...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Family planning perspectives >Relationship dynamics, ethnicity and condom use among low-income women.
【24h】

Relationship dynamics, ethnicity and condom use among low-income women.

机译：低收入妇女之间的关系动态，种族和使用安全套。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

CONTEXT: Women's protection against HIV and sexually transmitted diseases (STDs) depends upon their ability to negotiate safer sex. It is important to know how cultural norms and gender roles, which vary by ethnicity, may either constrain or encourage negotiation of condom use. METHODS: Questionnaires were completed by 393 low-income non-Hispanic black, Hispanic and non-Hispanic white women who were sexually active and attending family planning and STD clinics and other public health and social service centers in Miami in 1994 and 1995. Multivariate logit techniques were used to identify ethnic differences in relationship dynamics and to determine couple- and individual-level factors associated with consistent use, occasional use or nonuse of condoms. RESULTS: Black and Hispanic women reported higher levels of consistent condom use (15-17%) than did white women (4%). Nearly all black and white women (90-95%) said that they were extremely or somewhat comfortable talking about condoms with their partner, whereas 76% of Hispanic women did so. A larger proportion of Hispanic women (55%) reported joint contraceptive decision-making than did black women (26%) or white women (31%). Among women who reported that their partner made contraceptive decisions, 28% used condoms consistently or occasionally, compared with 24% among women who made the decision themselves. When the couple made the decision jointly, 41% of them were condom users. Hispanic women scored the lowest on a scale of condom-related self-efficacy, yet also reported the highest levels of confidence in their condom negotiating skills. Multivariate analysis indicated that, compared with white women, black and Hispanic women were more likely to be consistent condom users than nonusers (odds ratios, 10.2 and 18.9, respectively). Women who shared financial decision-making with their partner were almost 80% less likely to be a consistent condom user, and women who did not participate in financial decisions were more than 90% less likely to do so, than were women who made monetary decisions independently. CONCLUSIONS: HIV prevention and intervention programs should emphasize birth control discussion between partners and the development of condom-related self-efficacy and negotiation skills, and these programs also should customize prevention messages according to ethnicity and social context.
机译：背景：妇女对艾滋病毒和性传播疾病的防护取决于她们争取更安全性行为的能力。重要的是要了解因种族而异的文化规范和性别角色如何可能约束或鼓励使用安全套的谈判。方法：1994年和1995年在迈阿密进行的393名低收入非西班牙裔黑人，西班牙裔和非西班牙裔白人女性进行了性活动并参加了计划生育和性病诊所以及其他公共卫生和社会服务中心，调查问卷完成了。这些技术被用来识别关系动态中的种族差异，并确定与持续使用，偶尔使用或不使用安全套相关的夫妻和个人层面的因素。结果：黑人和西班牙裔妇女报告的一致使用避孕套的水平（15-17％）高于白人妇女（4％）。几乎所有的黑人和白人妇女（90-95％）都说，与伴侣谈论安全套非常或有些自在，而76％的西班牙裔妇女则如此。与黑人妇女（26％）或白人妇女（31％）相比，西班牙裔妇女报告联合避孕决策的比例更高（55％）。在报告称其伴侣做出避孕决定的妇女中，有28％的人持续或偶尔使用避孕套，而自行做出决定的妇女中有24％。当夫妻俩共同做出决定时，其中41％是使用避孕套的人。西班牙裔妇女在与安全套相关的自我效能感方面得分最低，但对安全套谈判技巧的信心也最高。多变量分析表明，与白人女性相比，黑人和西班牙裔女性与未使用避孕套的女性相比，使用避孕套的可能性更高（比值分别为10.2和18.9）。与伴侣共同进行财务决策的女性成为安全套使用者的几率降低了近80％，未参与财务决策的女性与做出财务决策的女性相比，其参与决策的可能性降低了90％以上独立地。结论：艾滋病毒的预防和干预计划应强调伴侣之间的节育讨论以及与安全套有关的自我效能和谈判技巧的发展，这些计划还应根据种族和社会背景定制预防信息。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号