Social influence and individual risk factors of HIV unsafe sex among female entertainment workers in China.

Social influence and individual risk factors of HIV unsafe sex among female entertainment workers in China.
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DOI:
10.1521/aeap.2010.22.1.69
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发表时间:
2010-02
期刊:
AIDS education and prevention : official publication of the International Society for AIDS Education
影响因子:
--
通讯作者:
Celentano D
Celentano D
中科院分区:
其他
文献类型:
--
作者:
Yang X;Xia G;Li X;Latkin C;Celentano D

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中国女性娱乐工作者感染艾滋病毒的风险在增加,但人们对她们无保护的性行为的原因知之甚少。本文建立了一个信息-动机-行为技能(IMB)与社会影响相结合的模型,并以上海地区732名女性娱乐工作者为样本进行了检验。大多数IMB和社会影响措施在与避孕套使用的双变量关系中具有统计显著性;只有预防动机和行为自我效能在多重回归中仍然显著。避孕套使用中的自我效能感是最直接的关联,中介信息和动机与避孕套使用之间的关系。同伴和场所支持都很重要,但它们对避孕套使用的影响是间接的,并通过预防动机和/或自我效能感来调节。行为干预是迫切需要的,应该采取多层次的方法,强调行为技能的培训和促进一个支持性的社会/工作环境。
Female entertainment workers in China are at increased sexual risk of HIV, but causes of their unprotected sex remain poorly understood. We develop a model that integrates information-motivation-behavioral skills (IMB) with social influences and test the model in a venue-based sample of 732 female entertainment workers in Shanghai. Most IMB and social influence measures are statistically significant in bivariate relationships to condom use; only HIV prevention motivation and behavioral self-efficacy remain significant in the multiple regressions. Self-efficacy in condom use is the most proximate correlate, mediating the relationship between information and motivation and condom use. Both peer and venue supports are important, but their influences over condom use are indirect and mediated through prevention motivation and/or self-efficacy. Behavioral intervention is urgently needed and should take a multi-level approach, emphasizing behavioral skills training and promoting a supportive social/working environment.
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