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西班牙裔人群中酒精与艾滋病相关性行为:文化适应与性别差异

Alcohol and AIDS-related sexual behavior among Hispanics: acculturation and gender differences.

作者信息

Hines A M, Caetano R

机构信息

College of Social Work, San Jose State University, CA, USA.

出版信息

AIDS Educ Prev. 1998 Dec;10(6):533-47.

PMID:9883288
Abstract

We examined the relationship of acculturation to alcohol use and risky sexual behavior among Hispanic men (N = 269) and women (N = 294). Data were obtained from a 1991/1992 general population survey on alcohol that included questions on sexual behavior. Guided by a conceptual/theoretical framework, we focused on gender and acculturation differences as we examined the relationship between sociodemographic characteristics, perception of AIDS-related risk, drinking and AIDS-related sexual behavior. Logistic regression analyses were performed separately for men and women to evaluate the predictive strength of acculturation, demographic factors, and alcohol consumption on risky sexual behavior. Results indicated that less acculturated Hispanic men drank more heavily and were more likely to engage in risky sexual behavior than those who were more acculturated. Although acculturated Hispanic women drank more than those who were less acculturated, less acculturated Hispanic women engaged in more risky sexual behavior. The data indicate the need for culturally sensitive AIDS-prevention programs that are linked with alcohol treatment services for men and that are targeted to different acculturation levels for men and women.

摘要

我们研究了文化适应与西班牙裔男性(N = 269)和女性(N = 294)饮酒及危险性行为之间的关系。数据来自1991/1992年关于酒精的一般人群调查,其中包括有关性行为的问题。在一个概念/理论框架的指导下,我们在研究社会人口学特征、对艾滋病相关风险的认知、饮酒与艾滋病相关性行为之间的关系时,重点关注了性别和文化适应差异。对男性和女性分别进行了逻辑回归分析,以评估文化适应、人口统计学因素和饮酒对危险性行为的预测强度。结果表明,与文化适应程度较高的西班牙裔男性相比,文化适应程度较低的男性饮酒量更大,且更有可能从事危险性行为。虽然文化适应程度较高的西班牙裔女性比文化适应程度较低的女性饮酒更多,但文化适应程度较低的西班牙裔女性从事更多危险性行为。数据表明,需要有对文化敏感的艾滋病预防项目,这些项目要与针对男性的酒精治疗服务相联系,并且针对男性和女性的不同文化适应水平。

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