Prevention Research Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, NCHHSTP, 1600 Clifton Road, MSE-37, Atlanta, GA 30333, USA.
AIDS Behav. 2013 Jun;17(5):1855-61. doi: 10.1007/s10461-012-0291-1.
Personal responsibility beliefs of HIV-positive individuals to protect sex partners are an important determinant of engagement in transmission risk behavior. However, the degree to which such beliefs vary across different partners is unknown. HIV-positive men who have sex with men (n = 248) completing an online survey rated their personal responsibility beliefs for partners met in up to four different ways: (a) in a bar; (b) through the internet; (c) in a public sex environment (PSE); or (d) through friends or family. For those reporting two or more partner-meeting venues in the prior 3 months (n = 98), about a third reported variation in responsibility ratings. Means among the venues were compared in pairwise fashion, with the strongest beliefs accruing to partners met through friends or family and the least with partners met in PSEs. These results provide further evidence that identifying ways to increase personal responsibility beliefs is an important goal, as well as is the application of Bandura's theory of moral agency to HIV transmission risk behavior.
HIV 阳性个体保护性伴侣的个人责任信念是参与传播风险行为的一个重要决定因素。然而，这种信念在不同伴侣之间的差异程度尚不清楚。完成在线调查的 248 名与男性发生性关系的 HIV 阳性男性（n=248）通过以下四种不同方式对其与在酒吧、互联网、公共性环境（PSE）或朋友或家人中结识的性伴侣的个人责任信念进行了评估。对于在过去 3 个月内报告有两个或更多伴侣约会场所的人（n=98），约三分之一的人报告责任评级存在差异。以两两比较的方式比较了各个场所之间的平均值，与通过朋友或家人结识的伴侣相比，与在 PSE 中结识的伴侣相比，信念最强。这些结果进一步证明，确定增强个人责任信念的方法是一个重要目标，以及将班杜拉的道德代理理论应用于 HIV 传播风险行为也是一个重要目标。
