Malow R M, Corrigan S A, Cunningham S C, West J A, Pena J M
Addiction Research and Treatment Center, University of Miami, FL 33136.
AIDS Educ Prev. 1993 Fall;5(3):244-53.
Although strategies for decreasing injection drug use have met with moderate success, efforts to decrease high-risk sexual behaviors have been less successful. Because condom use reduces HIV transmission, it is critically important to identify the attitudinal, emotional, and behavioral factors associated with using condoms. This study evaluated the relationship between condom use and various psychological and behavioral variables among heterosexual, African-American, cocaine-dependent men within the context of the AIDS Risk Reduction Model (ARRM). Subjects who used condoms (n = 52) reported significantly higher levels of self-efficacy, condom use skills, and sexual communication with partners than non-users (n = 84). However, the groups did not differ in perceived susceptibility, anxiety concerning HIV transmission, response efficacy, or knowledge regarding HIV. These findings suggest that future interventions focus on enhancing self-efficacy and condom use skills, as well as eroticizing condom use.
尽管减少注射吸毒的策略取得了一定成功，但减少高危性行为的努力成效较小。由于使用避孕套可降低艾滋病毒传播风险，因此识别与使用避孕套相关的态度、情感和行为因素至关重要。本研究在艾滋病风险降低模型（ARRM）的背景下，评估了异性恋、非裔美国、可卡因依赖男性中避孕套使用与各种心理和行为变量之间的关系。使用避孕套的受试者（n = 52）报告的自我效能感、避孕套使用技能以及与伴侣的性沟通水平显著高于未使用者（n = 84）。然而，两组在感知易感性、对艾滋病毒传播的焦虑、反应效能或艾滋病毒知识方面并无差异。这些发现表明，未来的干预措施应侧重于提高自我效能感和避孕套使用技能，以及使避孕套使用变得更具吸引力。
