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信息-动机-行为技能模型与无保护性行为:评估该模型在南非茨瓦内酒吧顾客中的效用和预测性。

The Information-Motivation-Behavioral Skills Model and Unprotected Sex: Assessing the Model's Utility and Predictability Among Bar Patrons in Tshwane, South Africa.

机构信息

Alcohol, Tobacco, and Other Drug Research Unit, South African Medical Research Council, Private Bag X385, Pretoria, 0001, South Africa.

Department of Psychology, University of Johannesburg, Johannesburg, South Africa.

出版信息

Arch Sex Behav. 2022 Aug;51(6):2943-2953. doi: 10.1007/s10508-022-02327-2. Epub 2022 Jul 18.

Abstract

The Information-Motivation-Behavioral skills (IMB) model has been a useful tool for understanding sexual risk behavior. However, its utility in predicting sexual risk behaviors among bar patrons, for whom the bar setting poses a higher risk of alcohol-related sexual risk behavior, has been underexplored. We assessed (1) the extent to which the IMB predicted number of episodes of unprotected sex in the past six months and (2) whether incorporating sex under the influence of alcohol and alcohol use improved the predictability of the model among bar patrons. Hierarchical regression models were conducted on data from 406 men and women from bars in rural areas of North-West province, South Africa. Behavioral skills were the sole IMB variable to predict unprotected sex with main partners (β = - 0.40; p < .001), explaining 18% of the variance. Variance explained increased to 21% with addition of sex under the influence of alcohol (β = 0.13; p = .019) and further increased to 26% with the addition of alcohol use (β = 0.24; p < .001). Motivation (β = - 0.21; p = .006) and behavioral skills (β = - 0.21; p = .006) were the significant IMB predictors of unprotected sex with casual partners (explaining 15% of the variance). Variance explained increased to 22% with the addition of sex under the influence of alcohol (β = 0.26; p = .001), but alcohol consumption was not an independent predictor of episodes of unprotected sex with casual partners. Interventions for improving HIV prevention behaviors among bar patrons should focus on enhancing individuals' behavioral skills and motivation and reducing their alcohol consumption.

摘要

信息-动机-行为技能(IMB)模型已成为理解性风险行为的有用工具。然而,该模型在预测酒吧顾客的性风险行为方面的效用尚未得到充分探索,因为酒吧环境增加了与酒精相关的性风险行为的风险。我们评估了:(1)IMB 在多大程度上预测了过去六个月内无保护性行为的次数;(2)在酒吧顾客中,纳入性行为是否受酒精影响和酒精使用是否能提高该模型的预测能力。在南非西北省农村地区的酒吧中,对 406 名男性和女性的数据进行了层次回归模型分析。行为技能是唯一能预测与主要伴侣发生无保护性行为的 IMB 变量(β=-0.40;p<.001),解释了 18%的方差。随着性行为是否受酒精影响的纳入(β=0.13;p=0.019),方差解释增加到 21%,随着酒精使用的纳入(β=0.24;p<.001),方差解释进一步增加到 26%。动机(β=-0.21;p=0.006)和行为技能(β=-0.21;p=0.006)是与偶然伴侣发生无保护性行为的重要 IMB 预测因素(解释了 15%的方差)。随着性行为是否受酒精影响的纳入(β=0.26;p=0.001),方差解释增加到 22%,但酒精消费并不是与偶然伴侣发生无保护性行为的独立预测因素。提高酒吧顾客预防 HIV 行为的干预措施应侧重于增强个人的行为技能和动机,并减少他们的酒精消费。

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