The purpose of this descriptive correlational study using the transtheoretical model was to determine the relationship between stages of change and condom use among gay and bisexual men with primary (steady) and casual (occasional) partners. A convenience sample of 241 gay and bisexual men was recruited from the Internet. The majority of men (n = 198, 82%) never used condoms during anal, vaginal, or oral intercourse with primary partners, indicating they were in the first of five stages of change (precontemplation). Thirty percent (n = 71) of men reported using condoms every time during anal intercourse with casual partners and were in the last stage of change (maintenance). Multiple regression analysis revealed that older bisexual men who informed partners of their HIV status and who were confident and perceived more advantages in using condoms were in higher stages of change. By placing participants into various stages of change, stage specific interventions can be designed.

译文

使用跨理论模型进行的描述性相关研究的目的是确定具有主要 (稳定) 和休闲 (偶尔) 伴侣的同性恋和双性恋男性的变化阶段与避孕套使用之间的关系。从互联网上招募了241名同性恋和双性恋男性的便利样本。大多数男性 (n = 198,82%) 在与主要伴侣的肛门,阴道或口交期间从未使用过避孕套,这表明他们处于变化的五个阶段 (预想) 中的第一个阶段。30% (n = 71) 的男性报告说,每次与休闲伴侣进行肛门性交时都会使用避孕套,并且处于改变 (维持) 的最后阶段。多元回归分析显示,向伴侣告知其艾滋病毒状况并有信心并认为使用安全套有更多优势的老年双性恋男性处于较高的变化阶段。通过将参与者置于变化的各个阶段,可以设计针对特定阶段的干预措施。

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