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Applying the pre-intentional phase of the Health Action Process Approach (HAPA) Model to investigate factors associated with intention on consistent condom use with various types of female sex partners among males who inject drugs in China
Tsui,Hi Yi1; Lau,Joseph T.F.1,2,3; Wang,Zixin1; Gross,Danielle L.1; Wu,Anise M.S.4; Cao,Wangnan1; Gu,Jing5; Li,Suning6
2017-07-03
Source PublicationAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
ISSN13600451 09540121
Volume28Issue:9Pages:1079-1088
Abstract

ABSTRACT: Both drug injection and sexual transmission are the primary drivers of the HIV epidemic in China. This study investigated the prevalence and associated factors of intention of consistent condom use during sexual intercourse with female regular partners (RP), non-regular partners (NRP) and sex workers (FSW) among male people who inject drugs (PWID)in China. A total of 529 male non-institutionalized PWID aged 18–45 years with negative/unknown HIV status were recruited by multiple methods in Dazhou and Hengyang, China. The constructs of the pre-intention phase of the Health Action Process Approach (HAPA) Model, including partner-specific HIV risk perception, condom use positive outcome expectancies, condom use negative outcome expectancies, and self-efficacy of condom use, were assessed. The prevalence of behavioral intention of consistent condom use with RP, NRP, and FSW was 32.1%, 49.1%, and 63.6%, respectively. In multivariate stepwise analysis, conditional risk perception of HIV transmission via unprotected sex with RP/NRP/FSW was associated with intention of consistent condom use with these types of female sex partners (multivariate odds ratio (ORm) = 3.25–7.06). Condom use negative outcome expectancies were associated with intention of consistent condom use with RP and NRP (ORm = 0.30–0.46), while condom use self-efficacy was associated with intention of consistent condom use with RP and FSW in the next six months (ORm = 2.24–3.81). Male PWID are at high risk of HIV transmission through sexual behaviors. The pre-intention phase of the HAPA model may be applied to plan interventions to increase behavioral intention of consistent condom use with various types of female partners. Such interventions are warranted.

KeywordChina Health Action Process Approach Model IntentiOn On cOnsistent cOndom Use Male People Who Inject Drugs
DOI10.1080/09540121.2016.1146652
URLView the original
Indexed BySSCI
Language英语
WOS Research AreaHealth Care Sciences & Services ; Public, Environmental & Occupational Health ; Psychology ; Respiratory System ; Biomedical Social Sciences
WOS SubjectHealth Policy & Services ; Public, Environmental & Occupational Health ; Psychology, Multidisciplinary ; Respiratory System ; Social Sciences, Biomedical
WOS IDWOS:000381022300001
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Cited Times [WOS]:2   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Affiliation1.Centre for Health Behaviours ResearchThe Jockey Club School of Public Health and Primary CareThe Chinese University of Hong Kong,Shatin,Hong Kong
2.Centre for Medical Anthropology and Behavioral HealthSun Yat-sen University,Guangzhou,China
3.Shenzhen Research InstituteThe Chinese University of Hong Kong,Shenzhen,China
4.Department of PsychologyFaculty of Social SciencesUniversity of Macau,Macao
5.School of Public HealthSun Yat-sen University,Guangzhou,China
6.China National Center for Biotechnology Development,Beijing,China
Recommended Citation
GB/T 7714
Tsui,Hi Yi,Lau,Joseph T.F.,Wang,Zixin,et al. Applying the pre-intentional phase of the Health Action Process Approach (HAPA) Model to investigate factors associated with intention on consistent condom use with various types of female sex partners among males who inject drugs in China[J]. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV,2017,28(9):1079-1088.
APA Tsui,Hi Yi.,Lau,Joseph T.F..,Wang,Zixin.,Gross,Danielle L..,Wu,Anise M.S..,...&Li,Suning.(2017).Applying the pre-intentional phase of the Health Action Process Approach (HAPA) Model to investigate factors associated with intention on consistent condom use with various types of female sex partners among males who inject drugs in China.AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV,28(9),1079-1088.
MLA Tsui,Hi Yi,et al."Applying the pre-intentional phase of the Health Action Process Approach (HAPA) Model to investigate factors associated with intention on consistent condom use with various types of female sex partners among males who inject drugs in China".AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV 28.9(2017):1079-1088.
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