When do condom use intentions lead to actions? Examining the role of sexual communication on safer sexual behavior among people living with HIV.

This study investigated the moderating role of sexual communication in the association between intentions to use condoms and unprotected sex in a sample of 358 individuals living with HIV (233 men, 125 women, M age = 43). Longitudinal analyses revealed a significant interaction between condom intentions and sexual communication: individuals who were high in both condom intentions and safer sex communication engaged in less unprotected sex with all partners and with partners of HIV negative or unknown serostatus over six months of follow-up. Among individuals low in communication, intentions were not associated with unprotected sex. Implications for interventions are discussed.