HIV/STD risk behaviors and perceptions among rural-to-urban migrants in China
HIV/STD risk behaviors and perceptions among rural-to-urban migrants in China
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DOI：
10.1521/aeap.16.6.538.53787
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发表时间：
2004-12-01
影响因子：
1.8
通讯作者：
Stanton, B
中科院分区：
文献类型：
--
作者：
Li, XM;Fang, XY;Stanton, B
中国对2,153名性行为活跃的农村向城市流动人口的数据进行了分析，以检验农村向城市流动与艾滋病毒/性病(性传播疾病)风险增加之间的关系，以及基于西方的行为变化理论对研究人群的适用性。测量包括流动人口、性风险和保护动机理论(PMT)的七个结构。目前研究中的数据表明，从农村到城市的流动人口的高流动性与性风险的增加有关。PMT结构适用于在这一文化不同的人群中识别与性危险行为相关的感知和态度。性行为风险的增加与对外在回报、内在回报和反应成本的认知增加有关。同样与PMT一致的是，性风险增加与严重程度、脆弱性、反应效能和自我效能降低的感觉有关。在控制了一些关键的混杂因素后，所有七个PMT结构都以该理论假设的方式与性风险相关。流动性和性风险之间的联系突出了在这一弱势群体中有效预防艾滋病毒/性传播疾病努力的重要性。包括PMT在内的社会认知理论可以为中国针对进城务工人员的预防干预提供逻辑基础。
Data from 2,153 sexually active rural-to-urban migrants in China were analyzed to examine the relationship between the movement of rural-to-urban migration and increased HIV/STD (sexually transmitted disease) risk and the applicability of constructs of a Western-based theory of behavioral change to the study population. Measurements included migrant mobility, sexual risk, and the seven constructs of the protection motivation theory (PMT). Data in the current study suggest that high mobility among rural-to-urban migrants was associated with increased sexual risk. The PMT constructs are applicable in identifying perceptions and attitudes associated with sexual risk behaviors in this culturally distinct population. Increased sexual risk was associated with increased perceptions of extrinsic rewards, intrinsic rewards, and response cost. Also consistent with PMT, increased sexual risk was associated with perceptions of decreased severity, vulnerability, response efficacy, and self-efficacy. After controlling for a number of key confounding factors, all seven PMT constructs were associated with sexual risk in the manner posited by the theory. The association between mobility and sexual risk underscores the importance of effective HIV/STD prevention efforts among this vulnerable population. The social cognitive theories including the PMT may form a logical base for prevention intervention programs targeting rural-to-urban migrants in China.