The ABCs of HIV prevention in men: associations with HIV risk and protective behaviors.
The ABCs of HIV prevention in men: associations with HIV risk and protective behaviors.
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男性艾滋病毒预防的基本知识：与艾滋病毒风险和保护行为的关联。
DOI：
10.1097/01.qai.0000243098.72770.9b
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Holmes,KingK
中科院分区：
文献类型：
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作者：
Steele,MatthewS;Bukusi,Elizabeth;Cohen,CraigR;Shell-Duncan,BettinaA;Holmes,KingK
目的：阐明禁欲，忠诚，安全套的使用（“ABC”的预防艾滋病毒和其他性传播感染）和相关的自我报告的风险behaviors among Kenyan men.Methods的信念之间的关联：我们评估了协会的社会人口学特征和性风险行为在应答驱动的样本500名男子在内罗毕的ABC信念。结果：年轻的年龄，单身的婚姻状况，高等教育与禁欲和安全套的使用的信念为“最佳”预防方法;和老年和婚姻与忠诚的信念。许多这些和其他关联在多变量模型中持续存在。男性引用禁欲或忠诚的信念往往较少报告性与女性性工作者（FSW）以往或最近并发的伙伴关系较少。忠诚信念与避孕套使用率呈负相关。相信避孕套的使用，以防止艾滋病毒是最常见的那些最近并发partnerships.Conclusions：禁欲，忠诚（“忠实”），或使用避孕套的信念，在合理的方向，与生命阶段和其他人口因素，并与相应的风险和预防行为。在一系列广泛的预防战略中，针对具体情况和有选择地宣传ABC的各个组成部分，而不是从幼年开始进行全面教育，这忽视了性行为的演变以及不同方法在整个生命过程中的相对效用。
Objective:To elucidate associations between beliefs in abstinence, fidelity, and condom use (the “ABCs” of preventing HIV and other sexually transmitted infections) and associated self-reported risk behaviors among Kenyan men.Methods:We assessed associations of beliefs in the ABCs with sociodemographic characteristics and sexual risk behaviors in a respondent-driven sample of 500 men in Nairobi.Results:Younger age, single marital status, and higher education were associated with beliefs in abstinence and condom use as “best” prevention methods; and older age and marriage were associated with belief in fidelity. Many of these and other associations persisted in multivariate models. Men citing abstinence or fidelity belief less often reported sex with a female sex worker (FSW) ever or recent concurrent partnerships less often. Belief in fidelity was negatively associated with reported use of condoms ever. Belief in condom use to prevent HIV was most common among those having recent concurrent partnerships.Conclusions:Beliefs in abstinence, fidelity (“being faithful”), or condom use were associated, in plausible directions, with life stages and other demographic factors and with corresponding risk and preventive behaviors. Context-specific and selective educational promotion of individual ABC components rather than comprehensive education from an early age in a wide repertoire of prevention strategies ignores the evolution of sexual behaviors and the relative utility of different approaches throughout the life course.