Department of Sociology, Lehman College, City University of New York, 250 Bedford Park Boulevard West, Bronx, NY 10468, USA.
Stud Fam Plann. 2010 Mar;41(1):19-30. doi: 10.1111/j.1728-4465.2010.00221.x.
Research on the determinants of condom use in sub-Saharan Africa has focused on the personal characteristics of individuals and, more recently, on community characteristics such as levels of development and of contraceptive availability. Two additional community characteristics, however--the restraining influence exerted by social networks and traditional community institutions (both theorized to decline with population growth) and the degree of interpersonal communication concerning HIV/AIDS--should also be factored into research. This study uses data from the 2003 Zambia Sexual Behaviour Survey and other surveys to conduct multilevel analyses to assess the influence of each of these various characteristics on condom use in Zambia. The results show that condom use increases with interpersonal communication concerning HIV/ AIDS, community infrastructural development, and access to condoms, and decreases with population growth rate and density. The findings suggest that condom-promotion efforts should be attentive to community-level social norms, population trends, and informal social relationships and interpersonal communication.
撒哈拉以南非洲地区使用避孕套的决定因素的研究一直集中在个人特征上,最近则集中在社区特征上,如发展水平和避孕用品的可获得性。然而,另外两个社区特征——社会网络和传统社区机构的约束作用(两者都被理论化为随人口增长而下降)以及关于艾滋病毒/艾滋病的人际交流程度——也应该纳入研究。本研究使用了 2003 年赞比亚性行为调查和其他调查的数据,进行多层次分析,以评估这些不同特征对赞比亚使用避孕套的影响。结果表明,使用避孕套与关于艾滋病毒/艾滋病的人际交流、社区基础设施发展和获得避孕套的机会呈正相关,与人口增长率和人口密度呈负相关。研究结果表明,避孕套推广工作应该关注社区层面的社会规范、人口趋势以及非正式的社会关系和人际交流。
Stud Fam Plann. 2010-3
BMC Public Health. 2012-11-26
J Adolesc Health. 1999-1
Health Psychol. 1991
BMC Public Health. 2007-12-18
Health Educ Res. 1995-6
BMC Womens Health. 2021-8-19
Reprod Health. 2019-11-15
BMC Public Health. 2012-9-21
BMC Public Health. 2012-5-28
Ghana Med J. 2012-3
Stud Fam Plann. 2011-6