Correlates of consistent condom use among female entertainment workers in Shanghai, China: a repeated measures analysis.

Correlates of consistent condom use among female entertainment workers in Shanghai, China: a repeated measures analysis.
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DOI:
10.1177/0956462412473959
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发表时间:
2013-07
影响因子:
1.4
通讯作者:
Xia G
Xia G
中科院分区:
医学4区
文献类型:
--
作者:
Yang X;Xia G

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中国女性娱乐工作者(FEW)感染艾滋病毒和其他性传播感染的风险增加,但对她们危险性行为的相关性仍然知之甚少。本文利用四次问卷调查的数据,采用重复测量分析方法,分析了上海市少数女性安全套使用的个体和社会影响因素。结果显示,无论是个人的认知和社会的影响因素是统计上显着的双变量关系,以安全套的使用与一个稳定的或不稳定的合作伙伴,只有预防动机和自我效能感在安全套的使用仍然显着的多元回归。当个人和社会的相关性一起检查,只有同伴的支持,安全套的使用仍然是一个显着的和独立的相关性,一致使用安全套与一个不稳定的合作伙伴。行为干预应采取多层次的方式,强调个体预防动机和行为技能训练,促进同伴/社会支持。
Female entertainment workers (FEWs) in China are at increased risk of HIV and other STIs, but correlates of their risky sexual behavior remain poorly understood. Using data from a series of four surveys, this paper employs repeated measures analysis to identify individual and social correlates of consistent condom use among FEWs in Shanghai. Results reveal that both individual cognitive and social influence factors are statistically significant in their bivariate relationships to consistent condom use with a stable or non-stable partner; only prevention motivation and perceived self-efficacy in condom use remain significant in the multiple regressions. When individual and social correlates are examined together, only peer support for condom use remains a significant and independent correlate of consistent condom use in sex with a non-stable partner. Behavioral intervention is urgently needed and should take a multi-level approach, emphasizing individual prevention motivation and behavioral skills training and promoting peer/social support.
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