TY - JOUR AU - Htay, Nyi Nyi AU - Maneesriwongul, Wantana AU - Phuphaibul, Rutja AU - Orathai, Pisamai PY - 2013/08/28 Y2 - 2024/03/28 TI - A Causal Model of Condom Use among People Living with HIV/ AIDS in Myanmar JF - Pacific Rim International Journal of Nursing Research JA - PRIJNR VL - 17 IS - 3 SE - Original paper DO - UR - https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/8391 SP - 234-248 AB - <p>Using a correlational study design, a causal model of condom use was proposed&nbsp;and tested with 506 people living with HIV/AIDS in Mandalay, Myanmar. The constructs&nbsp;and conceptual relationships of this model were based on the Information-Motivation-Behavioral Skills model of changing AIDS-risk behavior. Self-reported structured questionnaires&nbsp;were used to collect the data. The hypothesized model was tested with the robust maximum&nbsp;likelihood method using the asymptotic covariance matrix employed by LISREL programme.<br>Findings revealed that 48.22% of participants reported always using condoms but&nbsp;15.81% never used condoms when having sex with their partners in the past three&nbsp;months. The results showed that the last modified model adequately fitted the empirical&nbsp;data, and accounted for 74.70% of the variance for condom use among people living&nbsp;with HIV/AIDS. Moreover, accessibility/availability of condoms and condom-use skills&nbsp;had strong direct effects on condom use. Knowledge about transmission and prevention&nbsp;of HIV; attitudes towards condom use; condom norms; and perceived vulnerability had&nbsp;significant indirect effects on condom use through condom self-efficacy and condom-use&nbsp;skills. Condom self-efficacy had a powerful direct effect on condom-use skills as well&nbsp;as a significant indirect effect on condom use through condom-use skills. The nursing&nbsp;implications arising from this study include raising awareness of HIV reinfection among&nbsp;people living with HIV/AIDS and providing peer-based education and condom-use skills&nbsp;training sessions at the HIV treatment and care settings to promote condom self-efficacy&nbsp;together with condom-use skills.</p><p>&nbsp;</p> ER -