Municipal Public Health Service Rotterdam, P,O, Box 70032, 3000, LP, Rotterdam, The Netherlands.
BMC Public Health. 2012 Nov 9;12:961. doi: 10.1186/1471-2458-12-961.
High infection rates of STIs are found among the different ethnic communities living in the Netherlands, especially among the Surinamese and Dutch-Antilleans. Only limited effective interventions that promote STI/HIV testing among these communities are available in the Netherlands. In the present study we identified the determinants of the intention to get tested for STI/HIV of the sexually active Surinamese and Dutch-Antilleans living in the Netherlands. Secondly, this study assesses which determinants should be addressed when promoting STI/HIV testing among these communities.
In total, 450 Surinamese and 303 Dutch-Antillean respondents were recruited through Dutch Internet panels and group activities. The questionnaire used in the online survey was based on the concepts of the Health Belief Model, the Social Cognitive Theory, and Theory of Planned behavior. To correct for multiple outcome testing, we considered differences as statistically significant at p<.01 for all analyses. For the multivariate linear regression analysis, variables that were significant were entered into the model block-wise.
Health motivation, cues to action, subjective norms, risk behavior, test history, open communication about sexuality, and marital status were important (univariate) predictors of the intention to get tested for STI/HIV for both the Surinamese and Dutch-Antillean respondents. For both the Surinamese and Dutch-Antilleans, subjective norms were the most salient predictor of the intention to get tested in multivariate analyses, explaining 10% and 13% of the variance respectively; subjective norms had a direct influence on the intention for both the Surinamese and the Dutch-Antilleans.
The strong correlation and predictive power of subjective norms on the intention to get tested for STI/HIV, endorses the importance of focusing on community-based intervention rather than focusing on personal determinants, to change the present perceptions and attitudes towards testing. Health promoting programs should be aimed at promoting open communication regarding sexuality and testing. Stimulating each other to get tested frequently could also help achieving the desired behavior.
在荷兰生活的不同族裔群体中，性传播感染（STI）的感染率很高，尤其是苏里南人和荷属安的列斯人。在荷兰，只有有限的针对这些群体的有效干预措施可以促进 STI/HIV 检测。在本研究中，我们确定了居住在荷兰的活跃的苏里南人和荷属安的列斯人进行 STI/HIV 检测的意愿的决定因素。其次，本研究评估了在这些群体中推广 STI/HIV 检测时应针对哪些决定因素。
总共招募了 450 名苏里南人和 303 名荷属安的列斯人，他们是通过荷兰互联网小组和群体活动招募的。在线调查中使用的问卷基于健康信念模型、社会认知理论和计划行为理论的概念。为了纠正多次结果测试，我们认为对于所有分析，差异在统计学上显著（p<.01）。对于多元线性回归分析，将具有统计学意义的变量按块输入模型。
健康动机、行动线索、主观规范、风险行为、检测史、对性行为的开放沟通以及婚姻状况是苏里南人和荷属安的列斯人进行 STI/HIV 检测意愿的重要（单变量）预测因素。对于苏里南人和荷属安的列斯人来说，主观规范是检测意愿的最显著预测因素，在多元分析中分别解释了 10%和 13%的方差；主观规范对苏里南人和荷属安的列斯人检测意愿均有直接影响。
主观规范与检测 STI/HIV 的意愿之间的强烈相关性和预测力，证实了将重点放在基于社区的干预而不是个人决定因素上的重要性，以改变当前对检测的看法和态度。健康促进计划应旨在促进关于性行为和检测的开放沟通。相互鼓励经常进行检测也有助于实现期望的行为。
