中国女性娱乐工作者中艾滋病病毒不安全性行为的社会影响因素及个体风险因素

Social influence and individual risk factors of HIV unsafe sex among female entertainment workers in China.

作者信息

Yang Xiushi, Xia Guomei, Li Xiaoming, Latkin Carl, Celentano David

机构信息

Department of Sociology and Criminal Justice, Old Dominion University, Norfolk, VA 23529, USA.

出版信息

AIDS Educ Prev. 2010 Feb;22(1):69-86. doi: 10.1521/aeap.2010.22.1.69.

Abstract

Female entertainment workers in China are at increased sexual risk of HIV, but causes of their unprotected sex remain poorly understood. We develop a model that integrates information-motivation-behavioral skills (IMB) with social influences and test the model in a venue-based sample of 732 female entertainment workers in Shanghai. Most IMB and social influence measures are statistically significant in bivariate relationships to condom use; only HIV prevention motivation and behavioral self-efficacy remain significant in the multiple regressions. Self-efficacy in condom use is the most proximate correlate, mediating the relationship between information and motivation and condom use. Both peer and venue supports are important, but their influences over condom use are indirect and mediated through prevention motivation and/or self-efficacy. Behavioral intervention is urgently needed and should take a multilevel approach, emphasizing behavioral skills training and promoting a supportive social/working environment.

摘要

中国女性娱乐工作者感染艾滋病毒的性风险增加,但其无保护性行为的原因仍知之甚少。我们开发了一个将信息-动机-行为技能(IMB)与社会影响相结合的模型,并在上海732名女性娱乐工作者的场所样本中对该模型进行了测试。大多数IMB和社会影响指标在与使用避孕套的二元关系中具有统计学意义;在多元回归中,只有预防艾滋病毒的动机和行为自我效能仍然显著。使用避孕套的自我效能是最直接的相关因素,它介导了信息、动机和使用避孕套之间的关系。同伴支持和场所支持都很重要,但它们对使用避孕套的影响是间接的,并且是通过预防动机和/或自我效能介导的。迫切需要进行行为干预,并且应该采取多层次方法,强调行为技能培训并促进支持性的社会/工作环境。

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