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Correlates of HIV Prevention Advocacy by Persons Living with HIV in Kampala, Uganda: A Cross-sectional Evaluation of a Conceptual Model.
Wagner, Glenn J; Bogart, Laura M; Matovu, Joseph K B; Okoboi, Stephen; Gwokyalya, Violet; Ninsiima, Susan; McBain, Ryan K; Storholm, Erik D; Malika, Nipher; Green, Harold D.
Afiliación
  • Wagner GJ; RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA. gwagner@rand.org.
  • Bogart LM; RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
  • Matovu JKB; Makerere University School of Public Health, Kampala, Uganda.
  • Okoboi S; Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
  • Gwokyalya V; Makerere University School of Public Health, Kampala, Uganda.
  • Ninsiima S; Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
  • McBain RK; RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
  • Storholm ED; San Diego State University, San Diego, CA, USA.
  • Malika N; RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
  • Green HD; University of Indiana Bloomington School of Public Health, Bloomington, IN, USA.
Int J Behav Med ; 2024 Mar 22.
Article en En | MEDLINE | ID: mdl-38519810
ABSTRACT

BACKGROUND:

HIV prevention advocacy empowers persons living with HIV (PLWH) to act as advocates and encourage members of their social networks to engage in protective behaviors such as HIV testing, condom use, and antiretroviral therapy (ART) adherence. We examined correlates of HIV prevention advocacy among PLWH in Uganda.

METHOD:

A cross-sectional analysis was conducted with baseline data from 210 PLWH (70% female; mean age = 40 years) who enrolled in a trial of an HIV prevention advocacy training program in Kampala, Uganda. The baseline survey, which was completed prior to receipt of the intervention, included multiple measures of HIV prevention advocacy (general and specific to named social network members), as well as internalized HIV stigma, HIV disclosure, HIV knowledge, positive living (condom use; ART adherence), and self-efficacy for HIV prevention advocacy.

RESULTS:

Consistent with our hypotheses, HIV disclosure, HIV knowledge, consistent condom use, and HIV prevention advocacy self-efficacy were all positively correlated with at least one measure of HIV prevention advocacy, after controlling for the other constructs in multiple regression analysis. Internalized HIV stigma was positively correlated with advocacy in bivariate analysis only.

CONCLUSION:

These findings identify which characteristics of PLWH are associated with acting as change agents for others in their social network to engage in HIV protective behaviors.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Behav Med Asunto de la revista: CIENCIAS DO COMPORTAMENTO Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Behav Med Asunto de la revista: CIENCIAS DO COMPORTAMENTO Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido