請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/72234
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 黃俊豪(Jiun-Hau Huang) | |
dc.contributor.author | Chia-Hsien Hsu | en |
dc.contributor.author | 徐嘉賢 | zh_TW |
dc.date.accessioned | 2021-06-17T06:30:26Z | - |
dc.date.available | 2028-08-01 | |
dc.date.copyright | 2018-10-03 | |
dc.date.issued | 2018 | |
dc.date.submitted | 2018-08-16 | |
dc.identifier.citation | Abamecha, F., Godesso, A., & Girma, E. (2013). Intention to voluntary HIV counseling and testing (VCT) among health professionals in Jimma zone, Ethiopia: the theory of planned behavior (TPB) perspective. BMC public health, 13, 140. doi:10.1186/1471-2458-13-140
Ajzen, I. (1991). The theory of planned behaviour. Organizational Behaviour and Human Decision Processes, 50, 179-211. De Young, 509-526. Ajzen, I. (2006). Constructing a theory of planned behavior questionnaire: Amherst, MA. Ajzen, I. (2011). The theory of planned behaviour: Reactions and reflections. Psychol Health, 26(9), 1113-1127. doi:10.1080/08870446.2011.613995 Andrew, B. J., Mullan, B. A., de Wit, J. B. F., Monds, L. A., Todd, J., & Kothe, E. J. (2016). Does the Theory of Planned Behaviour Explain Condom Use Behaviour Among Men Who have Sex with Men? A Meta-analytic Review of the Literature. AIDS and Behavior, 20(12), 2834-2844. doi:10.1007/s10461-016-1314-0 Armitage, C. J., & Conner, M. (2001). Efficacy of the Theory of Planned Behaviour: a meta-analytic review. Br J Soc Psychol, 40(Pt 4), 471-499. Ayodele, O. (2017). The Theory of Planned Behavior as a Predictor of HIV Testing Intention. Am J Health Behav, 41(2), 147-151. doi:10.5993/ajhb.41.2.5 Bavinton, B. R., Brown, G., Hurley, M., Bradley, J., Keen, P., Conway, D. P., . . . Prestage, G. (2013). Which gay men would increase their frequency of HIV testing with home self-testing? AIDS Behav, 17. doi:10.1007/s10461-013-0450-z Bowling, A. (2009). Research Methods in Health: Investigating Health and Health Sevices (3rd ed.). New York, NY: Open University Press. Carballo-Dieguez, A., Frasca, T., Balan, I., Ibitoye, M., & Dolezal, C. (2012). Use of a rapid HIV home test prevents HIV exposure in a high risk sample of men who have sex with men. AIDS Behav, 16(7), 1753-1760. doi:10.1007/s10461-012-0274-2 Coker, T. R., Austin, S. B., & Schuster, M. A. (2009). Health and healthcare for lesbian, gay, bisexual, and transgender youth: reducing disparities through research, education, and practice. J Adolesc Health, 45(3), 213-215. doi:10.1016/j.jadohealth.2009.06.020 Coker, T. R., Austin, S. B., & Schuster, M. A. (2010). The health and health care of lesbian, gay, and bisexual adolescents. Annu Rev Public Health, 31, 457-477. doi:10.1146/annurev.publhealth.012809.103636 Conway, D. P., Holt, M., Couldwell, D. L., Smith, D. E., Davies, S. C., McNulty, A., . . . Study, S. R. H. T. (2015). Barriers to HIV testing and characteristics associated with never testing among gay and bisexual men attending sexual health clinics in Sydney. J Int AIDS Soc, 18(1), 20221. Figueroa, C., Johnson, C., Verster, A., & Baggaley, R. (2015). Attitudes and Acceptability on HIV Self-testing Among Key Populations: A Literature Review. AIDS Behav, 19(11), 1949-1965. doi:10.1007/s10461-015-1097-8 Flowers, P., Riddell, J., Park, C., Ahmed, B., Young, I., Frankis, J., . . . McDaid, L. M. (2017). Preparedness for use of the rapid result HIV self-test by gay men and other men who have sex with men (MSM): a mixed methods exploratory study among MSM and those involved in HIV prevention and care. HIV Med, 18(4), 245-255. doi:10.1111/hiv.12420 Fylkesnes, K., & Siziya, S. (2004). A randomized trial on acceptability of voluntary HIV counselling and testing. Trop Med Int Health, 9(5), 566-572. doi:10.1111/j.1365-3156.2004.01231.x Greacen, T., Friboulet, D., Blachier, A., Fugon, L., Hefez, S., Lorente, N., & Spire, B. (2013). Internet-using men who have sex with men would be interested in accessing authorised HIV self-tests available for purchase online. AIDS Care, 25(1), 49-54. doi:10.1080/09540121.2012.687823 Johnson, C. C., Kennedy, C., Fonner, V., Siegfried, N., Figueroa, C., Dalal, S., . . . Baggaley, R. (2017). Examining the effects of HIV self-testing compared to standard HIV testing services: a systematic review and meta-analysis. J Int AIDS Soc, 20(1), 1-10. doi:10.7448/ias.20.1.21594 Kakoko, D. C., Astrom, A. N., Lugoe, W. L., & Lie, G. T. (2006). Predicting intended use of voluntary HIV counselling and testing services among Tanzanian teachers using the theory of planned behaviour. Soc Sci Med, 63(4), 991-999. doi:10.1016/j.socscimed.2006.02.016 Katz, D. A., Golden, M. R., & Stekler, J. D. (2012). Use of a home-use test to diagnose HIV infection in a sex partner: a case report. BMC Res Notes, 5, 440. doi:10.1186/1756-0500-5-440 Koh, K. C., & Yong, L. S. (2014). HIV risk perception, sexual behavior, and HIV prevalence among men-who-have-sex-with-men at a community-based voluntary counseling and testing center in Kuala Lumpur, Malaysia. Interdisciplinary perspectives on infectious diseases, 2014. Levi, J., Raymond, A., Pozniak, A., Vernazza, P., Kohler, P., & Hill, A. (2016). Can the UNAIDS 90-90-90 target be achieved? A systematic analysis of national HIV treatment cascades. BMJ Global Health, 1(2), e000010. Liu, Y., Sun, X., Qian, H. Z., Yin, L., Yan, Z., Wang, L., . . . Amico, K. R. (2015). Qualitative Assessment of Barriers and Facilitators of Access to HIV Testing Among Men Who Have Sex with Men in China. AIDS Patient Care STDS, 29(9), 481-489. doi:10.1089/apc.2015.0083 Logie, C. H., Lacombe-Duncan, A., Brien, N., Jones, N., Lee-Foon, N., Levermore, K., . . . Newman, P. A. (2017). Barriers and facilitators to HIV testing among young men who have sex with men and transgender women in Kingston, Jamaica: a qualitative study. J Int AIDS Soc, 20(1), 1-9. doi:10.7448/ias.20.1.21385 MacKellar, D. A., Hou, S.-I., Whalen, C. C., Samuelsen, K., Sanchez, T., Smith, A., . . . Sullivan, P. (2011). Reasons for not HIV testing, testing intentions, and potential use of an over-the-counter rapid HIV test in an internet sample of men who have sex with men who have never tested for HIV. Sex Transm Dis, 38. doi:10.1097/OLQ.0b013e31820369dd Madden, T. J. (1986). Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control. Journal of Experimental Social Psychology, 22(5), 453-474. McEachan, R. R. C., Conner, M., Taylor, N. J., & Lawton, R. J. (2011). Prospective prediction of health-related behaviours with the theory of planned behaviour: A meta-analysis. Health Psychology Review, 5(2), 97-144. Medline, A., Daniels, J., Marlin, R., Young, S., Wilson, G., Huang, E., & Klausner, J. D. (2017). HIV Testing Preferences Among MSM Members of an LGBT Community Organization in Los Angeles. J Assoc Nurses AIDS Care. doi:10.1016/j.jana.2017.01.001 Merchant, R. C., Clark, M. A., Liu, T., Rosenberger, J. G., Romanoff, J., Bauermeister, J., & Mayer, K. H. (2017). Preferences for oral fluid rapid HIV self-testing among social media-using young black, Hispanic, and white men-who-have-sex-with-men (YMSM): implications for future interventions. Public health, 145, 7-19. doi:10.1016/j.puhe.2016.12.002 Mirandola, M., Gios, L., Joanna Davis, R., Furegato, M., Breveglieri, M., Folch, C., . . . Stehlikova, D. (2016). Socio-demographic factors predicting HIV test seeking behaviour among MSM in 6 EU cities. Eur J Public Health. doi:10.1093/eurpub/ckw144 Nakamura, M., Hosoya, Y., Umeshita, K., Yano, M., Doki, Y., Miyashiro, I., . . . Lefor, A. T. (2011). Postoperative quality of life: development and validation of the “Dysfunction after Upper Gastrointestinal Surgery” scoring system. Journal of the American College of Surgeons, 213(4), 508-514. Pant Pai, N., Balram, B., Shivkumar, S., Martinez-Cajas, J. L., Claessens, C., Lambert, G., . . . Joseph, L. (2012). Head-to-head comparison of accuracy of a rapid point-of-care HIV test with oral versus whole-blood specimens: a systematic review and meta-analysis. Lancet Infect Dis, 12(5), 373-380. doi:10.1016/S1473-3099(11)70368-1 Park, J. N., Papworth, E., Billong, S. C., Elat, J. B., Kassegne, S., Grosso, A., . . . Baral, S. (2014). Correlates of prior HIV testing among men who have sex with men in Cameroon: a cross-sectional analysis. BMC public health, 14(1), 1220. doi:10.1186/1471-2458-14-1220 Patel, P., Borkowf, C. B., Brooks, J. T., Lasry, A., Lansky, A., & Mermin, J. (2014). Estimating per-act HIV transmission risk: a systematic review. AIDS, 28(10), 1509-1519. doi:10.1097/qad.0000000000000298 Stephenson, R., Sullivan, P. S., Salazar, L. F., Gratzer, B., Allen, S., & Seelbach, E. (2011). Attitudes towards couples-based HIV testing among MSM in three US cities. AIDS Behav, 15. doi:10.1007/s10461-011-9893-2 Taiwan CDC. (2016). Statistics of HIV/AIDS 2014-2016. Retrieved from http://www.cdc.gov.tw/professional/downloadfile.aspx?fid=CF697A305BCC94CF Taiwan CDC. (2017). Statistics of HIV/AIDS 2015-2017. Retrieved from https://www.syndriver.com/portal/#/sharing/8fb08415cefb47d1b8567369c4217614 UNAIDS. (2014). 90-90-90: An ambitious treatment target to help end the AIDS epidemic. Retrieved from http://www.unaids.org/sites/default/files/media_asset/90-90-90_en_0.pdf Weatherburn, P., Schmidt, A. J., Hickson, F., Reid, D., Berg, R. C., Hospers, H. J., & Marcus, U. (2013). The European Men-who-have-sex-with-men internet survey (EMIS): design and methods. Sexuality Research and Social Policy, 10(4), 243-257. WHO. (2015). Self-testing helps combat HIV in adolescents. Retrieved from http://www.who.int/features/2015/hiv-self-testing/en/ WHO. (2016). Guidelines on HIV self-testing and partner notification. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/251655/9789241549868-eng.pdf?sequence=1 Xu, Y., Zhang, Z., Li, D., Liu, Y., Pan, S. W., Qi, X., . . . Ruan, Y. (2013). Willingness to use the oral fluid HIV rapid test among men who have sex with men in Beijing, China. PLoS One, 8(5), e64652. doi:10.1371/journal.pone.0064652 Xun, H., Kang, D., Huang, T., Qian, Y., Li, X., Wilson, E. C., . . . Ma, W. (2013). Factors associated with willingness to accept oral fluid HIV rapid testing among most-at-risk populations in China. PLoS One, 8(11), e80594. doi:10.1371/journal.pone.0080594 Zhong, F., Tang, W., Cheng, W., Lin, P., Wu, Q., Cai, Y., . . . Xu, H. (2017). Acceptability and feasibility of a social entrepreneurship testing model to promote HIV self-testing and linkage to care among men who have sex with men. HIV Med, 18(5), 376-382. doi:10.1111/hiv.12437 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/72234 | - |
dc.description.abstract | 背景:根據台灣疾病管制署統計,台灣愛滋感染現況有逐年攀升之趨勢,其中感染者有較高之比例為年輕男性間性行為者 (young men who have sex with men, YMSM),再者,目前於台灣知道自身HIV感染狀態之感染者僅有74%,與UNAIDS所設定之「90-90-90」目標仍存有差距。近年新型態之「愛滋唾液快速自我篩檢」(oral rapid self-testing for HIV, HIV ORST) 有增加隱私性與突破時空限制等特質,可為潛在使用者(如:YMSM)之選擇。然而,台灣目前對於YMSM使用HIV ORST之意圖,以及影響其使用HIV ORST之相關因素,仍缺乏具理論基礎之調查與討論。
目的:透過以計劃行為理論 (Theory of Planned Behavior, TPB) 作為架構之問卷調查,了解台灣YMSM使用HIV ORST之意圖,及其使用HIV ORST之相關影響因素,並以HIV篩檢經驗進行分層分析,以供未來發展適性衛教或介入策略之實證參考依據。 方法:本研究係於2017年12月至2018年03月間,透過網路匿名自填式問卷,針對台灣15–39歲之YMSM進行招募,共計有2,063位HIV陰性之YMSM參與並納入最終統計分析。問卷題項主要依據TPB三大構念(行為態度、主觀規範與自覺行為控制)設計而成,透過探索性因素分析萃取出六個潛在因素,並運用多變項邏輯斯迴歸,以HIV篩檢經驗分層,分別探討影響YMSM使用HIV ORST意圖之相關因素。 結果:若過去無HIV篩檢經驗之YMSM具以下特質時,其未來具高使用HIV ORST意圖之勝算比皆顯著上升:具相對中立 (AOR=1.54) 與相對正向 (AOR=1.64) 之正向行為結果評價、具相對支持之主觀規範 (AOR=1.68)、在與HIV ORST相關之有利情境下具相對中度之自覺行為控制 (AOR=1.69),以及在與性伴侶相關之有利情境下具相對中度 (AOR=1.96) 與相對高度 (AOR=3.46) 之自覺行為控制;而過去有HIV篩檢經驗之YMSM則是具有以下特質時,其未來具高使用HIV ORST意圖之勝算比會顯著上升:具相對中立 (AOR=1.57) 與相對正向 (AOR=2.80) 之正向行為結果評價、具相對支持之主觀規範 (AOR=1.43)、在與HIV ORST相關之有利情境下具相對高度之自覺行為控制 (AOR=1.59),以及在與性伴侶相關之有利情境下具相對中度 (AOR=1.72) 與相對高度 (AOR=1.61) 之自覺行為控制。 結論:此研究運用TPB為架構,探討台灣YMSM使用HIV ORST之意圖,並以有無HIV篩檢之經驗進行分層分析。結果顯示「正向行為結果評價」及「與性伴侶相關之有利情境下之自覺行為控制」,分別為有、無篩檢經驗者,對於使用HIV ORST意圖之重要相關因子。此研究之結果,可作為發展適性之HIV/AIDS預防措施之實證參考依據。 | zh_TW |
dc.description.abstract | Background: According to statistics of the Taiwan Centers for Disease Control (CDC), young men who have sex with men (YMSM) are at disproportionately higher risk for HIV infection. Introduced by Taiwan CDC, oral rapid self-testing (ORST) for HIV has recently become available in Taiwan on a limited scale. Prior research has also found that previous HIV testing experience had moderating effects on future intention to uptake HIV testing. However, little is known about whether and how YMSM with different HIV testing experiences differed in their HIV ORST intention and associated factors.
Objectives: This study aimed to examine the factors related to HIV ORST intention among YMSM in Taiwan using the Theory of Planned Behavior (TPB), separately by their HIV testing experience. Methods: An anonymous online survey was conducted between December 2017 and April 2018 among YMSM in Taiwan. Responses from 2,063 HIV-negative participants were included in the multivariate logistic regression analyses. Data were stratified by HIV testing experience to explore the TPB-based factors linked to higher intention to use HIV ORST. Items derived from the TPB constructs—Attitude Toward the Behavior (ATB), Subjective Norm (SN), and Perceived Behavioral Control (PBC)—were factor-analyzed to form 6 factor-based subscales, whose scores were trichotomized. Results: Among YMSM with HIV testing experience, those who perceived: (1) neutral (AOR=1.54) and positive (AOR=1.64) ATB about positive outcomes, (2) neutral (AOR=1.68) SN, (3) intermediate (AOR=1.69) PBC under facilitating conditions related to HIV ORST, and (4) intermediate (AOR=1.96) and high (AOR=3.46) PBC under facilitating conditions related to sex partners, were more likely to have higher intention to use HIV ORST. By contrast, among YMSM without HIV testing experience, they were more inclined to use HIV ORST when they perceived: (1) neutral (AOR=1.84) and positive (AOR=1.84) ATB about positive outcomes, (2) supportive (AOR=1.57) SN, (3) high (AOR=2.80) PBC under facilitating conditions related to HIV ORST, (4) and intermediate (AOR=1.43) and high (AOR=1.59) PBC under facilitating conditions related to sex partners. Conclusions: For YMSM with different HIV testing experiences, TPB-based factors were differentially associated with HIV ORST intention and had important implications for future practice—e.g., among ever-tested YMSM, we should increase their positive outcome expectations regarding ORST, but among never-tested YMSM, we should increase their sex partner related self-efficacy to use ORST. These findings can inform future HIV/AIDS prevention initiatives tailored according to HIV testing experience to optimize the program effectiveness. | en |
dc.description.provenance | Made available in DSpace on 2021-06-17T06:30:26Z (GMT). No. of bitstreams: 1 ntu-107-R05850002-1.pdf: 1556786 bytes, checksum: 8bf02521e9ee281757246bb9d2409b82 (MD5) Previous issue date: 2018 | en |
dc.description.tableofcontents | 誌謝 i
中文摘要 iv Abstract vi Contents viii List of Tables x Chapter 1 Introduction 1 1.1 HIV epidemiology in Taiwan 1 1.2 Current status of HIV testing and barriers 1 1.3 Oral rapid self-testing for HIV (HIV ORST) and intention to use 2 1.4 Background characteristics 3 1.5 Theory of Planned Behavior (TPB) 5 1.6 HIV testing experience 6 1.7 The current study 7 Chapter 2 Methods 8 2.1 Conceptual framework 8 2.2 Participants 8 2.3 Measures 9 2.3.1 HIV ORST intention 9 2.3.2 TPB variables 9 2.3.3 Background characteristics 11 2.4 Procedure 12 Chapter 3 Results 15 3.1 HIV ORST intention and background characteristics among sampled YMSM in Taiwan 15 3.2 Bivariate associations of six TPB factors with HIV ORST intention and HIV testing experience 15 3.3 Bivariate analysis of six TPB factors in relation to HIV ORST intention, by HIV testing experience 16 3.4 Multivariate logistic regression analysis of six TPB factors and high HIV ORST intention, by HIV testing experience 16 3.5 Multivariate logistic regression analysis of individual TPB items and high HIV ORST intention, by HIV testing experience 18 Chapter 4 Discussion 20 4.1 ATB about positive outcomes linked to HIV ORST intention regardless of HIV testing experience 20 4.2 Overall ATB about negative outcomes not associated with HIV ORST intention regardless of HIV testing experience 21 4.3 SN related to HIV ORST intention 22 4.4 Significant PBC under facilitating conditions related to HIV ORST differed by HIV testing experience 23 4.5 Higher PBC under facilitating conditions related to sex partners was linked to higher HIV ORST intention 25 4.6 Intermediate PBC under constraining conditions interacted with HIV ORST experience among YMSM with HIV testing experience 27 4.7 Cost of the HIV ORST kit associated with use intention regardless of HIV testing experience 27 4.8 Limitations and future directions 28 Chapter 5 Conclusions 30 References 31 | |
dc.language.iso | en | |
dc.title | 運用計劃行為理論探討台灣年輕男性間性行為者使用愛滋唾液快速自我篩檢之意圖 | zh_TW |
dc.title | Intention to Use Oral Rapid Self-Testing for HIV among Young Men Who Have Sex with Men (YMSM) in Taiwan: An Exploration Using the Theory of Planned Behavior | en |
dc.type | Thesis | |
dc.date.schoolyear | 106-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 莊?智(Ying-Chih Chuang),莊苹(Peing Chuang) | |
dc.subject.keyword | 使用愛滋唾液快速自我篩檢之意圖,年輕男性間性行為者,計劃行為理論,HIV 篩檢經驗,台灣, | zh_TW |
dc.subject.keyword | Oral rapid self-testing for HIV (HIV ORST),Young men who have sex with men (YMSM),Theory of Planned Behavior (TPB),HIV testing experience,Taiwan, | en |
dc.relation.page | 46 | |
dc.identifier.doi | 10.6342/NTU201803737 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2018-08-16 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 健康行為與社區科學研究所 | zh_TW |
顯示於系所單位: | 健康行為與社區科學研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-107-1.pdf 目前未授權公開取用 | 1.52 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。