Predictors of condom use among peer social networks of men who have sex with men in Ghana, West Africa.
Predictors of condom use among peer social networks of men who have sex with men in Ghana, West Africa.
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在西非加纳男性发生性关系的男性社交网络中使用避孕套的预测因素。
DOI：
10.1371/journal.pone.0115504
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Adu-Sarkodie Y
中科院分区：
文献类型：
--
作者：
Nelson LE;Wilton L;Agyarko-Poku T;Zhang N;Zou Y;Aluoch M;Apea V;Hanson SO;Adu-Sarkodie Y
加纳男男性行为者（MSM）的艾滋病毒感染率很高。在加纳，为男男性行为者设计与文化相关的预防干预措施的第一步是了解同伴社交网络对他们的态度和行为的影响。我们的目的是检查是否，在加纳男男性接触者的样本中，平均得分的心理社会变量理论上影响艾滋病毒/性病的风险不同的同行社交网络，并检查这些变量是否与安全套的使用。我们进行了一个形成性的，横断面调查与22同行社交网络的MSM（n = 137）在加纳。我们评估了基本的心理需求满意度，艾滋病毒/性病知识，社区意识，艾滋病毒和性别不一致的耻辱，性别平等规范，性行为和安全套的使用。数据分析采用方差分析、广义估计方程和Wilcoxon双样本检验。所有模型都根据年龄和收入、种族、教育、住房和居住社区进行了调整。所有社会心理变量的平均得分显着不同的社会网络。那些报告说他们的医疗保健提供者提供了更多自主支持的男性在肛交（AOR = 3.29，p<0.01），口交（AOR = 5.06，p<0.01）和阴道（AOR = 1.8，p<0.05）时使用避孕套的几率更高。社区意识较强的人在肛交时使用安全套的几率也较高（AOR = 1.26，p<0.001）。与长期使用安全套的网络相比，长期使用安全套的网络具有更高的性病和艾滋病知识，具有更支持性别平等的规范，并且在他们的医疗保健遭遇中经历了更多的自主性支持。医疗保健提供者和同伴社交网络可以有加纳男男性接触者的安全性行为的重要影响。需要对加纳男男性接触者进行更多的研究，在制定和实施文化相关的艾滋病毒/性传播感染预防干预战略时考虑其社交网络的知识、态度和规范。
Ghanaian men who have sex with men (MSM) have high rates of HIV infection. A first step in designing culturally relevant prevention interventions for MSM in Ghana is to understand the influence that peer social networks have on their attitudes and behaviors. We aimed to examine whether, in a sample of Ghanaian MSM, mean scores on psychosocial variables theorized to influence HIV/STI risk differed between peer social networks and to examine whether these variables were associated with condom use. We conducted a formative, cross-sectional survey with 22 peer social networks of MSM (n = 137) in Ghana. We assessed basic psychological-needs satisfaction, HIV/STI knowledge, sense of community, HIV and gender non-conformity stigmas, gender equitable norms, sexual behavior and condom use. Data were analyzed using analysis of variance, generalized estimating equations, and Wilcoxon two sample tests. All models were adjusted for age and income, ethnicity, education, housing and community of residence. Mean scores for all psychosocial variables differed significantly by social network. Men who reported experiencing more autonomy support by their healthcare providers had higher odds of condom use for anal (AOR = 3.29, p<0.01), oral (AOR = 5.06, p<0.01) and vaginal (AOR = 1.8, p<0.05) sex. Those with a stronger sense of community also had higher odds of condom use for anal sex (AOR = 1.26, p<0.001). Compared to networks with low prevalence of consistent condom users, networks with higher prevalence of consistent condom users had higher STD and HIV knowledge, had norms that were more supportive of gender equity, and experienced more autonomy support in their healthcare encounters. Healthcare providers and peer social networks can have an important influence on safer-sex behaviors in Ghanaian MSM. More research with Ghanaian MSM is needed that considers knowledge, attitudes, and norms of their social networks in the development and implementation of culturally relevant HIV/STI prevention intervention strategies.
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影响因子：
158.5
作者：
Christakis, Nicholas A.;Fowler, James H.
通讯作者：
Fowler, James H.
影响因子：
3.8
作者：
Gillet, Nicolas;Colombat, Philippe;Fouquereau, Evelyne
通讯作者：
Fouquereau, Evelyne
影响因子：
120.7
作者：
Braddock, CH;Edwards, KA;Levinson, W
通讯作者：
Levinson, W
DOI：
10.1037/1099-9809.10.3.255
发表时间：
2004-08-01
影响因子：
3.3
作者：
Diaz, Rafael M;Ayala, George;Bein, Edward
通讯作者：
Bein, Edward
影响因子：
4.5
作者：
Gurnani V;Beattie TS;Bhattacharjee P;CFAR Team;Mohan HL;Maddur S;Washington R;Isac S;Ramesh BM;Moses S;Blanchard JF
通讯作者：
Blanchard JF