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Journal of Health Psychology
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How Do Social Norms Impact HIV Sexual Risk Behavior in HIV-Positive Men Who Have Sex with Men?

Multiple Mediator Effects

Michael H. Miner

University of Minnesota, USA, miner001{at}umn.edu

John L. Peterson

Georgia State University, USA

Seth L. Welles

Drexel University, USA

Scott M. Jacoby

University of Minnesota, USA

B.R. Simon Rosser

University of Minnesota, USA

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.

Key Words: intentions • self-efficacy • social norms • Theory of Planned Behavior • unsafe sex

Journal of Health Psychology, Vol. 14, No. 6, 761-770 (2009)
DOI: 10.1177/1359105309338976
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