CAPHRI School for Public Health and Primary Care, Department of Health Promotion, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, the Netherlands.
BMC Public Health. 2023 Mar 28;23(1):578. doi: 10.1186/s12889-023-15466-5.
Unprotected sex is common among university students in Sudan, thus increasing risks for sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV). As little is known about the psychosocial determinants of consistent condom use among this population, this study was designed to identify them. The Integrated Change Model (ICM) was applied in a cross-sectional design to identify in 218 students (aged 18-25 years) from Khartoum which items distinguish condom users from non-condom users. Condom users differed significantly from non-condom users in having more HIV and condom use-related knowledge, higher perception of susceptibility to HIV, reporting more exposure to condom use cues, having a less negative attitude towards condom use (attitude cons), experiencing social support and norms favouring condom use and having higher condom use self-efficacy. Binary logistic regression showed that peer norms favouring condom use in addition to HIV-related knowledge, condom use cues, negative attitude and self-efficacy were the factors uniquely associated with consistent condom use among university students in Sudan. Interventions seeking to promote consistent condom use among sexually active students could benefit from increasing knowledge about HIV transmission and prevention, raising HIV-risk perception, using condom use cues, addressing perceived condom disadvantages and enhancing students self-efficacy to avoid unprotected sex. Moreover, such interventions should raise students
perceptions of their peers beliefs and behaviours favouring condom use and seek health care professionals
and religious scholars` support for condom use.
在苏丹,大学生中普遍存在无保护性行为,这增加了他们感染性传播疾病(STDs)和人类免疫缺陷病毒(HIV)的风险。由于人们对这一人群中坚持使用安全套的社会心理决定因素知之甚少,因此设计了这项研究以确定这些因素。本研究采用横断面设计,在喀土穆的 218 名 18-25 岁学生中应用综合变化模型(ICM),以确定哪些项目可以区分安全套使用者和非安全套使用者。安全套使用者在 HIV 和安全套使用相关知识、对 HIV 易感性的认知更高、报告更多接触安全套使用线索、对安全套使用的态度不那么消极(态度 cons)、经历社会支持和支持使用安全套的规范以及安全套使用自我效能感等方面与非安全套使用者有显著差异。二元逻辑回归显示,除了与 HIV 相关的知识、安全套使用线索、消极态度和自我效能感之外,同伴支持安全套使用的规范是与苏丹大学生中坚持使用安全套唯一相关的因素。寻求促进性活跃学生中坚持使用安全套的干预措施,可以从以下方面受益:增加对 HIV 传播和预防的了解、提高 HIV 风险认知、使用安全套使用线索、解决对安全套的负面影响、增强学生避免无保护性行为的自我效能感。此外,此类干预措施应提高学生对同伴支持使用安全套的信念和行为的认识,并寻求医疗保健专业人员和宗教学者对使用安全套的支持。
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