Reddy P, Meyer-Weitz A, van den Borne B, Kok G
Medical Research Council, Cape Town, South Africa.
Int J STD AIDS. 2000 Aug;11(8):521-30. doi: 10.1258/0956462001916434.
This cross-sectional study analyses determinants of condom-use behaviour among patients attending dedicated STD clinics in South Africa. A structured interviewer-administered survey was conducted among 1473 patients. Patients' beliefs and attitudes towards condom use in general, as well as their personal condom-use behaviour were measured. Their perceptions, regarding the social influence of their partners and friends on their condom use, and of their self-efficacy in using condoms, while infected with an STD were also measured. Condom use, as a dependent variable, was examined and patients were placed in a pre-contemplation stage if they had never used a condom, contemplation if they had seriously thought of using a condom, some action stage if they sometimes used a condom and regular action stage if they used a condom every time. The relationships between the stages of change, as dependent variables, and the independent variables were investigated for both those patients with steady partners and those with outside partners. This was performed by stepwise multiple regression analyses. The variables that significantly explained stages of change were similar for patients with steady partners and those with outside partners. In both partner groups communication was the variable most strongly associated with the use of condoms. General self-efficacy in condom use, self-efficacy in condom use with a partner and attitudes towards the use of condoms played a role in determining patients' different stages of change.
这项横断面研究分析了南非专门性病诊所患者中避孕套使用行为的决定因素。对1473名患者进行了由访谈员进行的结构化调查。测量了患者对一般避孕套使用的信念和态度，以及他们个人的避孕套使用行为。还测量了他们对伴侣和朋友对其避孕套使用的社会影响的看法，以及感染性传播疾病时使用避孕套的自我效能感。将避孕套使用作为因变量进行检查，如果患者从未使用过避孕套，则处于未考虑阶段；如果他们认真考虑过使用避孕套，则处于考虑阶段；如果他们有时使用避孕套，则处于某种行动阶段；如果他们每次都使用避孕套，则处于常规行动阶段。对有固定伴侣的患者和有婚外伴侣的患者，研究了作为因变量的改变阶段与自变量之间的关系。这是通过逐步多元回归分析进行的。对于有固定伴侣的患者和有婚外伴侣的患者，显著解释改变阶段的变量相似。在两个伴侣组中，沟通是与避孕套使用最密切相关的变量。一般避孕套使用自我效能感、与伴侣使用避孕套的自我效能感以及对避孕套使用的态度在决定患者不同的改变阶段中起作用。
