A Theory-Based Exploration of Condomless Anal Intercourse Intention Among Young Men Who Have Sex with Men of Different Sexual Roles in Taiwan
Journal
Archives of Sexual Behavior
Journal Volume
47
Journal Issue
7
Pages
2041-2050
Date Issued
2018
Author(s)
Chu J.-H.
Abstract
In recent years, men who have sex with men (MSM) have accounted for over 80% of all new HIV cases in Taiwan. More than 70% of new cases have occurred in those aged 15–34?years. Condomless anal intercourse (CAI) has been identified as the main route of HIV transmission among MSM. To systematically examine CAI intention and associated factors among young MSM in Taiwan, an anonymous online survey based on the Theory of Planned Behavior (TPB) was conducted. Data from 694 MSM aged 15–39?years were included in the analysis. This study found that, overall, all five TPB factors (i.e., attitudes toward positive and negative outcomes regarding CAI, perceived support for CAI from important others, and perceived behavioral control of CAI under facilitating and constraining conditions) were significantly associated with CAI intention. When data were stratified by sexual role (i.e., receptive, versatile, and insertive), the associations between TPB factors and CAI intention varied. Of the five TPB factors, positive attitudes toward positive outcomes regarding CAI were most strongly associated with high CAI intention (AOR 5.68 for all young MSM; AOR 3.80–15.93, depending on sexual role). Findings from this study could inform the development of theory-driven HIV prevention programs as well as future research and practice. These results also highlight the importance of tailoring HIV prevention initiatives for young MSM of different sexual roles to optimize the program effectiveness. ? 2017, Springer Science+Business Media, LLC.
Subjects
Condomless anal intercourse; HIV; Men who have sex with men (MSM); Sexual orientation; Sexual roles; Taiwan; Theory of Planned Behavior
SDGs
Other Subjects
adult; anal intercourse; human; Human immunodeficiency virus; major clinical study; male; men who have sex with men; nonhuman; program effectiveness; sexual orientation; Taiwan; theoretical study; Theory of Planned Behavior; adolescent; behavior; high risk behavior; Human immunodeficiency virus infection; male homosexuality; questionnaire; sexual and gender minority; sexual behavior; social network; Taiwan; unsafe sex; young adult; Adolescent; Adult; HIV Infections; Homosexuality, Male; Humans; Intention; Male; Risk-Taking; Sexual and Gender Minorities; Sexual Behavior; Social Networking; Surveys and Questionnaires; Taiwan; Unsafe Sex; Young Adult
Publisher
Springer New York LLC
Type
journal article