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首页> 外文期刊>AIDS care. >An exploration into the role of depression and self-efficacy on township men who have sex with men's ability to engage in safer sexual practices
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An exploration into the role of depression and self-efficacy on township men who have sex with men's ability to engage in safer sexual practices

机译：探索抑郁症和自我效能感对与男性有能力从事更安全性行为的性行为的乡镇男子的作用

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摘要

Men who have sex with men (MSM) in South Africa remain at particular risk of HIV infection. The Ukwazana baseline survey is the first to explore this risk in relation to psychological factors associated with unprotected anal intercourse (UAI). A cohort of 316 MSM from township peri-urban Cape Town took part in the survey. The survey found that 55.2% had engaged in UAI over the preceding 6 months. Depression was significantly associated with UAI. Respondents with self-efficacy scores less than two standard deviations above the mean were also more likely to have engaged in UAI. A Sobel test for mediation highlighted that the depression-UAI association was partially mediated by self-efficacy, indicating that most of the effect of depression on UAI was not covarying with self-efficacy. This study, therefore, highlights that both depression and self-efficacy should be considered factors to be addressed in HIV-prevention programmes aimed at peri-urban MSM.
机译：南非的男男性接触者仍然特别容易感染艾滋病毒。 Ukwazana基线调查是首次探讨与无保护的肛门性交（UAI）相关的心理因素有关的风险。来自城镇郊区开普敦的316名MSM参加了调查。调查发现，在过去的6个月中，有55.2％的人从事过UAI。抑郁与UAI显着相关。自我效能得分小于均值两个标准差的被调查者也更有可能从事UAI。 Sobel调解测试强调，抑郁-UAI关联部分是由自我效能感介导的，表明抑郁对UAI的大多数影响与自我效能并不一致。因此，这项研究强调，在针对城郊MSM的HIV预防计划中，应将抑郁和自我效能都视为要解决的因素。

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