Zhao R, Wang B, Fang X, Li X, Stanton B
Department of Applied Psychology, Central University of Finance and Economics, Beijing, China 100081 [corrected]
AIDS Care. 2008 Aug;20(7):782-90. doi: 10.1080/09540120701694030.
This study attempted to determine the association of self-efficacy with condom-use practice and to explore reasons of not using condoms among female sex workers (FSWs) with steady partners in China. Data from 309 establishment-based FSWs with steady partners in one Chinese county were collected through a cross-sectional study. Consistent condom use with steady partners was lower than with clients in entertainment establishments. Condom-use self-efficacy was positively associated with condom-use communication and condom-use frequency with clients but not with steady partners. It was positively associated with condom-use intention and skill with clients and steady partners. However, it was not associated with appropriate use of condoms. Significant differences of reasons about not using condom were also observed between the two partner types. The results may represent an important challenge to STD and HIV intervention programs aimed at achieving consistent condom use in FSWs. Health workers should focus on psychosocial factors affecting inconsistent condom use among FSWs with steady partners in China. In addition, intervention programs that can promote FSWs' self-efficacy through condom-use skill training will still be necessary.
本研究旨在确定自我效能感与避孕套使用行为之间的关联，并探究在中国有固定性伴的女性性工作者（FSW）中不使用避孕套的原因。通过一项横断面研究，收集了来自中国某县309名有固定性伴的场所-based FSW的数据。与固定性伴持续使用避孕套的比例低于在娱乐场所与客户使用避孕套的比例。避孕套使用自我效能感与与客户进行避孕套使用沟通及使用频率呈正相关，但与固定性伴无关。它与对客户和固定性伴的避孕套使用意图及技巧呈正相关。然而，它与正确使用避孕套无关。在两种性伴类型中，不使用避孕套的原因也存在显著差异。这些结果可能对旨在使FSW持续使用避孕套的性传播疾病和艾滋病毒干预项目构成重大挑战。卫生工作者应关注影响中国有固定性伴的FSW不一致使用避孕套的心理社会因素。此外，通过避孕套使用技能培训来提高FSW自我效能感的干预项目仍然是必要的。
