Crosby Richard A, Salazar Laura F, Yarber William L, Sanders Stephanie A, Graham Cynthia A, Head Sara, Arno Janet N
College of Public Health, University of Kentucky, 121 Washington Avenue, Suite 111C, Lexington, KY 40506-0003, USA.
AIDS Behav. 2008 May;12(3):412-8. doi: 10.1007/s10461-007-9264-1. Epub 2007 Jun 22.
We employed the information-motivation-behavioral skills (IMB) model to guide an investigation of correlates for correct condom use among 278 adult (18-35 years old) male clients attending a sexually transmitted infection (STI) clinic. An anonymous questionnaire aided by a CD-recording of the questions was administered. Linear Structural Relations Program was used to conduct path analyses of the hypothesized IMB model. Parameter estimates showed that while information did not directly affect behavioral skills, it did have a direct (negative) effect on condom use errors. Motivation had a significant direct (positive) effect on behavioral skills and a significant indirect (positive) effect on condom use errors through behavioral skills. Behavioral skills had a direct (negative) effect on condom use errors. Among men attending a public STI clinic, these findings suggest brief, clinic-based, safer sex programs for men who have sex with women should incorporate activities to convey correct condom use information, instill motivation to use condoms correctly, and directly enhance men's behavioral skills for correct use of condoms.
我们采用信息-动机-行为技能（IMB）模型，对一家性传播感染（STI）诊所的278名成年（18 - 35岁）男性患者正确使用避孕套的相关因素进行了调查。通过一份由问题录音CD辅助的匿名问卷进行调查。使用线性结构关系程序对假设的IMB模型进行路径分析。参数估计表明，虽然信息并未直接影响行为技能，但它对避孕套使用错误有直接（负面）影响。动机对行为技能有显著的直接（正面）影响，并通过行为技能对避孕套使用错误有显著的间接（正面）影响。行为技能对避孕套使用错误有直接（负面）影响。在就诊于公共性传播感染诊所的男性中，这些发现表明，针对与女性发生性行为的男性，基于诊所的简短安全性行为项目应纳入传达正确避孕套使用信息的活动、灌输正确使用避孕套的动机，并直接提高男性正确使用避孕套的行为技能。
