AIDS and Behavior

, Volume 7, Issue 4, pp 363–372

Self-Perceived Responsibility of HIV-Seropositive Men Who Have Sex with Men for Preventing HIV Transmission

Authors

    • Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB PreventionCenters for Disease Control and Prevention
  • Caroline J. Bailey
    • Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB PreventionCenters for Disease Control and Prevention
  • Ann O' Leary
    • Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB PreventionCenters for Disease Control and Prevention
  • Cynthia A. Gómez
    • Center for AIDS Prevention StudiesUniversity of California
  • Jeffrey T. Parsons
    • Hunter College of the City University of New York
Article

DOI: 10.1023/B:AIBE.0000004728.73443.32

Cite this article as:
Wolitski, R.J., Bailey, C.J., Leary, A.O. et al. AIDS Behav (2003) 7: 363. doi:10.1023/B:AIBE.0000004728.73443.32

Abstract

Relatively little attention has been paid to unique factors that may motivate HIV-seropositive men who have sex with men (MSM) to prevent HIV transmission. This study examines the beliefs of 250 HIV-seropositive MSM about their responsibility for protecting sex partners from HIV infection. Participants completed an open-ended interview about their sexual practices, substance use, and other HIV-related issues. Seventy percent of participants were men of color. Most participants (72%) spontaneously mentioned issues related to responsibility that were represented by three themes: (1) personal responsibility for protecting sex partners, (2) partners' responsibility for protecting themselves, and (3) mutual responsibility. These beliefs were expressed by 63%, 24%, and 12% of respondents, respectively. Motivations underlying beliefs about personal responsibility included altruism, self-standards, and self-interest. Beliefs about personal responsibility were influenced by participant characteristics, partner characteristics, disclosure of HIV status, and contextual factors. The findings suggest that self-perceived responsibility may be an important factor that affects HIV-seropositive MSM's sexual decision making.

ResponsibilityHIV preventionhomosexuality, maleHIV seropositivitysex behavior

Copyright information

© Plenum Publishing Corporation 2003