Association between perceived social norm and condom use among people living with HIV/AIDS in Guangzhou, China
Association between perceived social norm and condom use among people living with HIV/AIDS in Guangzhou, China
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中国广州艾滋病病毒感染者/艾滋病患者感知的社会规范与安全套使用之间的关系
DOI：
10.1080/09540121.2016.1198752
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发表时间：
2017-01
影响因子：
1.7
通讯作者：
Guo Yan
中科院分区：
文献类型：
--
作者：
Zhou Qian;Wu Yan;Hong Yan Alicia;Yang Cui;Cai Weiping;Zhu Yajing;Guo Zihan;Guo Yan
摘要我国艾滋病病毒感染者/艾滋病患者（PLWHA）人数呈逐年上升趋势。以前的研究已经检查了社会规范和艾滋病毒感染高危人群中的危险行为之间的关联。然而，人们对艾滋病毒/艾滋病感染者的社会规范和安全套使用情况知之甚少。本研究旨在探讨艾滋病病毒感染者/艾滋病患者对安全套使用的社会规范认知与安全套使用不一致之间的关系。2013年3 - 6月，采用方便抽样方法对广州市412名艾滋病病毒感染者（PLWHA）进行横断面调查。安全套使用的描述性规范被测量为认为有必要在发生性行为时使用安全套的朋友数量的感知。约四分之三（n = 301，73.1%）的PLWHA自HIV诊断以来性活跃。性行为活跃的PLWHA平均年龄为36.5岁，男性约占2/3，汉族占92.7%，55.5%的人与朋友讨论过安全套的使用，最近3次性行为中不一致使用安全套的比例为29.2%。在多变量logistic回归分析中，认为朋友对安全套使用的认可度较高的PLWHA与同伴相比，不太可能进行无保护性行为（aOR = 0.25，p = 0.001）。那些家庭成员知道他们的HIV感染状况的人比他们的同伴更不可能进行无保护的性行为（aOR = 0.17，p < .001）。与家人住在一起的人比与朋友住在一起的人更有可能发生无保护措施的性行为（aOR = 8.47，p = .007）。研究结果强调了在艾滋病毒/艾滋病感染者中制定文化上适当的基于社会规范的艾滋病毒干预措施的重要性。未来的干预措施侧重于改变艾滋病毒/艾滋病感染者的社会网络中的危险行为的社会规范，有可能减少艾滋病毒/艾滋病感染者的危险行为，并促进安全套的使用。
ABSTRACT The number of people living with HIV/AIDS (PLWHA) has been increasing in China. Previous studies have examined the association between social norms and risk behaviors among high-risk populations for HIV infection. However, little is known about social norms and condom use among people living with HIV/AIDS (PLWHA). This study sought to investigate the relationship between perceived social norms on condom use and inconsistent condom use among PLWHA. A cross-sectional survey was conducted through convenience sampling among 412 PLWHA between March and June 2013 in Guangzhou, China. Descriptive norm of condom use was measured as perception of number of friends thinking it necessary to use condoms when having sex. About three-fourths (n = 301, 73.1%) of the PLWHA were sexually active since HIV diagnosis. Among the sexually active PLWHA, the average age was 36.5 years; about two-thirds were male; the majority was Han ethnic (92.7%); 55.5% discussed condom use with their friends and the rate of inconsistent condom use in the last three sexual encounters was 29.2%. In the multivariate logistic regression, PLWHA who perceived more of their friends’ approval of condom use were less likely to engage in unprotected sex than their counterparts (aOR = 0.25, p = .001). Those whose family members were aware of their HIV infection status were less likely to engage in unprotected sex than their counterparts (aOR = 0.17, p < .001). Those who lived with family members were more likely to have unprotected sex than those who lived with friends (aOR = 8.47, p = .007). The results underscore the importance of developing culturally appropriate social norm-based HIV interventions among PLWHA. Future interventions focused on changing social norms on risk behaviors in the social network of PLWHA have the potential to reduce risk behaviors and to promote condom use among PLWHA.
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影响因子：
2
作者：
R. Dmochowski
通讯作者：
R. Dmochowski
DOI：
10.1016/j.respe.2020.09.004
发表时间：
2020-10-10
期刊：
Revue D'Epidemiologie et De Sante Publique
影响因子：
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