基于计划行为理论的暗娼人群安全套使用影响因素分析  

Predictors related to condom use behaviors based on the theory of planned behavior among female sex workers

作　　者：黄竞月 张伟华 孟瑜 王可[1] 赵荣仙[1] 杨素莲 黄娇[1] 王夏[3] 童叶青[4] 郭恒[2] 魏晟[1] HUANG Jjing-yue;ZHANG Wei-hua;MENG Yu;WANG Ke;ZHAO Rong-xian;YANG Su-lian;HUANG Jiao;WANG Xia;TONG Ye-qing;CUO Heng;WEI Sheng(Department oj Epidemiology and Health Statistics,School of Public Health,Tongji Medical college,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Preventive Medicine,School of Medicine,Shihezi Unirrrsity,Shihezi 832002,China;Institute of HIV&AIDS Control and Prevention,Wuhan Center for Disease Control and Prevention,Wuhan 430015,China;Hubei Center for Disease Control and Prevention,Wuhan 430079,China)

机构地区：[1]华中科技大学同济医学院公共卫生学院流行病与卫生统计学系,武汉430030 [2]石河子大学医学院预防医学系,石河子832002 [3]武汉市疾病预防控制中心艾滋病防治所,武汉430015 [4]湖北省疾病预防控制中心传染病防治研究所,430079武汉

出　　处：《中华疾病控制杂志》2019年第12期1492-1497,共6页Chinese Journal of Disease Control & Prevention

基　　金：湖北省重大疾病防治策略与保障政策创新研究(2017ADC061)~~

摘　　要：目的研究湖北省不同档次场所暗娼(female sex workers,FSWs)安全套使用的影响因素。方法基于计划行为理论(theory of planned behavior,TPB)抽查湖北省六市的816名FSWs进行问卷调查,应用结构方程模型分析不同档次场所FSWs在商业性行为中安全套使用的影响因素。结果低档场所FSWs最近1次和最近1月商业性行为中安全套使用率均低于中高档场所FSWs(t=5.80,P<0.001)。不同场所FSWs的TPB评分差异有统计学意义,低档场所FSWs知觉行为控制评分(11.43±2.86)低于中高档场所FSWs(12.06±2.87)(t=3.07,P=0.002);但行为意图评分(5.47±1.11)高于中高档场所(5.20±1.15)(t=3.35,P=0.001)。知觉行为控制是低档场所FSWs使用安全套的最强影响因素(路径系数为0.55,P<0.001),而安全套使用意图是中高档场所FSWs使用安全套的最强影响因素(路径系数为0.33,P<0.001)。对于所有研究对象,安全套使用态度是安全套使用意图的最强影响因素(路径系数为0.49和0.42,P<0.001)。结论提高FSWs对安全套的使用态度是提高FSWs安全套使用意图的重要举措。对于低档场所FSWs,应提高知觉行为控制相关因素;对于高档场所FSWs,应提高其安全套使用意愿。Objective To identify predictors related to condom use in different tiered female sex workers(FSWs) in Hubei Province. Methods A cross-sectional study was conducted in Hubei Province in 2015 to investigate 816 eligible FSWs by using a multistage sampling method. All data were collected by using a structured questionnaire with scales on condom use, which was designed based on the theory of planned behavior(TPB). A structural equation model(SEM) was used to identify predictors of condom use in the different tiered FSWs. Results It showed that low-tier FSWs used less condom than higher-tier FSWs in commercial sexual behaviors of the last time and during the last month(P<0.001). The TPB scores were significantly different in different tiered FSWs. The scores of PBC in low-tier FSWs were lower than those in higher-tier FSWs(11.43±2.86 vs 12.06±2.87, respectively, P=0.002);But the scores of behavioral intentions were higher than those in higher-tier FSWs(5.47±1.11 vs 5.20±1.15, respectively, P=0.001). The PBC was the major factor related to condom use in low-tier FSWs(effect coefficient=0.55, P<0.001), while the behavioral intention was the major factor related to condom use in higher-tier FSWs(effect coefficient=0.33, P<0.001). Behavioral attitude was the major factor of intention to use condoms for both low-tier(effect coefficient=0.49, P<0.001) and higher-tier FSWs(effect coefficient=0.42, P<0.001). Conclusions Changing the attitude to condom use in FSWs is an important measure to promote the behavior intention. Condom promotion interventions should focus on the perceived behavioral control in low-tier FSWs, and promote the behavior intention in higher-tier FSWs.

关 键 词：暗娼 安全套使用 结构方程模型 计划行为理论 

分 类 号：R181[医药卫生—流行病学]