,514 32,545 1,969 16: % HIV ( 48.9%) [2] (Men who have sex with men, MSM) [3] [4] (Theory of planned behavior, TPB) [5-9

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1 251 1,4 2,3 4 5, ,200 Content Validity Index (CVI) % 2018:28: (United Nations Programme on HIV/AIDS, UNAIDS) ,600 HIV 210 HIV 100 [1] DOI: /ICJ _28(6)

2 ,514 32,545 1,969 16: % HIV ( 48.9%) [2] (Men who have sex with men, MSM) [3] [4] (Theory of planned behavior, TPB) [5-9] 96 [9] (TPB) (attitudes toward the behavior, AT) (subjective norms, SN) (perceived behavioral control, PBC) [10] Ajzen ( ) ( ) [11] (behavioral

3 253 intention, BI) [10] [12] [5-6] [7] [13] [14] 0.92 (OR = 0.92, 95% CI = 0.86, 0.99) [6] [15] 個人特性 : 1. 人口學資料 : 教育程度年齡 2. 第一次性行為年齡 3. 酒精及成癮藥物使用經驗保險套使用行為意圖計畫行為理論重要變項 : 1. 態度 2. 主觀規範 3. 知覺行為控制

4 254 (KMUHIRB ) () % (4 ) (16 ) (12 ) (16 ) (4 ) 48 Likert (1~7 ) Huang (2008) Content Validity Index (CVI) Cronbach s SPSS 19.0 X 2 test t (SD = 8.16) (n = %) 19.9 (SD = 3.37) (n = %) () 18.2% 54.7% 27.1% 60.1%

5 255 (N = 203) (%) P ( ).475 Mean (SD) 34.3 (8.16) > SD: Standard deviation (N = 203) n (%) n (%) n (%) n (%) n (%) n (%) n (%) (18.2) (13.8) (13.8) (16.7) (22.2) (12.8) (2.5) (54.7) (30.5) (5.4) (5.9) (1.5) (1.5) (.5) (27.1) (15.3) (10.3) (16.3) (20.2) (8.9) (2.0) (60.1) (28.6) (5.4) (4.4) 0.00 (1.0) (.5)

6 ( ) (p <.01) (p <.001) (N = 203) p p < <

7 257 ( ) (N = 203) (B) (Beta) t F *** *** * R *** *** *** R *P <.05 **P <.01 ***<.001 (N = 203) (B) (Beta) t F *** *** ** R *** *** * R *P <.05 **P <.01 ***<

8 % 15.8% 31.3% 29.2% [15-16] 60% [3] (CD4) [3-4] [17] ( ) [18] [18] HIV [19] ( )

9 259 [6-7] HIV [19] ( ) [5,7] [19] [5-6,20] [5,7,20]

10 260 [6,20] Ajzen (1985) Ozakinci Weinman (2006) [7,20] ( ) [3] ( ) ( ) ( ) 7 2

11 261 ( ) HIV KMUH101-1M85 ( ) () [6,8] 1. UNAIDS (2016). Global summary of the AIDS epidemic Available data/en/ 2. ( ) HIV/AIDS B D&nowtreeid=2285B9745A0A3 CBB&tid=99E64BB4C7A2EF8E ;29: Ko NY, Lui HY, Lee HC, et al: One year followup of relapse of risky behaviors and incidence of syphilis among patients enrolled in the HIV case management program. AIDS Behav 2011;127: ;10: ;26: ;14:

12 Albarracin D, Johnson BT, Fishbein M, et al: Theoris of reasoned action and planned behavior as models of condom use: a meta-analysis. Psychol Bull 2001;127: Ajzen I: From intentions to actions: A theory of planned behavior. In: J Kukl & J Beckman (Eds), Action-control: From cognition to behavior. Heidelberg: Springer. 1985: Fishbein M, Ajzen I: Belief, Attitude, Intention, and Behavior : An Introduction to Theory and Research. Reading. MA: Addison-Wesley Alvarez C, Villurruel A, Zhou Y, et al: Predictors of condom use among Mexican adolescents. Res Theory Nurs Pract 2010;24: ;16: Henk B, Tshilidzi M: Psychosocial correlates of HIV protection motivation among black adolescents in venda, South Africa. AIDS Educ Prev 2005;17: ;9: Norris AE, Phillips RE, Statton MA, et al: Condom use by male, enlisted, deployed Navy personnel with multiple partners. Mil Med 2005;170: ;88: ;63: HIV 2006;16: Molla M, Astrom AN, Berhane Y: Applicability of the theory of planned behavior to intended and self-reported condom use in a rural Ethiopian population. AIDS Care 2007;19: Ozakinci G, Weinman J: Determinants of condom use intentions and behavior among Turkish youth: a theoretically based investigation. Journal Of HIV/AIDS Prevention In Children & Youth 2006;7:73-95.

13 263 Factors Associated with Intention to Use Condoms among MSM Receiving HIV Case Management Li-Hua Chen 1,4, Wei-Ru Lin 2,3, Shiang Jiun Wu 4, Ming-Chu Feng 5,6, Chii-Jun Chiou Kaohsiung Medical University Hospital, Kaohsiung Medical University 1 Negative Pressure Isolation Ward, 2 Infection Control Center, 3 Division of Infectious Diseases, 4 Department of Nursing; 5 Kaohsiung Municipal Ta-Tung Hospital Department of Nursing; 6 Fooyin University College of Nursing; 7 Kaohsiung Medical University College of Nursing, Kaohsiung, Taiwan Despite an HIV case management plan aimed at reducing risk behavior in people living with HIV in Taiwan, about 2,200 new infections occur every year. Therefore, the factors associated with the intention to use condoms in individuals who are HIV positive and receiving HIV case management are important issues in HIV/AIDS prevention. We used the theory of planned behavior to investigate the intention to use condoms and factors associated with these intentions among MSM receiving HIV case management. Our study used a cross-sectional design and a structured questionnaire as the measurement instrument. We used the questionnaire developed by Huang (2008), with some partial modifications based on the characteristics of our study participants. The Content Validity Index (CVI) of the four scales as assessed by experts ranged from 0.84 to We used purposive sampling to select participants who had been followed-up at least twice as part of the HIV case management program in a medical center in southern Taiwan. A total of 203 respondents completed the questionnaire (completion rate of 94.8%). We found that the main explanatory factors associated with the intention to use condoms among MSM during oral and anal sex were perceived behavioral control and subjective norms. These findings can be used to inform clinical care and government policy. Key words: Case management, gay male, intention of condom use behaviors, planned behavior theory

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