Factors Influencing Intention on Condom Use During Sexual Intercourse With Regular Female Partners Among Men Who Have Sex With Men in Western China: A Structural Equation Modeling Analysis

作者全名："Cao, Zhen; Chen, Jin; Lin, Bing; Zhang, Cong; Zhong, Xiaoni"

作者地址："[Cao, Zhen; Chen, Jin; Lin, Bing; Zhang, Cong; Zhong, Xiaoni] Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, Chongqing, Peoples R China; [Zhong, Xiaoni] Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, 1 Yixue Rd, Chongqing, Peoples R China"

通信作者："Zhong, XN (通讯作者)，Chongqing Med Univ, Res Ctr Med & Social Dev, Sch Publ Hlth, 1 Yixue Rd, Chongqing, Peoples R China."

来源：SEXUALLY TRANSMITTED DISEASES

ESI学科分类：IMMUNOLOGY

WOS号：WOS:001102769800002

JCR分区：Q3

影响因子：2.4

年份：2023

卷号：50

期号：12

开始页：782

结束页：788

文献类型：Article

关键词：　

摘要："Background: Given the rapid rise in HIV infection among men who have sex with men (MSM) in China, they may be a potential bridge for HIV transmission to the general female population, and increasing condom use is an important protective measure. This study aimed to explore factors that influence the intention of condom use during sexual intercourse with regular female partners among MSM in Western China, based on the Health Action Process Approach model.Methods: This study used a baseline sample from a cohort study of the National Science and Technology Major Project. A nonprobability sampling method was adopted to recruit MSM from western China. Information on sociodemographic characteristics, HIV-related characteristics, sexual behavior, and constructs of the Health Action Process Approach model was collected through structured questionnaires, and the data were analyzed using a structural equation model.Results: Among 232 participants, 62.9% (146 of 232) intended to use condoms every time they had sex with their regular female partners during the following 3 months. The results of the structural equation model showed that self-efficacy had the greatest influence on behavioral intention (beta = 0.398, P < 0.001), followed by negative outcome expectancy (beta = -0.303, P < 0.05). In addition, risk perception (beta = 0.206, P < 0.05) and positive outcome expectancy (beta = 0.270, P < 0.01) had indirect effects on intention, whereas self-efficacy played a mediating role in these indirect influencing factors.Conclusions: Risk perception, outcome expectancy, and self-efficacy are predictors of condom use intention, with self-efficacy in particular serving as a significant medium for future interventions. These findings could provide a reference for future targeted interventions to reduce the likelihood of HIV transmission from MSM to the female population."

基金机构：National Key Project for Infectious Diseases of the Ministry of Science and Technology of China [2018ZX10721102-005]

基金资助正文：This work was supported by the National Key Project for Infectious Diseases of the Ministry of Science and Technology of China (2018ZX10721102-005).