Amsterdam 2015
Amsterdam 2015
Abstract book - Abstract - 3441
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Abstract #3441  -  Poster 1
Session:
  58.31: Poster 1 (Poster) on Tuesday   in  Chaired by
Authors:
  Presenting Author:   Nurse specialist HIV Suzanne de Munnik - Catharina-ziekenhuis, Netherlands
 
  Additional Authors:  Dr  Kouassi Martin, Mr Brou Sylvain,  
Aim:
HIV positive men who have sex with men &#40MSM&#41 are often diagnosed with sexually transmitted infections &#40STI&#41, suggesting sexual risk behavior among this group. HIV nurse consultants discussing sexual risk behavior with MSM could improve health promotion in this group. We would like to get more insight in the psychosocial determinants that influence whether HIV nurse consultants discuss sexual risk behavior.
 
Method / Issue:
Therefore, an online self-reported questionnaire was conducted among the HIV nurse consultants in the Netherlands. We assessed factors from the theory of planned behavior, and factors from a previous qualitative study. Determinants that were assessed included attitudes, subjective norms, self-efficacy, and also shame, attention for prevention, time concerns. Outcomes were self-reported frequency of discussing sexual risk behavior &#40?-point likert scale&#41, and intention to discuss sexual risk behavior &#40sum score 4 items range 4-24, a=.76&#41.
 
Results / Comments:
A total of 60 out of 79 &#40?&#37&#41 hiv nurse consultants completed the questionnaire. Overall, participants reported high intentions to discuss sexual risk behavior &#40M = 17, SD = 3&#41. Intentions to discuss sexual risk behavior was higher among men, non-heterosexuals, participants who followed the Mainline course, had more positive attitudes, had ways to introduce the topic, and had the time or saw it as a priority to discuss sexual risk behavior &#40R2 = .54&#41. Self-reported discussion was associated with higher intentions to discuss sexual risk behavior, higher experienced knowledge, and being a nurse practitioner &#40R2 = .60&#41.
 
Discussion:
HIV nurse practitioners in the Netherlands report high intentions and high frequency of discussing sexual risk behavior among HIV positive MSM. However, these MSM increasingly become co-infected with STI. Efforts to improve discussing of sexual risk behavior could focus on getting more insights into what exactly is discussed and what is the effect is of what is discussed on sexual risk behavior among MSM. We could also explore whether the self-reported frequency of discussing sexual risk behavior corresponds with practice or are biased. This study offers insights into the factor that influence discussing sexual risk behavior with HIV positive MSM by HIV nurses, a group that could contribute greatly to their sexual health.
 
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