors of self- perceived risk of HIV infection among undergraduates in mainland China, based on the health belief model.Methods A self-administered questionnaire survey method was used to collect information from 10665 eligible undergraduates across the whole country (except for Tibet). Multivariate Logistic regression analysis was chosen to explore the predictors of self-perceived risk of HIV infection.Results Approximately half (48.2%) of the undergraduates perceived themselves to be at risk of contracting HIV, yet only 8.9% reported to engage in risky sexual behaviors. After controlling for potential confounders, males [adjusted odd ratio (AOR)=0.72, 95% confidence interval (CI)=0.66-0.77], those residing in urban areas (AOR=0.86, 95% CI= 0.79-0.93), having higher levels of condom use self-efficacy (AOR=0.64, 95% CI=0.58-0.69) and knowing the national AIDS policy (AOR=0.68, 95% CI=0.62-0.74) were less likely to perceive themselves to be at risk of acquiring HIV. Conversely, freshmen (AOR=1.27, 95% CI=1.16-1.38), non-heterosexuals (AOR=1.57, 95% CI=1.39-1.77), and those who had expressed less stigma towards people living with HIV (PLHIV) (AOR=1.25, 95% CI=1.15-1.35) and had the intention of utilizing voluntary counseling and testing (VCT) services (AOR=1.29, 95% CI=1.16-1.43) perceived themselves to be at increased risk for HIV infection.Conclusions Undergraduates tended to overestimate their own risk of acquiring HIV infection. In order to help undergraduates accurately assess their risk of being infected with HIV and effectively avoid risk, a comprehensive intervention measure should be taken to target females, non-heterosexuals, freshmen and those residing in rural areas, raise their awareness of the national AIDS policy, relieve their stigma against PLHIV, improve their condom use self-efficacy and provide VCT services in college campus.

1998 ◽  
Vol 13 (3) ◽  
pp. 343-356 ◽  
Author(s):  
Jennifer L. Lauby ◽  
Salaam Semaan ◽  
Abigail Cohen ◽  
Laura Leviton ◽  
Andrea Gielen ◽  
...  

2009 ◽  
Vol 20 (4) ◽  
pp. 283-292 ◽  
Author(s):  
Rosanna F. DeMarco ◽  
Malkia Kendricks ◽  
Yolani Dolmo ◽  
Sara E. Dolan Looby ◽  
Kirsti Rinne

2018 ◽  
Vol 12 (4) ◽  
pp. 666-675 ◽  
Author(s):  
Nelsensius Klau Fauk ◽  
Christina Yeni Kustanti ◽  
Debora Shinta Liana ◽  
Nina Indriyawati ◽  
Rik Crutzen ◽  
...  

This study aimed to explore perceived determinants of condom use behaviors among male clients of female commercial sex workers (FCSWs) in Belu and Malaka districts, Indonesia. One-on-one in-depth interviews guided by the Health Belief Model (HBM) were used to collect the data from participants ( n = 42). The Framework analysis for qualitative data was employed to analyze the data. Results demonstrated several factors associated with lack of and inconsistent condom use among the participants. They included self-perceived risk of contracting HIV infection, knowledge of the severity of HIV illness and its impacts, and condom use: its benefits and its influencing factors. Additionally, factors including reduced sexual pleasure and the lack of knowledge of how and where to access condoms were important perceived barriers to condom use among participants. Having seen images of HIV-/AIDS-positive people, knowing friends and relatives suffering from HIV, and knowing FCSWs as a high-risk group for HIV infection were the cues to using condoms among several participants. Likewise, self-efficacy was also associated with condom use behaviors among the participants. The findings indicate the needs for HIV/AIDS interventions that include dissemination of HIV/AIDS knowledge, condom promotion, and improvement in the availability of condoms for both FCSWs and their clients.


2012 ◽  
Vol 26 (6) ◽  
pp. 335-343 ◽  
Author(s):  
Inge B. Corless ◽  
Dean Wantland ◽  
Kenn M. Kirksey ◽  
Patrice K. Nicholas ◽  
Sarie Human ◽  
...  

2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Nirwanto K. Rahim ◽  
Agung Waluyo ◽  
Sri Yona

Background: The prevalence of HIV/AIDS, especially among men who have sex with men (MSM), is increasing. Disease transmission occurs because of the low use of condoms. This study aimed to identify the relationship between condom self-efficacy and spirituality in condom use behavior.Design and Methods: This study used a cross-sectional design with consecutive sampling techniques. It involved 251 people living with HIV/AIDS (PLWH) MSM. Chi-square test was used in bivariate analysis and then continued with the logistic regression analysis for multivariate analysis.Results: The results show that there was a significant relationship between condom self-efficacy and condom use behavior with p-value <0.05 (OR=11.298; 95% CI: 4.35-20.1, p=0.000) and spirituality towards condom use behavior p-value <0.05 (OR=3.405; 95% CI: 0.85-3.21, p=0.00). In multivariate analysis of multiple logistic regression, condom self-efficacy is the factor that predominantly influences condom use behaviour.Conclusions: To improve the consistency of condom use, nurses need to prioritize interventions such as counselling activities that focus on increasing self-confidence (self-efficacy).


Curationis ◽  
2003 ◽  
Vol 26 (2) ◽  
Author(s):  
L Ackermann

With high rates of HIV transmission in South Africa, the correct and consistent use of condoms has become critically important. The findings reported in this article form part of a larger study that investigated the vulnerability of women to HIV infection. This article concentrates on one dimension of the study: how a clash between real and ideal culture negatively impacts upon condom use. This study, conducted in Bloemfontein, revealed that an ideal culture of trust, resulted in non condom use. On the other hand, this study also revealed that despite the emphasis on an ideal culture of trust, a real culture of infidelity exists. This places individuals at risk of contracting HIV, as condom use is guided by ideal rather than real culture.


2003 ◽  
Vol 37 (3) ◽  
pp. 53-69 ◽  
Author(s):  
Salaam Semaan ◽  
Jennifer Lauby ◽  
Ann Aileen O'Connell ◽  
Abigail Cohen

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