Joint Doctoral Program in Public Health, San Diego State University and University of California, San Diego, San Diego, CA, USA.
Arch Sex Behav. 2014 May;43(4):719-27. doi: 10.1007/s10508-013-0149-2. Epub 2013 Jul 11.
Male clients of female sex workers (FSWs) in Tijuana, Mexico engage in high levels of unprotected sex. While behavioral change theories posit that self-efficacy predicts condom use, correlates of self-efficacy for condom use remain largely unstudied. We examined these correlates among male clients of FSWs in Tijuana. Eligible male clients were at least 18 years of age, HIV-negative, lived in Tijuana or San Diego, reported unprotected sex with a Tijuana FSW at least once in the past 4 months, and agreed to be treated for sexually transmitted infections (STIs). Participants completed an interviewer-administered questionnaire including demographics, substance use, psychosocial and psychosexual characteristics (e.g., outcome expectancies for negotiation of safer sex, social support, and sexual sensation seeking), and sexual behaviors. Participants also underwent HIV/STI testing. A stepwise hierarchical multiple regression analysis identified correlates of self-efficacy for condom use. Of 393 male clients, median age was 37 years. Participants were mostly Spanish-speaking and employed. Factors independently associated with higher self-efficacy for condom use were higher positive outcome expectancies for negotiation of safer sex, lower sexual sensation seeking scores, and higher social support scores. Both psychosocial and psychosexual factors may influence self-efficacy for condom use among male clients of FSWs. These factors represent central constructs in sociocognitive models that explain behavioral change and could be intervention targets for improving self-efficacy for condom use and, ultimately, safer sex behavior.
在墨西哥蒂华纳,女性性工作者(FSW)的男性客户进行了大量无保护性行为。虽然行为改变理论认为自我效能感预测了 condom 的使用,但 condom 使用的自我效能感的相关性在很大程度上仍未得到研究。我们研究了蒂华纳 FSW 的男性客户中的这些相关性。合格的男性客户年龄至少 18 岁,HIV 阴性,居住在蒂华纳或圣地亚哥,报告在过去 4 个月内至少与一名蒂华纳 FSW 发生过无保护性行为,并同意接受性传播感染(STIs)的治疗。参与者完成了一份由访谈者管理的问卷,包括人口统计学、物质使用、心理社会和心理性特征(例如,对更安全的性行为进行谈判的结果预期、社会支持和性感觉寻求)以及性行为。参与者还接受了 HIV/STI 检测。逐步分层多元回归分析确定了 condom 使用自我效能感的相关性。在 393 名男性客户中,中位数年龄为 37 岁。参与者主要是西班牙语使用者和受雇人员。与 condom 使用自我效能感较高相关的因素包括对更安全的性行为进行谈判的更高的积极结果预期、较低的性感觉寻求得分和较高的社会支持得分。心理社会和心理性因素都可能影响 FSW 男性客户的 condom 使用自我效能感。这些因素代表了解释行为改变的社会认知模型中的核心结构,并且可以成为提高 condom 使用自我效能感和最终更安全性行为的干预目标。
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