Female entertainment workers (FEWs) in China are at increased risk of HIV and other sexually transmitted infections, but correlates of their risky sexual behaviour remain poorly understood. Using data from a series of four surveys, this paper employs repeated measures analysis to identify individual and social correlates of consistent condom use among FEWs in Shanghai. Results reveal that both individual cognitive and social influence factors are statistically significant in their bivariate relationships to consistent condom use with a stable or non-stable partner; only prevention motivation and perceived self-efficacy in condom use remain significant in the multiple regressions. When individual and social correlates are examined together, only peer support for condom use remains a significant and independent correlate of consistent condom use in sex with a non-stable partner. Behavioural intervention is urgently needed and should take a multilevel approach, emphasizing individual prevention motivation and behavioural skills training and promoting peer/social support.

译文

中国的女性娱乐工作者 (few) 感染艾滋病毒和其他性传播感染的风险增加,但对其危险性行为的相关性仍知之甚少。本文利用四项调查的数据,采用重复措施分析,以识别上海few中持续使用安全套的个人和社会相关性。结果表明,个体认知和社会影响因素在与稳定或非稳定伴侣一致使用安全套的双变量关系中具有统计学意义; 在多元回归中,只有预防动机和安全套使用中的自我效能感仍然显着。当将个人和社会相关性一起检查时,只有同伴对避孕套使用的支持仍然是与不稳定伴侣在性行为中一致使用避孕套的重要且独立的相关性。迫切需要行为干预,并应采取多层次的方法,强调个人预防动机和行为技能培训,并促进同伴/社会支持。

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