SOCIAL BEHAVIORAL MODEL OF STD ACQUISTION

预防性传播疾病的传播取决于全面的 了解一系列因素，这些因素将因果链联系起来， 感染的获得和传播。的主要目的 一项拟议的研究是测试性病获得的社会行为模型 在这个广泛的目标中，具体目标是 （1）确定社会、人口和 研究人群中的性病相关风险标志物;（2）识别 研究人群中性病的行为危险因素;（3）检查 风险指标与风险因素之间的关系;以及（4） 估计行为风险因素对性病可能性的影响 采集 指导拟议研究的概念模型假定， STD的获得是暴露于以下物质的概率的函数： 感染的可能性，如果暴露， 如果被感染的话。性行为和保健行为是危险因素 通过这些参数确定结果（STD采集）。 社会、人口统计学和背景风险标记物影响性行为和性行为。 行为和保健行为。尽管这些风险标志物 主要是通过更接近的风险因素，它们对 因为他们是行为干预的目标。 拟议研究的两个必然目标是检查 性病后卫生保健和性行为的决定因素 感染，并确定行为干预的目标人群 旨在减少性病的感染和传播。 拟议研究的目标将通过使用数据来实现 来自一项对美国成年男性的全国代表性调查。 一九九一年曾对3，321名年龄介乎20至39岁的男性进行调查。该调查的 性行为和保健行为以及性传播疾病的覆盖范围 历史，提供了一个独特的机会， 疾病的流行病学机制。

Preventing the spread of sexually transmitted diseases hinges on a full understanding of the array of factors that link the causal chain of acquisition and transmission of infection. The primary objective of the proposed research is to test a social-behavioral model of STD acquisition among adult men in the U.S. Within this broad objective, the specific aims of the proposed study are to: (1) identify the social, demographic, and contextual risk markers of STDs in the study population; (2) identify the behavioral risk factors of STDs in the study population; (3) examine the relationships between the risk markers and the risk factors; and, (4) estimate the effects of behavioral risk factors on the likelihood of STD acquisition. The conceptual model guiding the proposed research posits that the acquisition of an STD is a function of the probability of exposure to infection, the probability of infection if exposed, and the probability of disease if infected. Sexual and health care behaviors are risk factors that determine the outcome (STD acquisition) through these parameters. Social, demographic, and contextual risk markers influence both sexual behavior and health care behavior. Even though these risk markers operate primarily through the more proximate risk factors, they are important to consider because they constitute targets for behavioral intervention. Two corollary objectives of the proposed research are to examine the determinants of health care and sexual behavior following an STD infection, and to identify target populations for behavioral interventions aimed at reducing the acquisition and transmission of STDs. The objectives of the proposed research will be accomplished using data from a nationally representative survey of adult men in the U.S. The survey of 3,321 males aged 20-39 was conducted in 1991. The survey's breadth of coverage of sexual and health care behaviors, and STD histories, provide a unique opportunity to apply a social-behavioral model to an epidemiological mechanism of disease acquisition.