The relative role of perceived partner risks in promoting condom use in a three-city sample of high-risk, low-income women.
The relative role of perceived partner risks in promoting condom use in a three-city sample of high-risk, low-income women.
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在三个城市的高风险、低收入女性样本中，感知到的伴侣风险在促进安全套使用方面的相对作用。
DOI：
10.1007/s10461-010-9840-7
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发表时间：
2011
影响因子：
4.4
通讯作者：
Zule,WilliamA
中科院分区：
文献类型：
--
作者：
Ober,AllisonJ;Iguchi,MartinY;Weiss,RobertE;Gorbach,PaminaM;Heimer,Robert;Ouellet,LawrenceJ;Shoptaw,Steven;Anglin,MDouglas;Zule,WilliamA
我们研究了女性对性伴侣风险的认知对避孕套使用的影响。来自美国三个城市的女性（n= 1967）被招募来提供有关艾滋病毒风险的数据。在单变量模型中，使用避孕套的几率增加与意识到伴侣有并发性伴侣并且不知道伴侣的以下情况有关：(a)艾滋病毒状况，(b)双性恋，(c)并发性；和/或(d)注射用药。在多变量模型中，既不知道伴侣的四种危险因素，也不认为伴侣是高风险的，都与避孕套的使用有关。与避孕套使用几率降低相关的环境因素是与主要伴侣发生性关系、过去一年无家可归、性行为中饮酒以及过去30天内吸食可卡因。意识到伴侣的风险可能不足以增加避孕套的使用。环境因素，特别是与主要伴侣发生性行为，减少了避孕套的使用，尽管人们意识到了伴侣的风险因素。
We examined the effect of women’s perceptions of sexual partner risks on condom use. Women from three US cities (n= 1,967) were recruited to provide data on HIV risks. In univariate models, increased odds of condom use were associated with perceiving that partners had concurrent partners and being unaware of partners': (a) HIV status, (b) bisexuality, (c) concurrency; and/or (d) injection drug use. In multivariate models, neither being unaware of the four partner risk factors nor perceiving a partner as being high risk was associated with condom use. Contextual factors associated with decreased odds of condom use were having sex with a main partner, homelessness in the past year, alcohol use during sex, and crack use in the past 30 days. Awareness of a partner’s risks may not be sufficient for increasing condom use. Contextual factors, sex with a main partner in particular, decrease condom use despite awareness of partner risk factors.