Determinants of condom use to prevent HIV infection among youth in Ghana
Determinants of condom use to prevent HIV infection among youth in Ghana
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DOI：
10.1016/s1054-139x(98)00062-7
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发表时间：
1999-01-01
影响因子：
7.6
通讯作者：
Alexander, CS
中科院分区：
文献类型：
--
作者：
Adih, WK;Alexander, CS
目的：为了确定影响安全套的使用，以减少人类免疫缺陷病毒（HIV）感染的风险在年轻的男性在Ghana.Methods：本研究采用了一个横断面设计，其中数据以社区为基础的样本601年轻男子，15-24岁，收集了家庭调查工具的心理和行为因素。对于一个概念框架，该研究使用的健康信念模型（HBM）和社会学习理论（ESTA）在加纳context.Results：虽然65%的性活跃的男性受访者至少使用过一次避孕套，只有25%的人在最后性交使用避孕套。多元Logistic回归分析结果表明，艾滋病感染的易感性，使用安全套的自我效能感，安全套使用的障碍，和社会支持的感知是安全套使用的显着预测。然而，最重要的发现是，知觉障碍与知觉易感性和自我效能感显着相互作用。与其他人相比，那些认为对艾滋病毒感染的易感性高、使用安全套的障碍低的受试者在最近一次性交中使用安全套的可能性几乎是其他受试者的六倍。同样，那些认为使用安全套的自我效能感高和使用安全套的障碍低的年轻男子在最近一次性交中使用安全套的可能性是其他人的近三倍。这些结果表明，青少年艾滋病预防计划应强调个人对获得性免疫缺陷综合征的脆弱性，向青少年灌输他们可以随时使用避孕套的自信，并解决如何克服使用避孕套的障碍。(C)青少年医学协会，1998年。
Purpose: To identify the psychosocial and behavioral factors that influence condom use to reduce the risk of human immunodeficiency virus (HIV) infection among young men in Ghana.Methods: This study used a cross-sectional design in which data on a community-based sample of 601 young men, 15-24 years of age, were collected by a household survey instrument. For a conceptual framework, the study used constructs from the Health Belief Model (HBM) and Social Learning Theory (SLT) in the Ghanaian context.Results: While 65% of the sexually active male respondents had used condoms at least once, only 25% had used condoms at last intercourse. Findings from multiple logistic regression analysis indicate that perceived susceptibility to HIV infection, perceived self-efficacy to use condoms, perceived barriers to condom use, and perceived social support were significant predictors of condom use. The most important finding, however, is that perceived barriers significantly interacted with perceived susceptibility and self-efficacy. Subjects who perceived a high level of susceptibility to HIV infection and a low level of barriers to condom use were almost six times as likely to have used condoms at last intercourse, compared to others. Similarly, young men who perceived a high level of self-efficacy to use condoms and a low level of barriers to condom use were nearly three times more likely to have used condoms at last intercourse when compared to others.Conclusion: These results suggest that HIV prevention programs for youth should emphasize personal vulnerability to acquired immunodeficiency syndrome, instill in youth the self-belief that they can use condoms any time, and address how to overcome barriers to condom use. (C) Society for Adolescent Medicine, 1998.