中国临床心理学杂志

心理社会因素对女性性工作者安全套使用行为的影响

作者：赵然¹ 2 方晓义¹ 李晓铭³

单位：1. 北京师范大学发展心理研究所北京 100875
2. 中央财经大学社会学系
3. WayneStateUniversity SchoolofMedicine USA

分类号：R395.6

出版年,卷(期):页码：2006,14(4):375-377

摘要：

目的:从心理社会的角度探讨影响女性性工作者安全套使用行为的相关因素。方法:对广西某县3个区域内的454名女性性工作者的安全套使用状况以及心理社会因素对其影响进行调查和分析。结果:在454名女性性工作者中,23.9%在商业性行为中能够持续使用安全套。持续使用安全套被试的自我效能感显著高于不经常使用者。控制相关因素后,安全套使用自我效能感、疾病易感性等心理社会因素显著预测安全套使用行为(OR 1.50,95% CI 1.17-1.93;OR 1.73,95% CI 1.06-2.83)。老板(妈咪)的态度和同伴行为也能显著预测女性性工作者的安全套使用行为(OR 1.45,95% CI 1.01-2.09;OR 2.39,95% CI 1.68-3.39)。结论:心理社会因素能够较好预测女性性工作者的安全套使用行为。

Objective:To explore the condom use behavior of female sex workers,and assess its association with psychosocial factors,such as condom use self-efficacy,perceived HIV severity,HIV and STD susceptibility,condom use benefit and barrier,and correlated factors.Methods:Cross-sectional study was used to investigate condom use among 454 establishment-based FSWs.Results:Perceived condom use benefit is the most important factor associated with condom use intention(OR 1.50,95% CI 1.17-1.93).Perceived HIV and STD susceptibility is an additional predictor for condom use intention(OR 1.73,95% CI 1.06-2.83).Excluding the influence of demographic characteristics,gatekeeper's attitude and peer behavior of condom use behavior provided significant additional predictor for condom use behavior of FSWs(OR 1.45,95% CI 1.01-2.09;OR 2.39,95% CI 1.68-3.39).Conclusion:The psychosocial factors can be utilized to predict behavior of consistent condom use among female sex workers in China.

基金项目：

美国国立卫生研究院(National Institute of Health)资助项目“中国高危妇女HIV/STD的VCT干预研究”(NIH Grant No.1 R01 MH 64878-3S1)

作者简介：

参考文献：

[1] Yang H,Li X,Stanton B,et al.Condom use among female sex workers in China:Role of Gatekeepers.Sex Transmitted Diseases 2005,32 (9):572-580.
[2] 中国疾病预防控制中心.中国艾滋病防治联合评估报告.北京:中华人民共和国卫生部,2004.11-12
[3] Chen DKS,Cheung A,Gray A,Lee B.Identifying the psychosocial correlates of condom use by female sex workers in Hong Kong.AIDS Care,2004,16:530-539
[4] Margaret G,Irving F,Hoffman,et al.Improving Sexually transmitted disease management in the privatesector:The Jamajca experience.AIDS,1998,12:68-72
[5] Thomas JC.Efficacy of Voluntary HIV-1 counseling and testing in individuals and couples in Kenya,Tanzania,and Trinidad:A randomized trial.Lancet,2000,356(8):103-112
[6] Thomas M.Voluntary counseling and testing for couples:A High-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa.Social Science & Medicine,2001,53:1397-1411
[7] Rosenstock IM.Historical origins of the health belief model:Health Education Monographs,1974,2:328-335
[8] Becker MH.The health belief model and personal health behavior.Health Education Monographs,1974,2:324-473
[9] Rosenstock IM,Strecher V,Bedker MH.Social learning theory and the health belief model.Health Education Monographs,1988,15:175-183
[10] DiClemente RJ,Peterson JL.Handbook of HIV Prevention.New York:Kluwer Academac/Plnum,2000.278-283
[11] Koopman C,Rotheram-Borns MJ,Herderson R,et.al.Assessment of Knowledge of AIDS and Beliefs about AIDS Prevention among Adolescents.AIDS Education and Prevention,1990,2:58-70
[12] Schoenborn CA,Marsh SL,Hardy AM.AIDS Knowledge and Attitudes for 1992:Data from the National Health Interview Survey.Advance Data From Vital and Health Statistics; No.243.Hyattsville,MD:National Center for Health Statistics,1994
[13] 林丹华,方晓义,李晓铭等.中国流动人口艾滋病问题及预防干预.中国艾滋病性病,2005,11(2):158-160

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