唐修威, 王雨萱, 刘尚滨, 夏旦妮, 许惠芳, 穆再拜尔, 蔡泳, 袁东, 王英. 男男性行为者持续使用安全套影响因素的信息-动机-行为技巧模型分析[J]. 上海预防医学, 2023, 35(3): 275-281. DOI: 10.19428/j.cnki.sjpm.2023.22458
引用本文: 唐修威, 王雨萱, 刘尚滨, 夏旦妮, 许惠芳, 穆再拜尔, 蔡泳, 袁东, 王英. 男男性行为者持续使用安全套影响因素的信息-动机-行为技巧模型分析[J]. 上海预防医学, 2023, 35(3): 275-281. DOI: 10.19428/j.cnki.sjpm.2023.22458
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TANG Xiuwei, WANG Yuxuan, LIU Shangbin, XIA Danni, XU Huifang, MUZAI Baier, CAI Yong, YUAN Dong, WANG Ying. Analysis of psychosocial optimization IMB model on the influencing factors of persistent condom use among men who have sex with men[J]. Shanghai Journal of Preventive Medicine, 2023, 35(3): 275-281. DOI: 10.19428/j.cnki.sjpm.2023.22458
Citation: TANG Xiuwei, WANG Yuxuan, LIU Shangbin, XIA Danni, XU Huifang, MUZAI Baier, CAI Yong, YUAN Dong, WANG Ying. Analysis of psychosocial optimization IMB model on the influencing factors of persistent condom use among men who have sex with men[J]. Shanghai Journal of Preventive Medicine, 2023, 35(3): 275-281. DOI: 10.19428/j.cnki.sjpm.2023.22458
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男男性行为者持续使用安全套影响因素的信息-动机-行为技巧模型分析

Analysis of psychosocial optimization IMB model on the influencing factors of persistent condom use among men who have sex with men

    摘要
  • 摘要:
    目的 调查上海市男男性行为者（MSM）安全套（CCU）使用情况，运用信息⁃动机⁃行为技巧（IMB）理论，导入社会心理因素，研究该人群持续使用CCU的相关因素。
    方法 采用滚雪球的抽样方式对上海市4个区547名MSM进行横断面调查，运用结构化问卷收集的数据，构建并验证基于社会心理优化的结构方程模型。
    结果 在547名调查对象中，过去6个月内CCU的占比为45.5%。对比初始模型与调整模型的适配度，发现调整模型的拟合度良好。
    结论 上海市MSM人群中CCU的占比较低。信息和动机不会直接影响该人群CCU，仅行为技巧对CCU有直接效应。针对该人群应加强社会心理方面措施，制定全方位、多层次的策略，控制艾滋病病毒（HIV）在该人群中的传播。

     

    Abstract:
    Objective To investigate the condom use of men who have sex with men （MSM） in Shanghai， the information motivation behavioral skills model （IMB） theory was used to introduce psychosocial factors and study the relevant factors of consistent condom use （CCU） in this population.
    Methods A cross-sectional study of 547 MSM in four districts of Shanghai was conducted by snowball sampling. The structural equation model based on psychosocial optimization was constructed and validated using the data collected by structured questionnaires.
    Results Among the 547 respondents， the proportion of CCU in the past six months was 45.5%. Comparing the fitness of the initial model with that of the adjusted model， we found that the fitness of the adjusted model was good.
    Conclusion The proportion of CCU among MSM in Shanghai is relatively low； In addition， information and motivation do not directly affect the CCU of this population； Only behavioral skills have a direct effect on CCU. Finally， social psychological measures should be emphasized for this population， and comprehensive and multi-level strategies should be formulated to control the spread of HIV in this population.

     

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