Department of Psychology, Syracuse University, Syracuse, NY, USA.
Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, USA.
AIDS Behav. 2020 Oct;24(10):2863-2871. doi: 10.1007/s10461-020-02835-z.
Two constructs from the information-motivation-behavioral skills model were used to predict HIV-serostatus among a sample of men and transgender women who have sex with men. Hypotheses were that lower levels of HIV knowledge and lower levels of motivation to remain HIV-negative would be associated with an increased likelihood of receiving a positive HIV test result at a study eligibility-screening session. Results of a backwards stepwise logistic regression analysis demonstrated that lower levels of HIV knowledge, lower levels of motivation to remain HIV-negative, lower levels of education, and identifying as Hispanic/Latinx were associated with greater odds of receiving a positive HIV test result. These findings are consistent with the broader HIV-prevention literature that demonstrates that information and motivation are fundamental determinants of HIV preventive behavior. This work has implications for informing the development and improvement of HIV-prevention interventions.
本研究使用信息-动机-行为技能模型中的两个构念，来预测与男性和跨性别女性发生性行为的男男性行为者人群中的 HIV 阳性率。假设是，HIV 知识水平较低，保持 HIV 阴性的动机水平较低，与在研究资格筛选会议上获得阳性 HIV 检测结果的可能性增加相关。向后逐步逻辑回归分析的结果表明，HIV 知识水平较低、保持 HIV 阴性的动机水平较低、教育水平较低以及被认定为西班牙裔/拉丁裔与获得阳性 HIV 检测结果的几率增加有关。这些发现与更广泛的 HIV 预防文献一致，该文献表明信息和动机是 HIV 预防行为的基本决定因素。这项工作对告知 HIV 预防干预措施的制定和改进具有意义。
