The use of structural equation modelling and behavioural theory to target priority interventions to increase condom use among the intimate partners of sex workers in French Guiana

Autor:	Marie-Claire Parriault, Pierre Couppié, Astrid Van Melle, Mathieu Nacher, Leila Adriouch, Célia Basurko, Stéphanie Rogier
Rok vydání:	2016
Předmět:	Adult Safe Sex Health Knowledge Attitudes Practice Health (social science) Adolescent Social Psychology media_common.quotation_subject Population Psychological intervention HIV Infections Context (language use) Models Psychological Structural equation modeling law.invention Condoms Young Adult 03 medical and health sciences Risk-Taking 0302 clinical medicine Condom law Humans Health belief model Interpersonal Relations 030212 general & internal medicine Empowerment education media_common Sex work education.field_of_study Sex Workers 030505 public health Public Health Environmental and Occupational Health Self Efficacy French Guiana Sexual Partners Female Power Psychological 0305 other medical science Psychology Social psychology Brazil
Zdroj:	AIDS Care. 28:1600-1606
ISSN:	1360-0451 0954-0121
DOI:	10.1080/09540121.2016.1191607
Popis:	French Guiana is the French overseas territory that is most affected by HIV. Sex work seems to be an important driver of the epidemic. Although female sex workers are informed by local NGOs, they still have risky behaviours, including not using condoms with their intimate partner despite knowing HIV is highly prevalent. The objective of this study was to find intervention targets on this specific behaviour. For this, a structural equation model (SEM) was built using assumptions from behavioural theories. Behaviour theories attempt to connect research and practice. Within the health belief model framework, perceived threats, perceived benefits, and self-perceived efficacy were tested. Vulnerability was added because of the particular context of French Guiana. The results highlight that female sex workers' perceived self-efficacy was central in condom use with the intimate partner (with a significant correlation coefficient of 0.52 in the SEM). The perceived self-efficacy was strongly influenced by sociodemographic factors, particularly by nationality. Female sex workers from Brazil seemed to be more comfortable about asking their intimate partner to use condoms (OR: 7.81; CI: 1.87-32.63) than sex workers of other nationalities. These results emphasize that prevention interventions for female sex workers should emphasize their empowerment.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::84621bda98ee702d418f59bf692d212f https://doi.org/10.1080/09540121.2016.1191607 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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