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Condom use: exploring verbal and non-verbal communication strategies among Latino and African American men and women.

机译:避孕套的使用:探索拉丁裔和非裔美国人男女之间的言语和非言语交流策略。

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A growing body of literature provides evidence of a link between communication with sexual partners and safer sexual practices, including condom use. More research is needed that explores the dynamics of condom communication including gender differences in initiation, and types of communication strategies. The overall objective of this study was to explore condom use and the dynamics surrounding condom communication in two distinct community-based samples of African American and Latino heterosexual couples at increased risk for HIV. Based on 122 in-depth interviews, 80% of women and 74% of men reported ever using a condom with their primary partner. Of those who reported ever using a condom with their current partner, the majority indicated that condom use was initiated jointly by men and women. In addition, about one-third of the participants reported that the female partner took the lead and let her male partner know she wanted to use a condom. A sixth of the sample reported that men initiated use. Although over half of the respondents used bilateral verbal strategies (reminding, asking and persuading) to initiate condom use, one-fourth used unilateral verbal strategies (commanding and threatening to withhold sex). A smaller number reported using non-verbal strategies involving condoms themselves (e.g. putting a condom on or getting condoms). The results suggest that interventions designed to improve condom use may need to include both members of a sexual dyad and focus on improving verbal and non-verbal communication skills of individuals and couples.
机译:越来越多的文献提供了与性伴侣的沟通与更安全的性行为(包括使用安全套)之间的联系的证据。需要更多的研究来探讨安全套传播的动态,包括启动过程中的性别差异以及传播策略的类型。这项研究的总体目标是在两个具有较高HIV感染风险的非裔美国人和拉丁裔异性恋夫妇的两个基于社区的样本中探讨安全套的使用和围绕安全套传播的动态。根据122次深度访谈,报告80%的女性和74%的男性曾经与其主要伴侣一起使用安全套。在报告曾与其当前伴侣使用安全套的那些人中,多数人指出,安全套的使用是由男子和妇女共同发起的。此外,约有三分之一的参与者报告说,女伴侣带头让男伴侣知道她想使用避孕套。六分之一的样本报告男性开始使用。尽管超过一半的受访者使用双边口头策略(提醒,询问和说服)来开始使用安全套,但四分之一的受访者使用了单边口头策略(命令并威胁要拒绝做爱)。较少的人报告说使用了涉及安全套本身的非语言策略(例如,将安全套戴上或拿到安全套)。结果表明,旨在改善安全套使用的干预措施可能需要包括性二元组的成员,并侧重于提高个人和夫妻的言语和非言语交流技巧。

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