Sex Partner Type, Drug Use and Condom Use Self-Efficacy Among African Americans from Disadvantaged Neighborhoods: Are Associations with Consistent Condom Use Moderated by Gender?
Sex Partner Type, Drug Use and Condom Use Self-Efficacy Among African Americans from Disadvantaged Neighborhoods: Are Associations with Consistent Condom Use Moderated by Gender?
复制标题
来自弱势社区的非裔美国人的性伴侣类型、吸毒和安全套使用自我效能：持续使用安全套的关联是否受到性别的调节？
DOI：
10.1080/00224499.2015.1092018
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发表时间：
2016
影响因子：
3.6
通讯作者：
Sterk,Claire
中科院分区：
文献类型：
--
作者：
Nehl,EricJ;Elifson,Kirk;DePadilla,Lara;Sterk,Claire
本文从性别与权力理论的视角探讨了性行为中的性别不平等现象。本研究的重点是影响性伴侣类型（稳定与休闲），药物使用，安全套使用自我效能关于一致的安全套使用（CCU）之间的社区为基础的样本的成年人。样本包括1,357名非洲裔美国人男性和女性（法师37.0，SD13.1岁; 44%女性，66%男性），来自佐治亚州亚特兰大市61个弱势人口普查街区组，作为个人和社区特征以及艾滋病毒风险承担研究的一部分。有一个稳定的伴侣降低了CCU的几率，而更高的安全套使用自我效能增加了CCU的几率。在非吸毒者中，只有女性有吸毒伴侣与使用避孕套的几率降低有关。有吸毒伴侣的女性，特别是稳定的伴侣，报告CCU的可能性最小。因此，旨在增强妇女中的CCU能力的干预措施需要扩大，不仅要承认吸毒妇女表现出的控制力下降，还要考虑到那些有吸毒性伴侣的妇女。
Gender inequalities in sexual behavior are explored from the perspective of the theory of gender and power. This study focused on the effect of sex partner type (steady versus casual), drug use, and condom use self-efficacy regarding consistent condom use (CCU) among a community-based sample of adults. The sample included 1,357 African American men and women (Mage 37.0,SD13.1 years; 44% women, 66% men) from 61 disadvantaged census block groups in Atlanta, GA as part of a study of individual and neighborhood characteristics and HIV risk-taking. Having a steady partner decreased the odds of CCU, while higher condom use self-efficacy increased the odds of CCU. Among non-drug users, having a drug-using partner was associated with decreased odds of condom use for women only. Women with drug-using partners, especially a steady partner, were least likely to report CCU. Therefore, interventions intended to empower CCU among women need to expand beyond acknowledging the reduced control that women who use drugs demonstrate to also consider those who have drug-using sexual partners.