ERIC Number: EJ1210684
Record Type: Journal
Publication Date: 2019-Apr
Pages: 8
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1090-1981
EISSN: N/A
Information, Motivation, and Self-Efficacy among Men Who Have Sex with Men and Transgender Women in the State of Maharashtra, India
Wilkerson, J. Michael; Rhoton, Jayson Michael; Li, Dennis; Rawat, Shruta Amit; Patankar, Pallav; Rosser, B. R. Simon; Ekstrand, Maria
Health Education & Behavior, v46 n2 p304-311 Apr 2019
Background: India's National AIDS Control Programme calls for, among other things, targeted behavioral interventions that address determinants contributing to new infections among men who have sex with men (MSM) and hijras (transgender women). Aim: To determine if the information-motivation-behavioral skills model was transferable to an Indian context. Methods: We recruited 442 MSM and 7 hijras into an online cross-sectional study that asked questions about condom use knowledge, motivation, self-efficacy, and sexual behavior. Structural equation modeling was used to test the overall information-motivation-behavioral skills structure. Results: Condom use and HIV risk knowledge did not significantly predict condom use self-efficacy or having condomless anal sex with more than one male partner in the past 3 months, and knowledge was not significantly correlated with attitudes toward barebacking. Despite this, the final structural model explained 14.4% of the variance in condom use self-efficacy and 20.0% of the variance in risky sexual behavior. Overall fit of the model was good: ?[[superscript 2](201, N = 447) = 445.002, p < 0.0001, root mean square error of approximation = 0.052, 90% CI [0.046, 0.059], comparative fit index = 0.989, Tucker-Lewis Index = 0.987. Conclusion: The public health response to India's HIV epidemic is currently different than in the West due to differences in medication access and public health infrastructure. As Indian MSM and hijras learn more about the effectiveness of viral suppression and hopefully have greater access to preexposure prophylaxis, researchers should monitor for changing attitudes toward condoms and be prepared to collaborate with the public health infrastructure in order to develop interventions that reinforce positive attitudes toward condom use.
Descriptors: Self Efficacy, Males, Acquired Immunodeficiency Syndrome (AIDS), Contraception, Health Behavior, Homosexuality, LGBTQ People, Foreign Countries, Indians, Case Studies, Structural Equation Models, Risk, Knowledge Level, Prediction, Public Health, Goodness of Fit, Drug Therapy, Attitude Change, Positive Attitudes
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://bibliotheek.ehb.be:2814
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute of Allergy and Infectious Diseases (NIAID/NIH)
Authoring Institution: N/A
Identifiers - Location: India
Grant or Contract Numbers: 1R21AI09467601