Peer norms and consistent condom use with female sex workers among male clients in Sichuan province, China.
Peer norms and consistent condom use with female sex workers among male clients in Sichuan province, China.
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DOI：
10.1016/j.socscimed.2010.04.039
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发表时间：
2010-08
影响因子：
5.4
通讯作者：
Nelson, Kenrad
中科院分区：
文献类型：
--
作者：
Yang, Cui;Latkin, Carl;Luan, Rongsheng;Nelson, Kenrad
尽管他们在艾滋病毒感染和传播中起着至关重要的作用，但很少对商业性男性客户（CSMCs）进行研究。本研究的目的是探讨同伴规范与女性性工作者（FSW）安全套使用一致性之间的关系。男性客户与同行谁支付了性（n=562）被招募当地卫生工作者通过雪球抽样。同伴规范的测量方法包括：1）描述性规范，通过感知同伴对FSW的安全套态度和行为进行评估; 2）强制性规范，通过感知同伴对FSW使用安全套的认可进行评估; 3）与同伴交流HIV相关话题。结果是FSW使用安全套一致。多元Logistic回归模型的结果显示，一致的安全套使用与FSW显着更可能在男性客户谁认为更亲安全套的描述和禁令规范在他们的同龄人。此外，商业性性访问的模式缓和同伴规范和一致的安全套使用与FSW之间的关系。更多的同行批准的安全套使用和更多的艾滋病毒相关的通信显着相关的一致性安全套使用的客户谁访问FSW与朋友，但不是那些单独访问FSW。研究结果表明，围绕商业性访问的社会活动可能会提供一个切入点，艾滋病毒预防干预与男性谁光顾FSW，这种努力应该利用现有的动态社会互动，以促进亲安全套规范。
Despite their crucial role in HIV infection and transmission, commercial sex male clients (CSMCs) are rarely studied. The purpose of this study was to examine the relationship between peer norms and consistent condom use with female sex workers (FSWs) among CSMCs in Sichuan province, China. Male clients with peers who had paid for sex (n=562) were recruited by local health workers through snowball sampling. Measures of peer norms included 1) descriptive norms which were evaluated by perceptions of peer’s condom attitudes and behaviors with FSWs; 2) injunctive norms which were assessed by the perceived peer approval of using condoms with FSWs; and 3) communication of HIV-related topics with peers. The outcome was consistent condom use with FSWs. Results of multivariate logistic regression models revealed that consistent condom use with FSWs was significantly more likely among male clients who perceived more pro-condom descriptive and injunctive norms among their peer groups. In addition, the pattern of commercial sex visits moderated the relations between peer norms and consistent condom use with FSWs. More peer approval of condom use and more HIV-related communication were significantly associated with consistent condom use among clients who visited FSWs with friends but not among those who visited FSWs alone. The findings suggest that social activities surrounding commercial sex visits may provide an entry point for HIV prevention intervention with men who patronize FSWs and that such efforts should tap into existing dynamics of social interaction to promote pro-condom norms.
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影响因子：
4.4
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作者：
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