The relationship of self-efficacy, social support, self-esteem, and hope with sex related health promotion behaviors in HIV-infected and uninfected women
Review TypeNone: Degree-based Submission
Repository Posting Date2020-02-20T16:37:16Z
Author(s)Timmons, Shirley Mae
Author DetailsDr. Shirley M. Timmons, PhD, RN, CNE
Lead Author Sigma AffliationAlpha Xi
Level of EvidenceDescriptive/Correlational
Research ApproachQuantitative Research
CINAHL HeadingsSelf-Efficacy--Evaluation; Health Behavior--Evaluation; HIV Infections--Prevention and Control; HIV-Infected Patients--Psychosocial Factors; Sexual Health; Self-Efficacy; Women; Health Promotion; Health Behavior; HIV Infections; HIV-Infected Patients
The Sex Related Health Promotion Behaviors Model (SRHPBM), suggesting a positive relationship between self-efficacy, social support, self esteem, hope, and sex related health promotion behaviors, was used in this descriptive study to guide the investigation of five research questions: (1& 2) are variables in the (SRHPBM), (self-efficacy, hope, social support, self esteem) significantly associated with sex related health promotion behaviors in HIV+ and HIV− women? (3 & 4) are there significant differences in self-efficacy, social support, self esteem, hope, and sex related health promotion behaviors in HIV+ and HIV− women and (5) Do self-efficacy, social support, self esteem, and hope predict sex related health promotion behaviors in HIV+ and HIV− women? Data were collected on 81 HIV− women recruited from rural/urban South Carolina sites and 89 HIV+ women recruited in the Sowell et al. (1998) HIV+ Women: Decisions Decreasing Perinatal Transmission study from South/North Carolina and Georgia sites chosen to maximize number and diversity of participants. HIV+/HIV− women shared study inclusion criteria: (a) age, 18–44; (b) no dementia, and (c) English speaking. After informed consent, respondents completed a Demographic Questionnaire and six data collection tools: (a) Health Promotion Behavior Self-efficacy, (b) Tangible Support Scale, (c) Emotional Support Scale, (d) Rosenberg Self Esteem Scale, (e) Herth Hope index and (f) Sex Related Health Promotion Behaviors Descriptive data analysis, Pearson's correlation coefficient, analysis of covariance, and multiple regression analysis were used to analyze demographic data, questions 1 & 2, questions 3 & 4, and question 5, respectively. For HIV+ and HIV− women, significant predictors of monogamy and sex without drugs/alcohol were monogamy self efficacy and sex self-efficacy without drugs/alcohol, respectively. For HIV+ women, health services seeking also predicted sex without drugs/alcohol. Monogamy self-efficacy predicted decreased health services seeking for HIV+ women and emotional support predicted increased health services seeking in HIV− women, No factors predicted condom use in HIV− women and condom use self-efficacy predicted condom use in HIV+ women. HIV+/HIV− women should be targeted for self-efficacy research and comprehensive skills training designed to meet diverse needs (bio-psycho-social) associated with sex related health promotion behaviors.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9952757; ProQuest document ID: 304535433. The author still retains copyright.
Advisor(s)Sowell, Richard L.
Degree GrantorUniversity of South Carolina
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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