Women's communication self-efficacy and expectations of primary male partners' cooperation in sexually transmitted infection treatment in Ho Chi Minh City, Vietnam: a cross-sectional study.
Women's communication self-efficacy and expectations of primary male partners' cooperation in sexually transmitted infection treatment in Ho Chi Minh City, Vietnam: a cross-sectional study.
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妇女的沟通自我效能感和对主要男性伴侣在越南胡志明市性传播感染治疗方面的合作的期望：一项横断面研究。
DOI：
10.1186/s12889-016-2690-0
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发表时间：
2016-01-13
影响因子：
4.5
通讯作者：
Hwang LY
中科院分区：
文献类型：
--
作者：
Tran LT;Bui TC;Markham CM;Swartz MD;Tran QM;Nyitray AG;Huynh TT;Hwang LY
有效控制性传播感染（STI）取决于受影响的患者通知其性伴侣，并通过筛查和治疗进行合作伙伴。我们的研究评估了高风险性传播感染妇女的信心，在性传播感染诊断相关的通信与他们的主要男性合作伙伴在胡志明市，越南，并确定了相关的特点的妇女和他们的合作伙伴。我们采用方便和雪球抽样在诊所为基础的设置，招募126名妇女从2013年8月至10月。所有数据均来自女性的自我报告。对向伴侣透露自己的性传播感染阳性、要求伴侣进行性传播感染检查或治疗、给伴侣服用细菌性性传播感染药物“稍有信心”或“非常有信心”的比例分别为70.3%、62.1%和69.0%。认为其伴侣“很可能”接受性传播感染检查和服用性传播感染药物的比例分别为16.2%和38.8%。在教育程度较低、曾经进行过性交易或主要伴侣不是丈夫或未婚夫的妇女中，自我效能感明显较低。我们的研究结果表明，试点STI合作伙伴为目标的干预措施的潜力。为了有效，这些方案应提高妇女的自我效能和主要伙伴在筛查和治疗方面的合作。
Effective control of sexually transmitted infections (STIs) depends on affected patients notifying their sexual partners, and partners following through with screening and treatment. Our study assessed high-risk-STI women’s confidence in STI-diagnosis-related communications with their primary male partners in Ho Chi Minh City, Vietnam, and determined associated characteristics of the women and their partners. We employed convenience and snowball sampling in a clinic-based setting to recruit 126 women from August to October 2013. All data were obtained from women’s self-report. The proportions of participants who were “slightly confident” or “very confident” that they could disclose their STI positivity to partners, ask partners to have an STI examination or treatment, and give partners bacterial-STI medications were 70.3 %, 62.1 %, and 69.0 %, respectively. The proportions who perceived that their partners would be “very likely” to have an STI examination and to take STI medications were 16.2 % and 38.8 %, respectively. Significantly lower self-efficacy was observed in women who had a lower education level, who had ever traded sex, or whose primary partners were not husbands or fiancés. Our results suggest potential for piloting STI-partner-targeted interventions. To be effective, these programs should improve women’s self-efficacy and primary partners’ cooperation with screening and treatment.