A Plausible Causal Model of HAART-Efficacy Beliefs, HIV/AIDS Complacency, and HIV-Acquisition Risk Behavior Among Young Men Who Have Sex with Men
Despite considerable research, the causal relationship remains unclear between HIV/AIDS complacency, measured as reduced HIV/AIDS concern because of highly active antiretroviral therapy (HAART), and HIV risk behavior. Understanding the directionality and underpinnings of this relationship is critica...
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| Veröffentlicht in: | AIDS and behavior 2011-05, Vol.15 (4), p.788-804 |
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| creator | MacKellar, Duncan A. Hou, Su-I Whalen, Christopher C. Samuelsen, Karen Valleroy, Linda A. Secura, Gina M. Behel, Stephanie Bingham, Trista Celentano, David D. Koblin, Beryl A. LaLota, Marlene Shehan, Douglas Thiede, Hanne Torian, Lucia V. |
| description | Despite considerable research, the causal relationship remains unclear between HIV/AIDS complacency, measured as reduced HIV/AIDS concern because of highly active antiretroviral therapy (HAART), and HIV risk behavior. Understanding the directionality and underpinnings of this relationship is critical for programs that target HIV/AIDS complacency as a means to reduce HIV incidence among men who have sex with men (MSM). This report uses structural equation modeling to evaluate a theory-based, HIV/AIDS complacency model on 1,593 MSM who participated in a venue-based, cross-sectional survey in six U.S. cities, 1998–2000. Demonstrating adequate fit and stability across geographic samples, the model explained 15.0% of the variance in HIV-acquisition behavior among young MSM. Analyses that evaluated alternative models and models stratified by perceived risk for HIV infection suggest that HIV/AIDS complacency increases acquisition behavior by mediating the effects of two underlying HAART-efficacy beliefs. New research is needed to assess model effects on current acquisition risk behavior, and thus help inform prevention programs designed to reduce HIV/AIDS complacency and HIV incidence among young MSM. |
| doi_str_mv | 10.1007/s10461-010-9813-x |
| format | Article |
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New research is needed to assess model effects on current acquisition risk behavior, and thus help inform prevention programs designed to reduce HIV/AIDS complacency and HIV incidence among young MSM.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Alternative Approaches</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral Therapy, Highly Active - psychology</subject><subject>Causal Models</subject><subject>Cross-Sectional Studies</subject><subject>Disease transmission</subject><subject>Gays & lesbians</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Psychology</subject><subject>Health risks</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>Homosexuality</subject><subject>Homosexuality, Male - 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Understanding the directionality and underpinnings of this relationship is critical for programs that target HIV/AIDS complacency as a means to reduce HIV incidence among men who have sex with men (MSM). This report uses structural equation modeling to evaluate a theory-based, HIV/AIDS complacency model on 1,593 MSM who participated in a venue-based, cross-sectional survey in six U.S. cities, 1998–2000. Demonstrating adequate fit and stability across geographic samples, the model explained 15.0% of the variance in HIV-acquisition behavior among young MSM. Analyses that evaluated alternative models and models stratified by perceived risk for HIV infection suggest that HIV/AIDS complacency increases acquisition behavior by mediating the effects of two underlying HAART-efficacy beliefs. 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| ispartof | AIDS and behavior, 2011-05, Vol.15 (4), p.788-804 |
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| subjects | Acquired Immune Deficiency Syndrome Adolescent Adult Age Distribution Alternative Approaches Antiretroviral agents Antiretroviral Therapy, Highly Active - psychology Causal Models Cross-Sectional Studies Disease transmission Gays & lesbians Health Knowledge, Attitudes, Practice Health Psychology Health risks HIV HIV Infections - drug therapy HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - psychology Homosexuality Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Incidence Infectious Diseases Male Medications Medicine Medicine & Public Health Men Original Paper Prevention Public Health Risk Risk factors Risk taking Sexual Behavior Sexually transmitted diseases STD United States - epidemiology Urban Population Young Adult Young Adults |
| title | A Plausible Causal Model of HAART-Efficacy Beliefs, HIV/AIDS Complacency, and HIV-Acquisition Risk Behavior Among Young Men Who Have Sex with Men |
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