Janepanish Poolsuk, Dancy Barbara L, Park Chang
Department of Nursing, Faculty of Medicine, Mahidol University, Ramathibodi Hospital, Bangkok, Thailand.
AIDS Care. 2011 Apr;23(4):460-6. doi: 10.1080/09540121.2010.516336.
Thai heterosexual males between 20 and 39 years old are at increased risk for HIV infection. Consistent condom use is effective against HIV transmission, but little is known about determinants of consistent condom use for these males. The purpose of this study is to explore determinants of consistent condom use for this population. The determinants of interest are age, educational level, marital status, income, and concepts from the theory of planned behavior: attitude toward condom use, subjective norm about consistent condom use, perceived behavioral control (PBC) of consistent condom use, and intention to use condoms consistently. We used a cross-sectional descriptive research design with a convenience sample of 400 heterosexual Thai males between 20 and 39 years. Our sample had a mean age of 28.71 years (SD = 6.33). During the last three months, 39.5% reported using condoms consistently, 23% reported using condoms inconsistently, and 37.5% reported never using condoms. The results from the regression analyses revealed that marital status, income, subjective norm about consistent condom use, PBC of consistent condom use, and intention to use condoms consistently were determinants of consistent condom use. Also the effect of subjective norm about consistent condom use and PBC of consistent condom use on consistent condom use was mediated by intention to use condoms consistently. These results suggest that interventions to increase consistent condom use should focus on enhancing intention to use condoms consistently by promoting subjective norm about consistent condom use and PBC of consistent condom use.
年龄在20至39岁之间的泰国异性恋男性感染艾滋病毒的风险较高。坚持使用避孕套可有效预防艾滋病毒传播，但对于这些男性坚持使用避孕套的决定因素却知之甚少。本研究的目的是探讨该人群坚持使用避孕套的决定因素。感兴趣的决定因素包括年龄、教育水平、婚姻状况、收入以及计划行为理论中的概念：对使用避孕套的态度、对坚持使用避孕套的主观规范、对坚持使用避孕套的感知行为控制（PBC）以及坚持使用避孕套的意图。我们采用横断面描述性研究设计，以400名年龄在20至39岁之间的泰国异性恋男性为便利样本。我们的样本平均年龄为28.71岁（标准差 = 6.33）。在过去三个月中，39.5%的人报告始终坚持使用避孕套，23%的人报告偶尔使用避孕套，37.5%的人报告从未使用过避孕套。回归分析结果显示，婚姻状况、收入、对坚持使用避孕套的主观规范、对坚持使用避孕套的感知行为控制以及坚持使用避孕套的意图是坚持使用避孕套的决定因素。此外，对坚持使用避孕套的主观规范和对坚持使用避孕套的感知行为控制对坚持使用避孕套的影响是通过坚持使用避孕套的意图来介导的。这些结果表明，增加坚持使用避孕套的干预措施应侧重于通过促进对坚持使用避孕套的主观规范和对坚持使用避孕套的感知行为控制来增强坚持使用避孕套的意图。
