Juan A Esquivel-Mendoza, Elliott R Weinstein, Bharat Bharat, Nicolas Cardenas, Marc Puccinelli, Matthew J Mimiaga, Christina Psaros, Susanne Doblecki-Lewis, Douglas Krakower, Kenneth Mayer, Steven A Safren
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引用次数: 0
Abstract
Self-efficacy may influence several stages of the PrEP care continuum, yet most validated measures capture only one component rather than a comprehensive approach. To address this gap, this study validated the PrEP Use Self-Efficacy (PrEP-USE) scale. Sexual minority men (N = 300) prescribed daily oral PrEP completed a baseline assessment including sociodemographics, the PrEP-USE scale, self-reported adherence, and PrEP-related variables (attitudes, stigma, subjective and descriptive norms) as part of a larger randomized controlled trial. Exploratory factor analysis identified a three-factor model (Challenges, Management, Routine) with acceptable fit. Overcoming challenges was associated with PrEP adherence (b = 1.09, p < .01) and correlated with all PrEP-related variables (p < .05). Management correlated with all variables (p < .05) but not adherence. Routine was associated with adherence (b = 2.42, p < .001) and only with PrEP attitudes (p < .05). Integrating the PrEP-USE scale into intervention frameworks may strengthen self-efficacy measurement.
期刊介绍：
Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.
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