The fallacy of intimacy: sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa.
The fallacy of intimacy: sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa.
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DOI：
10.1080/13548506.2010.507772
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发表时间：
2010-12
期刊：
影响因子：
--
通讯作者：
Sandfort T
中科院分区：
文献类型：
--
作者：
Knox J;Yi H;Reddy V;Maimane S;Sandfort T
本研究的目的是评估（1）信任和安全套使用的信念是否会影响性风险行为，（2）信任和安全套使用的信念是否会直接影响性风险行为，或者这种关系是否由其他决定因素介导。信息-动机-行为技能模型被用作中介分析的框架。本研究招募了居住在南非比勒陀利亚的300名18-40岁男男性行为者（MSM），并对其进行了调查。研究结果表明，男性谁报告过去的无保护肛交的频率高，更有可能相信，这是没有必要使用安全套与一个值得信赖的或稳定的合作伙伴，无论他们目前的伙伴关系的状态。这种亲密关系的谬误似乎通过对安全性行为的意图和态度来影响性风险行为。基于这些研究结果，我们建议给予更多的关注，以获得更好地了解如何形成信任和安全套的使用信念，以及如何在南非的男男性行为者之间改变。
The objective of this study is to assess (1) whether beliefs about trust and condom use affect sexual risk behaviour, and (2) if beliefs about trust and condom use impact sexual risk behaviour directly or if this relationship is mediated by other determinants. The Information-Motivation-Behavioural Skills model was used as a framework for the mediation analysis. A diverse cohort of three hundred 18–40 year old men who have sex with men (MSM) residing in Pretoria, South Africa, were recruited and surveyed for this project. Findings indicate that men who report a high frequency of past unprotected anal intercourse are more likely to believe that it is not necessary to use condoms with a trusted or steady partner regardless of their current partnership status. This fallacy of intimacy appears to affect sexual risk behaviour through intentions and attitudes regarding safer sex practices. Based on these findings, we recommend that more attention be given to gaining a better understanding of how beliefs about trust and condom use are formed and how they can be changed among MSM in South Africa.
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