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山东大学学报 (医学版) ›› 2018, Vol. 56 ›› Issue (6): 58-62.doi: 10.6040/j.issn.1671-7554.0.2017.514

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影响青岛市大龄女性性工作者安全套使用的心理社会因素分析

曹明昆1,许意清2,3,李宜霏2,3,姜珍霞4,张西江4,李秀芳5,姜宝法1   

  1. 1.山东大学公共卫生学院流行病学系, 山东 济南 250012;2.湖南省疾病预防控制中心空气与健康监测科, 湖南 长沙 410005;3.中国医学科学院 北京协和医学院医学科技评价研究室, 北京 100730;4.青岛市疾病预防控制中心性病艾滋病防治科, 山东 青岛 266000;5.青岛大学附属医院性健康中心, 山东 青岛 266000
  • 发布日期:2022-09-27
  • 通讯作者: 姜宝法. E-mail:bjiang@sdu.edu.cn
  • 基金资助:
    美国国立卫生研究所基金(5R01HD068305-02)

An investigation on the psychosocial factors affecting condom use among older sex workers in Qingdao City

CAO Mingkun1, XU Yiqing2,3, LI Yifei2,3, JIANG Zhenxia4, ZHANG Xijiang4, LI Xiufang5, JIANG Baofa1   

  1. 1. Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Air and Health Monitoring, Hunan Provincial Center for Disease Control and Prevention, Changsha 410005, Hunan, China;
    3. Department of Medical Science and Technology Evaluation, Chinese Academy of Medical Science &
    Peking Union Medical College, Beijing 100730, China;
    4. Department of AIDS/STDs Control and Prevention, Qingdao Municipal Center for Disease Prevention &
    Control, Qingdao 266000, Shandong, China;
    5. Sexual Health Center, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, China
  • Published:2022-09-27

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摘要： 目的 探讨影响大龄女性性工作者(OFSWs)安全套使用的心理社会因素,为相关部门制定针对性干预措施提供理论依据。 方法 采用同伴驱动抽样法,于2014年3~6月在青岛市招募420名OFSWs并进行问卷调查。应用多元线性回归和路径分析探究影响OFSWs安全套使用的心理社会因素及效应大小。 结果 多元线性回归显示,OFSWs安全套使用行为的保护因素为安全套使用意图(b1=0.38)和自我效能(b1=0.77),危险因素为工作环境(b1=-0.12)。路径分析发现,疾病易感性感知(β2=-0.12)、负向预期(β2=-0.22)对OFSWs安全套使用行为有间接负向效应;自我效能(β2=0.56)、同伴使用感知(β2=0.13)对OFSWs安全套使用行为有间接正向效应;自我效能(β2=0.66)和安全套使用意图(β2=0.14)对OFSWs安全套使用行为有直接正向效应。 结论 自我效能对青岛市OFSWs安全套使用的影响最大,提示干预重点应为提高OFSWs使用和劝说客人使用安全套的信心。

关键词: 心理社会因素, 安全套使用行为, 多元线性回归, 路径分析

Abstract: Objective To explore the psychosocial factors affecting condom use among older female sex workers(OFSWs)in Qingdao City and to provide information for departments and agencies involved to take intervention measures. Methods Totally 420 OFSWs were recruited with respondent-driven sampling method and surveyed with 山 东 大 学 学 报 (医 学 版)56卷6期 -曹明昆,等.影响青岛市大龄女性性工作者安全套使用的心理社会因素分析 \=-questionnaire during March and June 2014. Multiple linear regression and path analysis were used to analyze the psychosocial factors influencing condom use and the effects. Results Multiple linear regression showed that condom use intention(b1=0.38)and self-efficacy(b1=0.77)were the protective factors of condom use behavior, while the work environment(b1=-0.12)was the risk factor. Path analysis found that perception of disease susceptibility(β2=-0.12)and negative expectation(β2=-0.22)had indirect negative effects on condom use behavior; self-efficacy(β2=0.56)and perception of companion use(β2=0.13)had indirect positive effects; self-efficacy(β2=0.66)and condom use intention(β2=0.14)had direct positive effects. Conclusion Self-efficacy has the greatest impact on condom use among OFSWs in Qingdao City and disease control departments should improve OFSWs’ confidence in using condoms and persuading guests to use condoms.

Key words: Psychosocial factors, Condom use behavior, Multiple linear regression, Path analysis

中图分类号: 

  • R183.7
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