Ebrahim Nasser B, Davis Sharon, Tomaka Joe
Department of Public Health, Keimyung University, South Korea, Daegu, South Korea.
Department of Surgery, Paul L Foster School of Medicine, Texas Tech Health Center, El Paso, Texas.
Public Health Nurs. 2016 Nov;33(6):558-564. doi: 10.1111/phn.12281. Epub 2016 Jun 29.
Immigrants, specifically African-born black persons, are affected by the HIV epidemic in the U.S. The low level of condom use among immigrants is a risk factor for contracting HIV and STIs. Immigrants go through acculturation process in their new adopted countries-a process reported to influence many health risks and protective factors; however, the mechanism through which acculturation influences health behaviors is not well understood. Thus, study examined the mediating role of attitude in the relationship between acculturation and the intention to use male condoms in steady heterosexual relationships among Somali and Ethiopian immigrants in Minnesota.
The study was a regression analysis and the method of data collection cross-sectional. Participants were (n = 205) Somali and Ethiopian immigrants in Minnesota who volunteered for the study.
Study participants responded to questions on attitudes, behavioral intention, and acculturation levels.
The indirect effect of acculturation through the mediator, attitude, was not significant, product coefficient (a × b) = 0.04, 95% CI: [0.00, 0.11]; hence attitude did not mediate the relationship between acculturation and the intention to use condoms in the study population. However, there were significant direct and total effects of acculturation (c' = .27, p < .05; c = .31, p < .05), respectively, on intention to use condoms.
Results of the study may suggest that public health intervention strategies targeting condom use among immigrants should incorporate programs that improve English language training tailored to the cultural practices and values of the immigrants, and consider the effect of acculturation on condom use.
移民，特别是出生于非洲的黑人，受到美国艾滋病毒疫情的影响。移民中避孕套使用率低是感染艾滋病毒和性传播感染的一个风险因素。移民在他们新的东道国会经历文化适应过程——据报道，这一过程会影响许多健康风险和保护因素；然而，文化适应影响健康行为的机制尚不清楚。因此，本研究考察了态度在明尼苏达州索马里和埃塞俄比亚移民的文化适应与在稳定异性恋关系中使用男用避孕套意愿之间的关系中所起的中介作用。
该研究为回归分析，数据收集方法为横断面研究。参与者为明尼苏达州（n = 205）自愿参与该研究的索马里和埃塞俄比亚移民。
研究参与者回答了关于态度、行为意愿和文化适应水平的问题。
通过中介变量态度产生的文化适应间接效应不显著，乘积系数（a×b）= 0.04，95%置信区间：[0.00, 0.11]；因此，在研究人群中，态度并未介导文化适应与使用避孕套意愿之间的关系。然而，文化适应对使用避孕套意愿分别有显著的直接效应（c' = 0.27，p < 0.05）和总效应（c = 0.31，p < 0.05）。
该研究结果可能表明，针对移民中避孕套使用情况的公共卫生干预策略应纳入根据移民文化习俗和价值观量身定制的英语培训项目，并考虑文化适应对避孕套使用的影响。
