Is Women's Self-Efficacy in Negotiating Sexual Decisionmaking Associated with Condom Use in Marital Relationships in Vietnam?

Is Women's Self-Efficacy in Negotiating Sexual Decisionmaking Associated with Condom Use in Marital Relationships in Vietnam?
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DOI:
10.1111/j.1728-4465.2011.00290.x
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发表时间:
2011-12-01
影响因子:
2.1
通讯作者:
Fu, Hongyun
Fu, Hongyun
中科院分区:
医学2区
文献类型:
--
作者:
Do, Mai;Fu, Hongyun

文献摘要

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越南传统文化将妇女置于从属地位,使她们在性和避孕决策的谈判中处于不利地位。利用2005年越南人口和艾滋病指标调查中调查的4,632名已婚妇女的数据,本研究探讨了妇女的社会人口学特征,她们在协商性活动和安全套使用方面的自我效能,以及她们使用安全套的一致性和新近性之间的关系。我们的结构方程模型的结果表明,妇女的自我效能感显着相关,在最后一次性行为和安全套的使用一致的安全套在过去12个月。避孕套的使用可以预防艾滋病毒的知识也强烈预测持续使用。生儿子与女性的自我效能感有关,但与安全套使用结果无关。这项研究表明,应继续广泛推广使用避孕套预防疾病,并应努力协助妇女提出她们需要保护免受艾滋病毒感染的要求。(《计划生育研究》,2011年; 42[4]:273-282)
Traditional Vietnamese culture places women in a subordinate position, rendering them disadvantaged in the negotiation of sexual and contraceptive decisionmaking. Drawing on data from 4,632 married women surveyed in the 2005 Vietnam Population and AIDS Indicator Survey, this study examines the relationship between women's sociodemographic characteristics, their self-efficacy in negotiating sexual activity and condom use, and their consistency and recency of condom use. Results from our structural equation models indicate that women's self-efficacy is significantly correlated with both condom use at last sex and consistent condom use in the past 12 months. Knowledge that condom use can prevent HIV also strongly predicts consistent use. Having a son is related to women's self-efficacy but not to condom use outcomes. This study suggests that the availability of condoms for disease prevention should continue to be widely promoted, and that efforts should be made to assist women in asserting their need for protection from HIV infection. (STUDIES IN FAMILY PLANNING 2011; 42[4]: 273-282)