Predictors of Condom Use Behaviors Based on the Health Belief Model (HBM) among Female Sex Workers A Cross-Sectional Study in Hubei Province, China 英文参考文献.docVIP

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Predictors of Condom Use Behaviors Based on the Health Belief Model (HBM) among Female Sex Workers A Cross-Sectional Study in Hubei Province, China 英文参考文献.doc

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Predictors of Condom Use Behaviors Based on the Health Belief Model (HBM) among Female Sex Workers A Cross-Sectional Study in Hubei Province, China 英文参考文献

PredictorsofCondomUseBehaviorsBasedontheHealth BeliefModel(HBM)amongFemaleSexWorkers:ACross- SectionalStudyinHubeiProvince,China JinzhuZhao1*,FujianSong2,ShuhuaRen1,YanWang1,LiangWang1,WeiLiu1,YingWan1,HongXu1, TaoZhou1,TianHu3,LydiaBazzano3,YiSun1* 1Department ofSocial MedicineandHealth Management,School ofPublicHealth,TongjiMedicalCollege,HuazhongUniversityofScience andTechnology,Wuhan, Hubei Province, China, 2Norwich Medical School, Faculty of Medicine and Health Science, University of East Anglia, Norwich, United Kingdom, 3Department of Epidemiology,SchoolofPublicHealthandTropicalMedicine,TulaneUniversity,NewOrleans,Louisiana,UnitedStatesofAmerica Abstract Background:HIVinfectionrelatedtocommercialsexualcontactisaseriouspublichealthissueinChina.Theobjectivesof thepresentstudyaretoexplorethepredictorsofcondomuseamongfemalesexworkers(FSWs)inChinaandexaminethe relationshipbetweenHealthBeliefModel(HBM)constructs. Methodology/Principal Findings: A cross-sectional study was conducted in two cities (Wuhan and Suizhou) in Hubei Province,China,betweenJuly2009andJune2010.Atotalof427FSWswererecruitedthroughmediatorsfromthe‘low-tier’ entertainmentestablishments.Datawereobtained byself-administeredquestionnaires.Structuralequationmodelswere constructed to examine the association. We collected 363 valid questionnaires. Within the context of HBM, perceived severityofHIVmediatedthroughperceivedbenefitsofcondomusehadaweakeffectoncondomuse(r=0.07).Perceived benefits and perceived barriers were proximate determinants of condom use (r=0.23 and r=20.62, respectively). Self- efficacyhadadirecteffectonperceivedseverity,perceivedbenefits,andperceivedbarriers,whichwasindirectlyassociated withcondomusebehaviors(r =0.36). Conclusions/Significance: The HBM provides a useful framework for investigating predictors of condom use behaviors amongFSWs.FutureHIVpreventioninterventionsshouldfocusonincreasingperceivedbenefitsofcondomuse,reducing barrierstocondomsuse,andimprovingself-effic