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Strength of Implementation Intentions to Use Condoms Among Men Who Have Sex with Men. AIDS Behav 2018 Nov;22(11):3491-3499

Date

03/11/2018

Pubmed ID

29524096

Pubmed Central ID

PMC6129435

DOI

10.1007/s10461-018-2079-4

Scopus ID

2-s2.0-85043402568 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

Although pre-exposure prophylaxis (PrEP) use is increasing among men who have sex with men (MSM), condoms remain key to HIV prevention. Implementation intentions-which link a behavioral action plan with a situation or cue-may predict condom use. The Strength of Implementation Intentions Scale (SIIS), which assesses condom use implementation intentions, has not been evaluated among MSM. A structural model tested whether the SIIS mediated the relationship between condom use intentions and condomless sex acts among 266 sexually-active MSM (56% White, 26% Black, 15% Latino, Mage = 32.54). After controlling for PrEP use, HIV-status, and demographics (χ2(107) = 140.06, CFI = 0.98, TLI = 0.97, RMSEA = 0.03), the SIIS fully mediated the relationship between condom use intentions and condomless sex acts. The SIIS can serve as a fidelity check for interventions, a mediator in theoretical models, and future studies should incorporate implementation intentions into HIV prevention interventions for MSM.

Author List

Nydegger LA, Walsh JL

Author

Jennifer L. Walsh PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Acquired Immunodeficiency Syndrome
Adolescent
Adult
Coitus
Condoms
Contraception Behavior
HIV Infections
Homosexuality, Male
Humans
Intention
Male
Pre-Exposure Prophylaxis
Safe Sex
Sexual and Gender Minorities
Young Adult