Correlates of condom use intentions and behaviors among a community-based sample of Latino men in Los Angeles
Correlates of condom use intentions and behaviors among a community-based sample of Latino men in Los Angeles
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DOI：
10.1007/s11524-006-9064-3
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发表时间：
2006-07-01
影响因子：
6.6
通讯作者：
Henderson, Jillian T.
中科院分区：
文献类型：
--
作者：
Harvey, S. Marie;Henderson, Jillian T.
艾滋病毒/艾滋病对拉丁美洲社区的影响尤为严重。大多数针对这一人群中艾滋病毒风险行为的研究都集中在妇女身上。然而，与女性发生性关系的男性（MSW）是越来越多地感染艾滋病毒的人群，异性恋接触是被诊断患有艾滋病的拉丁美洲人中艾滋病毒传播的主要来源。据推测，由于男性可能会控制避孕套的使用，关系因素不太可能影响男性的安全性行为。然而，由于安全套的使用是一个相互依赖的行为，了解的因素，预测安全性行为之间的MS W是至关重要的。本研究探讨了多种因素对安全套使用行为的影响，以社区为基础的样本的年轻拉丁美洲男子。对191名完成干预基线访谈的拉丁裔男性的数据进行了分析，以检查过去三个月内使用避孕套和避孕套使用意图的背景，个人因素和关系因素之间的关联。多变量分析结果表明，对安全套的积极态度，更强的合作伙伴安全套规范和更多的参与决策安全套的使用显着相关的安全套使用和安全套使用的意图。此外，男性报告的负面合作伙伴的反应，以安全套的要求更有可能使用安全套的期望值较低，和安全套的使用意愿较高的男性报告更多的健康保护的关系中的沟通。研究结果表明，预防艾滋病毒的干预措施需要包括男性和女性，并解决关系因素和动态在安全性行为中的作用。
HIV/AIDS has disproportionately affected Latino communities. The majority of research addressing HIV risk behaviors within this population has focused on women. However, men who have sex with women (MSW) are a population increasingly becoming infected with HIV and heterosexual contact is the primary source of HIV transmission among Latinos diagnosed with AIDS. It has been assumed that because men are likely to control condom use, relationship factors are less likely to influence safer sex behavior among men. However, because condom use is an interdependent behavior, understanding factors that predict safer sex behavior among MS W is critical. This study examined the influence of multiple factors on condom use behavior in a community-based sample of young Latino men. Data from 191 Latino men who completed baseline interviews for an intervention were analyzed to examine the association of background, intrapersonal and relationship factors with intentions to use condoms and condom use in the past three months. Findings from multivariate analyses indicated that more positive attitudes toward condoms, stronger partner condom norms and greater participation in decision-making about condom use were significantly associated with both condom use and condom use intentions. Additionally, men reporting lower expectations of negative partner reactions to condom requests were more likely to use condoms, and condom use intentions were higher among men reporting more health protective communication in the relationship. Findings suggest that interventions to prevent HIV need to include men as well as women and address the role of relationship factors and dynamics in safer sex practices.