Patrão Ana Luísa, McIntyre Teresa
a Institute of Collective Health , Federal University of Bahia , Salvador , Brazil.
b School of Social Work , University of Texas at Arlington , USA.
Afr J AIDS Res. 2018 Dec;17(4):323-331. doi: 10.2989/16085906.2018.1536672. Epub 2018 Nov 23.
Heterosexual encounters remain the primary route for HIV transmission in Africa. Safer sex behaviour is not adopted by many women due to several social and psychological factors. This paper aims to identify socio-demographic, marital and psychosocial predictors associated with current sexual activity and condom use in Mozambican women at sexual risk for HIV/AIDS. Women (173), patients at a public hospital and at risk for HIV infection, completed measures of condom use negotiation self-efficacy, perceived barriers against safer sex, current sexual activity and condom use. Having more than 6 years of education and being younger and single were significant predictors for current sexual activity and condom use. Regarding psychosocial factors, talking about AIDS with partners, condom use negotiation self-efficacy and fewer perceived barriers to safer sex were significant predictors for current sexual activity (intention to use and buy/get condoms). Condom use negotiation self-efficacy is a significant predictor for condom use. These results should be considered in new HIV prevention intervention design in Mozambique.
异性接触仍然是非洲艾滋病病毒传播的主要途径。由于多种社会和心理因素，许多女性并未采取安全性行为。本文旨在确定莫桑比克有感染艾滋病毒/艾滋病风险的女性中，与当前性行为及使用避孕套相关的社会人口统计学、婚姻和心理社会预测因素。173名在公立医院就诊且有感染艾滋病毒风险的女性完成了关于避孕套使用谈判自我效能感、对安全性行为的感知障碍、当前性行为及避孕套使用情况的测量。接受过6年以上教育、年龄较小且单身是当前性行为及使用避孕套的重要预测因素。在心理社会因素方面，与伴侣谈论艾滋病、避孕套使用谈判自我效能感以及对安全性行为的感知障碍较少是当前性行为（使用和购买/获取避孕套的意愿）的重要预测因素。避孕套使用谈判自我效能感是使用避孕套的重要预测因素。在莫桑比克新的艾滋病预防干预设计中应考虑这些结果。
