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. 2014 Oct;19(10):1271-8.
doi: 10.1177/1359105313488977. Epub 2013 Jul 1.

Age and sexual risk among Black men who have sex with men in South Africa: the mediating role of attitudes toward condoms

Farnaz Kaighobadi  1 , Justin Knox  2 , Vasu Reddy  3 , Theo Sandfort  4
Affiliations

Age and sexual risk among Black men who have sex with men in South Africa: the mediating role of attitudes toward condoms

Farnaz Kaighobadi et al. J Health Psychol. 2014 Oct.

Abstract

The results of research linking age and sexual risk among men who have sex with men have been inconsistent. This study assessed the relationship between age and sexual risk among 193 Black men who have sex with men in Pretoria. Older men who have sex with men reported engaging in more frequent unprotected insertive anal intercourse. We examined whether components of Information-Motivation-Behavioral Skills model mediated this relationship. Results showed that (1) older age predicts less positive attitudes toward condoms, (2) less positive attitudes predict more frequent unprotected insertive anal intercourse, and (3) attitudes mediate the relationship between age and frequency of unprotected insertive anal intercourse. We consider two possible explanations for these findings: a developmental trajectory and a cohort effect.

Keywords: Information–Motivation–Behavioral Skills model; South Africa; age; men who have sex with men; sexual-risk behavior.

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Figures

Figure 1
Figure 1
The relationship between MSM’s age and frequency of unprotected anal intercourse is mediated by attitudes towards condoms use component of the IMB model. Note. The numbers represent the standardized regression coefficients or β weights.
See this image and copyright information in PMC

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