Prevention strategies other than male condoms employed by low-income women to prevent HIV infection
Prevention strategies other than male condoms employed by low-income women to prevent HIV infection
复制标题
DOI：
10.1046/j.1525-1446.2000.00053.x
复制
发表时间：
2000-01-01
影响因子：
2.1
通讯作者：
Meyerson, B
中科院分区：
文献类型：
--
作者：
Crosby, RA;Yarber, WL;Meyerson, B
本研究旨在确定艾滋病毒预防策略以外的男性避孕套的使用低收入妇女与男性发生性关系（WSM），并确定变量预测使用这些策略。对密苏里州21个县接受妇女、婴儿和儿童福利的近4,000名妇女进行了横断面调查。回应率为58%，共收回2，256份填妥的问卷。妇女被要求指出她们曾经使用过的九种预防艾滋病毒感染的方法中的一种或多种。妇女还被问及她们使用男用避孕套的情况、对男用避孕套的偏好和对女用避孕套的偏好，以及通常由哪一位伴侣决定性传播疾病/艾滋病毒的预防。在收回的2 256份调查问卷中，1 325名性工作者表示使用了至少一种避孕套以外的艾滋病毒预防策略。战略是：接受HIV检测（68.2%）、伴侣接受HIV检测（44.1%）、询问性行为史（41.1%）、使用口服避孕药（18.8%）、询问是否感染HIV（13.7%）、冲洗（11.8%）、戒断（9.4%）、肛交或口交（6.6%）。这些策略的共同预测因素是种族、教育、性病史、避孕套使用和婚姻状况。对艾滋病毒预防的基本误解在特定的低收入妇女亚群中很常见。针对低收入妇女性行为者的艾滋病毒预防方案应利用妇女的努力，通过设计方案帮助妇女用有效的预防战略取代无效的预防战略来预防艾滋病毒。
This study sought to determine HIV prevention strategies other than male condom use employed by low-income women who have sex with men (WSM) and to identify variables that predict use of these strategies. A cross-sectional survey of nearly 4,000 women receiving Women, Infants, and Children (WIC) benefits in 21 Missouri counties was conducted. The response rate was 58%, with 2,256 completed questionnaires returned. Women were asked to indicate one or more of nine methods they had ever used to prevent HIV infection. Women were also asked about their use of male condoms, preference for male condoms versus female condoms, and which partner usually made decisions about STD/HIV prevention. Of the 2,256 questionnaires returned, 1,325 WSM indicated use of at least one HIV prevention strategy other than condom use. Strategies were: being tested for HIV (68.2%), partner being tested for HIV (44.1%), asking partner about his sex history (41.1%), using oral contraceptives (18.8%), asking him if he has HIV (13.7%), douching (11.8%), withdrawal (9.4%), and having anal or oral sex (6.6%). Common predictors of these strategies were race, education, history of STD, condom use, and marital status. Basic misunderstandings about HIV prevention are common in specified subpopulations of low-income women. HIV prevention programs for low-income WSM should capitalize on women's efforts to prevent HIV by designing programs to help women replace ineffective prevention strategies with effective prevention strategies.