Song Yong S, Calsyn Donald A, Doyle Suzanne R, Dierst-Davies Rhodri, Chen Techieh, Sorensen James L
Department of Psychiatry, University of California at San Francisco at San Francisco General Hospital, USA.
AIDS Educ Prev. 2009 Oct;21(5):460-73. doi: 10.1521/aeap.2009.21.5.460.
This study identified predictors of condom use and developed a model of condom use in a sample of men (n = 324) enrolled in drug treatment. Utilizing a series of logistic regression analyses reported condom use was predicted by possession of condoms, future intention to use condoms, future intention to increase condom use, having a high-risk partner, low Condom Barriers Scale scores, being unmarried and ethnic minority status. A probit path analysis revealed the following model of condom use among men in drug treatment: Taking condoms from clinic stocks was the best predictor of condom possession, which in turn was the best predictor of condom use. These study findings identify condom availability in treatment programs as an important risk reduction intervention. Treatment programs can apply these predictors of condom use to better identify individuals at risk for HIV and sexually transmitted infections to better target prevention interventions.
本研究确定了避孕套使用的预测因素,并在一组接受药物治疗的男性样本(n = 324)中建立了避孕套使用模型。通过一系列逻辑回归分析发现,拥有避孕套、未来使用避孕套的意向、未来增加避孕套使用的意向、有高危伴侣、避孕套障碍量表得分低、未婚以及少数族裔身份可预测避孕套的使用情况。一个概率路径分析揭示了药物治疗男性中避孕套使用的以下模型:从诊所库存中获取避孕套是拥有避孕套的最佳预测因素,而拥有避孕套反过来又是避孕套使用的最佳预测因素。这些研究结果表明,治疗项目中的避孕套可及性是一项重要的降低风险干预措施。治疗项目可以应用这些避孕套使用的预测因素,更好地识别有感染艾滋病毒和性传播感染风险的个体,以便更有针对性地进行预防干预。