Study On Condom Use Among The Men Who Have Sex With Men Based On Preventive Motivation Theory

Objective: The human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) epidemic has become one of the most serious public health problems globally. Men who have sex with men (MSM) have become"the potential group"at greater risk of HIV/AIDS transmission in China. This dissertation explores the impact of knowledge, protective motivation and behavioral skills on behaviors related to condom use among MSM in Western China from the aspects of society and psychology, so as to provide evidence for the targeted intervention on HIV/AIDS.Methods: From July 2009 to April 2010, cross-sectional surveys were conducted among MSM in Chongqing, Sichuan and Guangxi by way of recruiting participants by non-probability sampling method and collecting data by quantitative methods.Results: The MSM had such features as higher education, rejuvenation, high basic knowledge rate of AIDS awareness, low rate of condom use, and becoming the group at greater risk of HIV/AIDS transmission because of risk behaviors. The age medium was 26 years old. 53.71% received higher education or even higher learning, knowing rate of AIDS relevant problems swas 88.37%. In the past 6 months, 95.01% had male partners, 7.42% had homosexual commercial sex, 12.48% had sex with women, 61.22% of them had sex with 2 or more men. In the past 6 months the proportions of 100% condom use when MSM having anal sex with fixed partners, occasional partners, MBs and customers were 47.96%, 57.24%, 37.29%, 58.33%, 29.48% respectively. There was significant difference in condom use among them when they having sex with different persons (P<0.05). There was a closer relation between the condom use with internal benefits (OR: 0.56, 95%CI: 0.39-0.81), external benefits (OR: 0.510, 95%CI: 0.37-0.70) and self-efficiency (OR: 4.63, 95%CI: 1.63-13.13). The result of Structural Equation Model indicated that information and preventive behavioral skills had great impact on preventive behavior, and information explained 60.94% of preventive behavior and preventive behavioral skills explained 28.98% of preventive behavior. However,protective motivation only explained 1.43% of preventive behavior and indirect effected preventive behavior by preventive behavioral skills.Conclusion: Among MSM in western China, the HIV infectious high-risk behaviors were common. The information,protective motivation and preventive behavioral skills had impact on preventive behavior. Self-education and peer-education should be carried out to improve high-risk MSM's education and training on HIV/AIDS knowledge and hence to increase the condom use effectively in prevention of HIV transmission. It was important to emphasize preventive motivation in order to promote the act of preventive behavior among MSM.