Intervention "Connect" was independently associated with improved self-reported resilience to risky sexual behaviors, though not with a reduction in those behaviors in multivariate analyses. This is the first Internet-based intervention designed to reduce HIV/AIDS sexual risk among Mexican adolescents.

Introduction:In United States, roughly 1/5 of all HIV infected persons remain undiagnosed. Because HIV testing is critical to improve prevention efforts, more research is needed to understand the characteristics of individuals who get tested for HIV.Methods: This secondary analysis of the 2010 Texas Behavioral Risk Factor Surveillance System used data from 9,744 respondents between 18-64 years of age to evaluate the relationship between demographic characteristics (gender, race/ethnicity, age, area of residence, education, marital status, employment status, and income), healthcare characteristics (insurance status, having a primary provider, and access to healthcare), and HIV risk behaviors with ever having received an HIV test.Results: Significant associations between gender, age, area of residence, marital and employment status, and HIV risk behaviors and HIV testing in a Texas population by race/ethnicity were observed.Conclusions:These findings have important implications for future research into racial/ethnic disparities between lifetime HIV testing, and can help guide practitioners who work with populations at risk for HIV/AIDS in Texas.

RESUMENObjetivo: Determinar si el uso de material sexual en línea influye en la conducta sexual de riesgo para VIH/SIDA en los jóvenes universitarios. Se utilizaron conceptos de la Teoría Cognitiva Social.Método: Diseño descriptivo correlacional, participaron 200 jóvenes universitarios, seleccionados por muestreo aleatorio sistemático (k = 11).Resultados: Los jóvenes que usaron material sexual en línea en medios ricos para masturbarse (r s = .34), excitarse (r s = .29), estimularse (r s = .29), buscar una aventura (r s = .30), conocer gente (r s = .27), imágenes (r s = .14) y cibersexo (r s = .25) mostraron mayor conducta sexual de riesgo para VIH/SIDA (p < .01). El uso de material sexual en línea para masturbarse (R 2 = 6.4%, F [1,189] = 12.80, p < .001), buscar una aventura (R 2 = 4.8%, F [1,189] = 9.56, p < .01), conocer gente (R 2 = 5.9%, F [1,189] = 11.88, p < .01) y tener cibersexo (R 2 = 4.1%, F [1,189] = 8.07, p < .01) presentó un efecto positivo y significativo en la conducta sexual de riesgo para VIH/SIDA. Conclusiones:El uso de material sexual en línea influye en la conducta sexual de riesgo para VIH/SIDA. ABSTRACTObjective: To determine whether the use of online sexual material influences sexual risk behavior for HIV / AIDS in young university students. Concepts of Social Cognitive Theory were used.

No abstract

No abstract

Along the Mexico/United States border, migrants are at increased risk of HIV. The objective of our study was to investigate the relationship between two process indicators (self-efficacy to prevent HIV and coping with sexual risk) and safe sexual behaviors in migrants. A correlational design was used. Migrants were recruited from two cities on the northern border of Mexico. Transition theory informed the measurement of self-efficacy and coping process indicators. Three generalized linear models were built for each safe sexual behavior outcome: (a) partner communication, (b) use of condoms, and (c) safe sex. Of 311 migrants, indicators of self-efficacy and coping with sexual risk were associated with all three outcome measures of safe sexual behavior (p < .05). Process indicators explained 22.5% to 30.6% of the variance in the data. Therefore, self-efficacy to prevent HIV and coping ability are important correlates of migrant sexual risk behavior.

IntroductionHuman immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is one of the most prevalent infectious diseases in the border region of Mexico due to the flow of migrants under desperate conditions, encouraging casual and unprotected sex. Since this has become a binational public health problem, it is important to understand the factors that predict these sexual behaviors. The aim of the current study was to investigate the facilitators and inhibitors of transition in the sexual behavior of migrants from two border regions on the Mexico–United States (US) border.MethodsThis was a predictive and cross-sectional study. A sample of 256 migrants in shelters for migrants on the border between Mexico and US were selected through systematic random sampling. Predictor variables investigated for effect on the safe sexual behavior (SSB) of the migrant were reasons for having sex; sexual attitudes; sexual machismo; knowledge about HIV; access to health services; and social discrimination.ResultsThe sample was predominantly male (89.5%), with 46.1% reporting being single. The average age was 33.38 years (SD = 9.73) and the average number of years of education reported was 8.05 (SD = 3.37). A permissive sexual attitude and sexual machismo both correlated with condom use (rs = 0.130, p < 0.01 and rs = −0.174, p < 0.01, respectively). Regression analysis showed that a permissive sexual attitude decreased the practice of safe sex (β = 0.17, t = 4.16, p < 0.001), as did sexual machismo (β = −0.28, t = −4.83, p < 0.001) and HIV knowledge (β = −0.11, t = −2.62, p = 0.006).DiscussionIt was found that access to health services did not influence the SSB of migrants, as suggested by the literature. However, a permissive sexual attitude, sexual machismo, and HIV knowledge were all variables capable of predicting SSB. It is recommended that the study is extended to study migrant populations from other parts of the border, as well undertaking as a qualitative approach to explore new variables.

Social Cognitive Theory explains how different personal, environmental and cognitive factors influence human behavior and it has been an important source of knowledge in the social and health sciences. It has been employed in research and practice in nursing, the science of caring. However, no critical analysis has been conducted to show the impact of Social Cognitive Theory in nursing. This article aims to conduct an analysis and evaluation of Social Cognitive Theory using the Fawcett and DeSanto-Madeya methodological framework and a systematic search of the literature. Social Cognitive Theory showed that even though is a non-disciplinary theory of health sciences, the clarity and simplicity of its content facilitates its use in understanding and addressing different phenomena of caring, the creation of middle-range theories and in professional education. The contribution of Social Cognitive Theory in nursing science has focused mainly on two aspects: firstly, on improving disciplinary knowledge with the practical context of health caring by understanding human behavior and its integration in interventions for the promotion, prevention and treatment of health, and secondly, on nursing professionals’ education, highlighting the relevance of the interdisciplinary nature of knowledge.