Wee S, Barrett M E, Lian W M, Jayabaskar T, Chan K W R
Department of Community, Occupational and Family Medicine (MD3), Faculty of Medicine, National University of Singapore, 16 Medical Drive, Singapore 117597.
Sex Transm Infect. 2004 Aug;80(4):310-4. doi: 10.1136/sti.2003.008342.
BACKGROUND/OBJECTIVES: Female sex workers and their male clients have been identified as risk groups for the transmission of STDs and HIV. Behavioural interventions targeting clients need to address inconsistent condom use among them. The aim of the study is to assess the sociodemographic, behavioural, and psychological factors associated with inconsistent condom use among clients of sex workers.
229 male patients attending the STD clinic in Singapore who reported paying for sex in the previous 6 months were interviewed. Response rate was 91%.
Overall, 45% used condoms inconsistently; these clients were more likely to have poor STD knowledge, visit sex workers five or more times in the past 6 months, have lower self efficacy, less favourable social norms for condom use, and more likely to forget condom use when intoxicated (alcohol impaired decision making).
Behavioural interventions for clients need to improve STD/HIV transmission knowledge and focus on improving client's self efficacy in using condoms.
背景/目的:女性性工作者及其男性客户已被确定为性传播疾病和艾滋病毒传播的风险群体。针对客户的行为干预需要解决他们中避孕套使用不一致的问题。本研究的目的是评估与女性性工作者客户中避孕套使用不一致相关的社会人口学、行为和心理因素。
对新加坡性病诊所的229名男性患者进行了访谈,这些患者报告在过去6个月内有过嫖娼行为。回复率为91%。
总体而言,45%的人避孕套使用不一致;这些客户更有可能性病知识匮乏,在过去6个月内嫖娼五次或更多次,自我效能较低,对避孕套使用的社会规范不太认同,并且在醉酒时更有可能忘记使用避孕套(酒精影响决策)。
针对客户的行为干预需要提高性传播疾病/艾滋病毒传播知识,并专注于提高客户使用避孕套的自我效能。