Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users
Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users
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DOI：
10.1016/s0277-9536(02)00047-3
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发表时间：
2003-02-01
影响因子：
5.4
通讯作者：
Sherman, S
中科院分区：
文献类型：
--
作者：
Latkin, CA;Forman, V;Sherman, S
改变规范可能是引入和维持健康保护行为改变的重要途径。这项研究试图在一组有感染和传播艾滋病毒风险的经济贫困人群中调查避孕套的使用、避孕套规范和社会网络特征之间的关系。参与者是来自美国吸毒社区的1051人。80%的人是目前的吸毒者；17%的人艾滋病毒血清阳性。报告的避孕套使用与同伴关于避孕套使用的规范(朋友谈论避孕套，鼓励使用避孕套，以及使用避孕套)密切相关。女性比男性更不可能报告他们的朋友使用避孕套。注射吸毒与同伴使用避孕套规范呈负相关，而去教堂和网络特征与避孕套推广规范呈正相关。健康咨询和财政支持网络的规模与避孕套规范呈最正相关。网络方法可能有助于确定在人群中促进避孕套使用规范的具体联系。这项研究的结果可能会对艾滋病毒/艾滋病高危弱势社区的规范改变干预措施产生影响。(C)2002爱思唯尔科学有限公司。保留所有权利。
Altering norms may be an important approach to introducing and sustaining health protective behavior change. This study sought to examine the relationship between condom use, condom norms, and social network characteristics among a sample of economically impoverished individuals at risk for acquiring and transmitting HIV. Participants were 1051 individuals from a drug-using community in the USA. Eighty percent were current drug users; 17% were HIV seropositive. Reported condom use was strongly associated with peer norms about condom use (friends talking about condoms, encouraging condom use, and using condoms). Women were less likely than men to report that their friends used condoms. Injection drug use was negatively associated with peer norms about condom use, while church attendance and network characteristics were positively associated with condom-promoting norms. The size of the health advice and the financial support networks was most positively related to condom norms. Network methodology may aid in the identification of specific ties that promote condom use norms in a population. The findings of this study may have implications for norm change interventions among disadvantaged communities at high risk for HIV/AIDS. (C) 2002 Elsevier Science Ltd. All rights reserved.