Weeks Margaret R, Zhan Weihai, Li Jianghong, Hilario Helena, Abbott Maryann, Medina Zahíra
Institute for Community Research, 2 Hartford Sq. W., Ste. 100, Hartford, CT, 06106, USA,
AIDS Behav. 2015 Sep;19(9):1642-54. doi: 10.1007/s10461-015-1052-8.
HIV prevention is increasingly focused on antiretroviral treatment of infected or uninfected persons. However, barrier methods like male condoms (MC) and female condoms (FC) remain necessary to achieve broad reductions in HIV and other sexually transmitted infections (STI). Evidence grows suggesting that removal of basic obstacles could result in greater FC use and reduced unprotected sex in the general population. We conducted four annual cross-sectional surveys (2009-2012) of urban residents (N = 1614) in low-income neighborhoods of a northeastern U.S. city where prevalence of HIV and other STIs is high. Findings indicate slow FC uptake but also heterosexual men's willingness to use them. Factors associated with men's and women's FC use included positive FC attitudes, network exposure, and peer influences and norms. These results suggest that men can be supporters of FC, and reinforce the need for targeted efforts to increase FC use in both men and women for HIV/STI prevention.
艾滋病病毒预防工作越来越侧重于对感染者或未感染者进行抗逆转录病毒治疗。然而，男用避孕套（MC）和女用避孕套（FC）等屏障方法对于广泛减少艾滋病病毒及其他性传播感染（STI）仍然必不可少。越来越多的证据表明，消除基本障碍可能会使普通人群更多地使用女用避孕套，并减少无保护性行为。我们对美国东北部一个艾滋病病毒和其他性传播感染患病率很高的城市低收入社区的城市居民（N = 1614）进行了四次年度横断面调查（2009年至2012年）。研究结果表明女用避孕套的使用率增长缓慢，但异性恋男性愿意使用。与男性和女性使用女用避孕套相关的因素包括对女用避孕套的积极态度、社交网络接触以及同伴影响和规范。这些结果表明男性可以成为女用避孕套的支持者，并强化了有针对性地努力提高男性和女性使用女用避孕套以预防艾滋病病毒/性传播感染的必要性。
