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伊朗艾滋病毒感染风险女性使用避孕套的预测因素

Predictors of Condom Use Among Iranian Women at Risk of HIV.

作者信息

Lotfi Razieh, Ramezani Tehrani Fahimeh, Salehifar Delara, Dworkin Shari L

机构信息

Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

Arch Sex Behav. 2016 Feb;45(2):429-37. doi: 10.1007/s10508-015-0603-4. Epub 2015 Oct 8.

Abstract

Sexual transmission of HIV/AIDS is increasing in Iran and is the main route of infection among women. In order to foster the development of future HIV prevention interventions for women, researchers need to understand the factors that influence sexual risk reduction behaviors in this group. The aim of this study was to explore the predictors of condom use among women at risk of HIV and develop a model of condom use in a sample of women at risk of HIV. We cross-sectionally examined predictors of condom use among 200 women at risk of HIV. Women were recruited from drop-in centers and voluntary counseling and testing centers in Tehran. Condom use among women at risk of HIV was examined using path analysis, and fit indices showed a good fit for the model. Condom use self-efficacy, social support, and less stereotypic gender roles influenced sexually protective behaviors of women at risk of HIV. Our results can provide a basis for future gender-specific intervention programs among women at risk of HIV. Researchers, practitioners, and organizations that play a central role in protecting the health of this population can make use of these results for the benefit of sexual and reproductive health programs.

摘要

在伊朗,艾滋病毒/艾滋病的性传播呈上升趋势,且是女性感染的主要途径。为推动未来针对女性的艾滋病毒预防干预措施的发展,研究人员需要了解影响该群体降低性风险行为的因素。本研究的目的是探索艾滋病毒感染风险女性中使用避孕套的预测因素,并在艾滋病毒感染风险女性样本中建立避孕套使用模型。我们对200名艾滋病毒感染风险女性使用避孕套的预测因素进行了横断面研究。这些女性是从德黑兰的救助中心以及自愿咨询检测中心招募而来的。使用路径分析研究了艾滋病毒感染风险女性的避孕套使用情况,拟合指数表明该模型拟合良好。避孕套使用自我效能感、社会支持以及较少刻板的性别角色影响了艾滋病毒感染风险女性的性保护行为。我们的研究结果可为未来针对艾滋病毒感染风险女性的性别特异性干预项目提供依据。在保护这一人群健康方面发挥核心作用的研究人员、从业者和组织可利用这些结果,以促进性健康和生殖健康项目。

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