The Health Belief Model: A Qualitative Study to Understand High-risk Sexual Behavior in Chinese Men Who Have Sex With Men

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• 作者：Xianhong Li ; PhD ; RN ; ^{xianhong_li228@hotmail.com" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Yunxiao Lei ; RN ; BSNAuthor Vitae ; Honghong Wang ; PhD ; RNAuthor Vitae ; Guoping He ; MDAuthor Vitae ; Ann Bartley Williams ; EdD ; RNC ; FAANAuthor Vitae
• 关键词：China ; health belief ; high-risk sexual behavior ; HIV ; men who have sex with men
• 刊名：Journal of the Association of Nurses in AIDS Care
• 出版年：2016
• 出版时间：January-February 2016
• 年：2016
• 卷：27
• 期：1
• 页码：66-76
• 全文大小：422 K

文摘

The Health Belief Model (HBM) has been widely used to explain rationales for health risk-taking behaviors. Our qualitative study explored the applicability of the HBM to understand high-risk sexual behavior in Chinese men who have sex with men (MSM) and to elaborate each component of the model. HIV knowledge and perception of HIV prevalence contributed to perceived susceptibility. An attitude of treatment optimism versus hard life in reality affected perceived severity. Perceived barriers included discomfort using condoms and condom availability. Perceived benefits included prevention of HIV and other sexually transmitted illnesses. Sociocultural cues for Chinese MSM were elaborated according to each component. The results demonstrated that the HBM could be applied to Chinese MSM. When used with this group, it provided information to help develop a population- and disease-specific HBM scale. Results of our study also suggested behavioral interventions that could be used with Chinese MSM to increase condom use.