Self-Perceived Responsibility of HIV-Seropositive Men Who Have Sex with Men for Preventing HIV Transmission
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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.
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- Self-Perceived Responsibility of HIV-Seropositive Men Who Have Sex with Men for Preventing HIV Transmission
AIDS and Behavior
Volume 7, Issue 4 , pp 363-372
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- HIV prevention
- homosexuality, male
- HIV seropositivity
- sex behavior
- Industry Sectors
- Author Affiliations
- 1. Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
- 2. Center for AIDS Prevention Studies, University of California, San Francisco, California
- 3. Hunter College of the City University of New York, New York, New York