Wiggers Louise C W, de Wit John B F, Gras Mitzi J, Coutinho Roel A, van den Hoek Anneke
Amsterdam Municipal Health Service, Department of Infectious Diseases, AIDS Research Unit, Amsterdam, The Netherlands.
AIDS Educ Prev. 2003 Oct;15(5):430-47. doi: 10.1521/aeap.15.6.430.24042.
This study assessed sexual risk behavior and determinants of condom use among migrants in Amsterdam, The Netherlands. We tested the predictive utility of constructs derived from the health belief model and the theory of planned behavior. Data were collected by means of a cross-sectional study in a community sample of 537 Surinamese, Antillean, and sub-Saharan African heterosexual men and women randomly recruited from participants in an epidemiological study. Participants donated saliva for HIV testing and were interviewed using two structured questionnaires. Inconsistent condom use occurred in 82% of the primary partnerships and in 25% of the casual partnerships. Multivariate analyses, controlling for sociodemographic and behavioral factors, showed that perceived behavioral control and subjective norm regarding condom use were main social-cognitive determinants of consistent condom use. However, contrary to predictions, the relation between consistent condom use and sociodemographic and behavioral factors was not entirely mediated by these social-cognitive factors.
本研究评估了荷兰阿姆斯特丹移民的性风险行为及使用安全套的决定因素。我们检验了源自健康信念模型和计划行为理论的构想的预测效用。数据通过横断面研究收集，该研究从一项流行病学研究的参与者中随机抽取了537名苏里南、安的列斯和撒哈拉以南非洲异性恋男性和女性组成社区样本。参与者捐献唾液进行艾滋病毒检测，并使用两份结构化问卷进行访谈。在82%的主要性伴侣关系和25%的偶然性伴侣关系中存在不坚持使用安全套的情况。在控制了社会人口学和行为因素的多变量分析中，使用安全套的感知行为控制和主观规范是坚持使用安全套的主要社会认知决定因素。然而，与预测相反，坚持使用安全套与社会人口学和行为因素之间的关系并未完全由这些社会认知因素介导。
