Condom use among heterosexual immigrant Latino men in the southeastern United States

Condom use among heterosexual immigrant Latino men in the southeastern United States
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DOI:
10.1521/aeap.2007.19.5.436
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发表时间:
2007-10-01
影响因子:
1.8
通讯作者:
Montano, Jaime
Montano, Jaime
中科院分区:
医学4区
文献类型:
--
作者:
Knipper, Emily;Rhodes, Scott D.;Montano, Jaime

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美国的拉美裔人受到艾滋病毒和性传播疾病(STDS)交叉流行的不成比例的影响。我们调查了北卡罗来纳州农村地区一个大型多国足球联盟成员的成年异性恋拉丁裔男子使用避孕套的相关性。在222名参与者中,平均(+/-SD)年龄为29.8(+/-8.3)岁。大约60%的人报告说墨西哥是他们的原籍国,60%的人报告说他们的教育程度最高的是8年级或以下,50%的人报告说在他们最近的阴道性交中使用了避孕套。调整关系状况后,多因素Logistic回归分析发现安全套使用有4个相关因素:向家庭成员寻求保健信息(调整后的优势比[AOR]=3.68;95%可信区间[CI]=1.48-9.13);对HIV传播和预防的更多知识(AOR=2.61;CI=1.23-5.54);更高的使用安全套的自我效能(AOR=4.45;95%CI=2.12-9.36);更坚持传统的男性规范(AOR=2.10;95%CI=1.02-4.33)。我们的发现强调了在美国东南部新兴的拉丁裔社区中创新和有针对性地制定艾滋病毒和性病预防方案的必要性。
Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases (STDs). We examined correlates of condom use among adult heterosexual Latino men who are members of a large multicounty soccer league in rural North Carolina. Of 222 participants, the mean (+/- SD) age was 29.8 (+/- 8.3) years. Approximately 60% reported Mexico as their country of origin, 60% reported Grade 8 or below as their highest level of education, and 50% reported using condoms during their most recent vaginal intercourse episodes. Adjusting for relationship status, multivariable logistic regression identified four correlates of condom use: having sought health care information from family members (adjusted odds ratio [AOR]=3.68; 95% confidence interval [CI]=1.48-9.13); greater knowledge of HIV transmission and prevention (AOR = 2.61; CI = 1.23-5.54); greater condom use self-efficacy (AOR = 4.45; 95% CI = 2.12-9.36); and greater adherence to traditional masculine norms (AOR = 2.10; 95% CI = 1.02-4.33). Our findings underscore the need for innovative and targeted HIV and STD prevention programming among the emerging Latino community in the southeastern United States.