Polacsek M, Celentano D D, O'Campo P, Santelli J
Department of Family and Community Medicine, University of New Mexico, Albuquerque, USA.
AIDS Educ Prev. 1999 Feb;11(1):38-52.
A telephone survey was used to collect data on attitudes, beliefs, and practices concerning condom use among 812 African Americans with regular sex partners and of reproductive age in Baltimore. Condom use was "staged" according to Prochaska's model of stage of behavioral change. Characteristics of the respondents' sexual relationships, peer characteristics, and demographic and psychosocial characteristics were examined for their association with the stage of condom use. Multiple logistic regression analysis revealed that a partner's reaction to condom use, condom use self-efficacy with the partner, condom use outcome expectancy with the partner, perceived partner risk, length of relationship, sterility, cohabitation, perceived vulnerability to HIV infection and perceived peer norms about condom use were each independently related to staged condom use. Gender differences in the relationship of these independent variables with stages of change were found. Implications for intervention include differential treatment by gender and stage of change. Couples should also be considered for intervention.
一项电话调查用于收集812名巴尔的摩有固定性伴侣且处于生育年龄的非裔美国人在使用避孕套方面的态度、信念和行为数据。避孕套的使用根据普罗查斯卡行为改变阶段模型进行“分期”。研究了受访者性关系的特征、同伴特征以及人口统计学和心理社会特征与避孕套使用阶段的关联。多元逻辑回归分析显示，伴侣对使用避孕套的反应、与伴侣使用避孕套的自我效能感、与伴侣使用避孕套的结果预期、感知到的伴侣风险、关系持续时间、不育、同居、感知到的感染艾滋病毒的易感性以及感知到的同伴关于使用避孕套的规范，均各自独立地与分期避孕套使用相关。发现这些自变量与改变阶段的关系存在性别差异。干预的意义包括根据性别和改变阶段进行区别对待。还应考虑对伴侣进行干预。
