Sexual transmission-risk behaviour among HIV-positive persons: a multisite study using social action theory

Kathleen M. Sullivan, Carol Dawson Rose, J. Craig Phillips, William L. Holzemer, Allison R. Webel, Patrice Nicholas, Inge B. Corless, Kenn Kirksey, Lucille Sanzero Eller, Joachim Voss, Lynda Tyer-Viola, Carmen Portillo, Mallory O. Johnson, John Brion, Elizabeth Sefcik, Kathleen Nokes, Paula Reid, Marta Rivero-Mendez, Wei Ti Chen

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Aim: Sexual risk behaviour was explored and described using Social Action Theory. Background: The sexual transmission of HIV is complex and multi-factorial. Social Action Theory provides a framework for viewing self-regulation of modifiable behaviour such as condom use. Condom use is viewed within the context of social interaction and interdependence. Design: Cross-sectional survey. Methods: Self-report questionnaire administered to adults living with HIV/AIDS, recruited from clinics, service organizations and by active outreach, between 2010 - 2011. Findings: Having multiple sex partners with inconsistent condom use during a 3-month recall period was associated with being male, younger age, having more years of education,substance use frequency and men having sex with men being a mode of acquiring HIV. In addition, lower self-efficacy for condom use scores were associated with having multiple sex partners and inconsistent condom use. Conclusion: Social Action Theory provided a framework for organizing data from an international sample of seropositive persons. Interventions for sexually active, younger, HIV positive men who have sex with men, that strengthen perceived efficacy for condom use, and reduce the frequency of substance use, may contribute to reducing HIV-transmission risk.

Original languageEnglish (US)
Pages (from-to)162-176
Number of pages15
JournalJournal of Advanced Nursing
Issue number1
StatePublished - Jan 1 2017

All Science Journal Classification (ASJC) codes

  • General Nursing


  • HIV prevention
  • HIV self-management
  • HIV-positive adults
  • HIV-transmission risk
  • Social Action Theory
  • condom use
  • nursing
  • self-efficacy
  • sexual behaviour


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