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Journal of Health Psychology, Vol. 3, No. 4, 507-522 (1998)
DOI: 10.1177/135910539800300405

Determinants of Safer Sexual Behavior in a Long-term HIV-seropositive Population

The Multisite Hemophilia Behavior Intervention Evaluation Project (HBIEP

Heather C. Huszti

University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

Jeffrey T. Parsons

Jersey City State College, NJ, USA

David Cotton

Centers for Disease Control and Prevention, Atlanta, GA, USA

Jorge Mendoza

University of Oklahoma, Norman, OK, USA

Lisa Harlow

University of Rhode Island, Kingston, RI, USA

Louise Rich

University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

Kathy L. Parish

Huntington Hospital, Pasadena, CA, USA

Rachelle Nuss

University of Colorado Health Sciences Center, Denver, CO, USA

Brenda Riske

University of Colorado Health Sciences Center, Denver, CO, USA

Determinants of safer sexual behaviors among HIV-infected adult men with hemophilia were examined. A model was proposed that personal adjustment, communication skills, self-efficacy, and perceived advantages of condom use would influence safer sex practices. The model was tested with 181 men with hemophilia and HIV infection from 27 hemophilia treatment centers across the United States. The hypothesized model was tested using LISREL and explained 35 percent of the variance in safer sexual behaviors. Personal adjustment was significantly associated with general communication skills. General communication was linked with communication about safer sex which, in turn, influenced self-efficacy and perceived advantages of condom use. Communication about safer sex, efficacy and perceived advantages of condom use were all directly related to safer sexual behaviors.

Key Words: AIDS • communication, condoms • safer sex • seropositive men


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