Masingboon K; International Conference on AIDS (15th : 2004 : Bangkok, Thailand).

Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. C11542.

Burapha University, Chonburi Province, Thailand

Background: To determine stages of change for condom use (intention and readines to adopt consistent condom use behavior) during sexual contact with both primary and causal partners among HIV-positive Thai men, and to identify predictors of stages of change for condom use among HIV-positive Thai men. Method: The Transtheoretical Model of Behavior Change (TMC) was used as a guide of the study. 221 HIV-positive Thai men were recruited from outpatient clinics of four regional hospitals located in eastern Thailand. Self-reported questionnaires used to obtain data consisted of the Stage of Change Algorithm for Condom Use questionnaire, Decisional Balance for Condom Use,and Self-Efficacy for Condom Use Questionnaire. Results: During vaginal intercourse with primary and causal partners, 50% of HIV-positive Thai men were in action and maintenance stages of change for condom use and 27% were in the preparation stage. During anal intercourse, 70% were in the precontemplation and contemplation stage with primary and causal partners. During vaginal intercourse with primary partners, self-efficacy was the best predictor for individuals in the maintenance stage. With casual partners, the pros of condom use was the most accurate variable in predicting individuals in the precontemplation stage. In summary, self-efficacy and the pros of condom use were the best prdictors for individuals in the higher stages of change for condom use with primary partners. With casual partners, the pros of condom use were the best predictor. Conclusion: Assessment individuals' intention and readiness to consistent condom use was important. HIV-positive Thai men in the study were in different stages of change for condom use. To promote consistent condom use among these men, self-efficacy and the pros of condom use should be focused. Strategies to move individuals from one stage to higher stage must be designed to match individuals' intention and readiness to change.

Publication Types:

• Meeting Abstracts

Keywords:

• Case-Control Studies
• Female
• HIV Seropositivity
• Humans
• Male
• Questionnaires
• Safe Sex
• Self Efficacy
• Thailand

Other ID:

• GWAIDS0033148

UI: 102277362

From Meeting Abstracts