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哥伦比亚跨性别女性使用和不使用避孕套的情况:基于 IMB 模型的定性分析。

Condom use and non-use among transgender women in Colombia: a qualitative analysis based on the IMB model.

机构信息

Universidad Antonio Nariño. Facultad de Psicología. Cali, VAC, Colombia.

Universidad Cooperativa de Colombia. Facultad de Psicología. Cali, VAC, Colombia.

出版信息

Rev Saude Publica. 2022 Sep 26;56:84. doi: 10.11606/s1518-8787.2022056004145. eCollection 2022.

Abstract

OBJECTIVE

Review the reasons for condom use and non-use among transgender women in Colombia based on the information, motivation and behavioral skills (IMB) model.

METHOD

Qualitative study in which an iterative process analysis was carried out. A focal group participated in person, and in-depth interviews were conducted virtually.

RESULTS

First study carried out in Colombia on condom use among transgender women under the IMB model. The information component finds that traditional sexual education does not have a positive impact. Regarding motivational aspects, the importance of family support and follow-up and community-based organizations to motivate sexual health care and condom use is highlighted. Regarding behavioral skills, it was found that distrust towards sexual partners and the acquisition of condoms promote their use.

CONCLUSIONS

It is important to create spaces for sexual education delivered by and for the LGBTIQ population, followed by the medical knowledge of health centers, to have positive impacts on the sexual health of transgender women; studies with sexual partners of transgender women are encouraged in order to know the reasons why they request the non-use of condoms.

摘要

目的

基于信息-动机-行为技巧(IMB)模型,回顾哥伦比亚跨性别女性使用和不使用避孕套的原因。

方法

这是一项定性研究,对信息进行了迭代过程分析。一个焦点小组亲自参加,同时还进行了虚拟的深入访谈。

结果

这是在 IMB 模型下在哥伦比亚首次进行的关于跨性别女性使用避孕套的研究。信息部分发现,传统性教育没有产生积极影响。关于动机方面,强调了家庭支持和后续以及社区组织对激励性健康护理和使用避孕套的重要性。关于行为技能,发现对性伴侣的不信任和避孕套的获取促进了其使用。

结论

为 LGBTIQ 人群提供性教育并由他们来实施,然后由健康中心提供医学知识,这对跨性别女性的性健康具有积极影响;鼓励对跨性别女性的性伴侣进行研究,以了解他们要求不使用避孕套的原因。

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