Self-Silencing and Age as Risk Factors for Sexually Acquired HIV in Midlife and Older Women
Self-Silencing and Age as Risk Factors for Sexually Acquired HIV in Midlife and Older Women
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DOI：
10.1177/0898264308328646
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发表时间：
2009-02-01
影响因子：
2.8
通讯作者：
Thomlison, Barbara
中科院分区：
文献类型：
--
作者：
Jacobs, Robin J.;Thomlison, Barbara
目的：本研究探讨心理社会因素对中年和老年女性性行为的影响。方法：以社区为基础，对年龄在 50 岁至 93 岁之间的不同种族女性（N = 572）进行抽样，完成自我沉默、自尊、寻求感觉行为、艾滋病毒相关耻辱行为、性自信和安全性行为的标准化测量。结果：回归分析结果表明，该模型显着预测了安全性行为 (p < .001)，其中自我沉默 (beta = -.115，p < .05) 和年龄 (beta = .173，p < 0.001) 作为显着预测因子。双变量相关分析表明，HIV 耻辱感 (p < .05) 与安全性行为之间存在负相关。讨论：讨论了进一步研究和实践的意义，包括考虑制定适合年龄和性别的预防干预措施，帮助妇女进行人际交往，并结合积极参与解决高风险性行为的技能。
Objectives: This study explores the contribution of psychosocial factors on sex behaviors of midlife and older women. Methods: A community-based sample of ethnically diverse women (N = 572) between the ages of 50 and 93. completed standardized measures of self-silencing, self-esteem, sensation-seeking behavior, HIV-related stigma behavior, sexual assertiveness, and safer sex behaviors. Results: Results from the regression analysis indicated the model significantly predicted safer sex behaviors (p < .001) with self-silencing (beta = -.115, p < .05) and age (beta = .173, p < 0.001) as significant predictors. Bivariate correlation analysis indicated an inverse correlation between HIV stigma (p < .05) and safer sex behaviors. Discussion: Implications for further study and practice are discussed to include considerations for development of age- and gender-appropriate prevention interventions assisting women with interpersonal processes combined with skills for active involvement in addressing high-risk sex behaviors.