Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China.

<h4>Background</h4>HIV infection related to commercial sexual contact is a serious public health issue in China. The objectives of the present study are to explore the predictors of condom use among female sex workers (FSWs) in China and examine the relationship between Health Belief Mod...

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Autores principales: Jinzhu Zhao, Fujian Song, Shuhua Ren, Yan Wang, Liang Wang, Wei Liu, Ying Wan, Hong Xu, Tao Zhou, Tian Hu, Lydia Bazzano, Yi Sun
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:3744cde3ec2b4349a36a99a53f88e0912021-11-18T08:08:10ZPredictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China.1932-620310.1371/journal.pone.0049542https://doaj.org/article/3744cde3ec2b4349a36a99a53f88e0912012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23185355/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>HIV infection related to commercial sexual contact is a serious public health issue in China. The objectives of the present study are to explore the predictors of condom use among female sex workers (FSWs) in China and examine the relationship between Health Belief Model (HBM) constructs.<h4>Methodology/principal findings</h4>A cross-sectional study was conducted in two cities (Wuhan and Suizhou) in Hubei Province, China, between July 2009 and June 2010. A total of 427 FSWs were recruited through mediators from the 'low-tier' entertainment establishments. Data were obtained by self-administered questionnaires. Structural equation models were constructed to examine the association. We collected 363 valid questionnaires. Within the context of HBM, perceived severity of HIV mediated through perceived benefits of condom use had a weak effect on condom use (r=0.07). Perceived benefits and perceived barriers were proximate determinants of condom use (r=0.23 and r=-0.62, respectively). Self-efficacy had a direct effect on perceived severity, perceived benefits, and perceived barriers, which was indirectly associated with condom use behaviors (r=0.36).<h4>Conclusions/significance</h4>The HBM provides a useful framework for investigating predictors of condom use behaviors among FSWs. Future HIV prevention interventions should focus on increasing perceived benefits of condom use, reducing barriers to condoms use, and improving self-efficacy among FSWs.Jinzhu ZhaoFujian SongShuhua RenYan WangLiang WangWei LiuYing WanHong XuTao ZhouTian HuLydia BazzanoYi SunPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 11, p e49542 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jinzhu Zhao
Fujian Song
Shuhua Ren
Yan Wang
Liang Wang
Wei Liu
Ying Wan
Hong Xu
Tao Zhou
Tian Hu
Lydia Bazzano
Yi Sun
Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China.
description <h4>Background</h4>HIV infection related to commercial sexual contact is a serious public health issue in China. The objectives of the present study are to explore the predictors of condom use among female sex workers (FSWs) in China and examine the relationship between Health Belief Model (HBM) constructs.<h4>Methodology/principal findings</h4>A cross-sectional study was conducted in two cities (Wuhan and Suizhou) in Hubei Province, China, between July 2009 and June 2010. A total of 427 FSWs were recruited through mediators from the 'low-tier' entertainment establishments. Data were obtained by self-administered questionnaires. Structural equation models were constructed to examine the association. We collected 363 valid questionnaires. Within the context of HBM, perceived severity of HIV mediated through perceived benefits of condom use had a weak effect on condom use (r=0.07). Perceived benefits and perceived barriers were proximate determinants of condom use (r=0.23 and r=-0.62, respectively). Self-efficacy had a direct effect on perceived severity, perceived benefits, and perceived barriers, which was indirectly associated with condom use behaviors (r=0.36).<h4>Conclusions/significance</h4>The HBM provides a useful framework for investigating predictors of condom use behaviors among FSWs. Future HIV prevention interventions should focus on increasing perceived benefits of condom use, reducing barriers to condoms use, and improving self-efficacy among FSWs.
format article
author Jinzhu Zhao
Fujian Song
Shuhua Ren
Yan Wang
Liang Wang
Wei Liu
Ying Wan
Hong Xu
Tao Zhou
Tian Hu
Lydia Bazzano
Yi Sun
author_facet Jinzhu Zhao
Fujian Song
Shuhua Ren
Yan Wang
Liang Wang
Wei Liu
Ying Wan
Hong Xu
Tao Zhou
Tian Hu
Lydia Bazzano
Yi Sun
author_sort Jinzhu Zhao
title Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China.
title_short Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China.
title_full Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China.
title_fullStr Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China.
title_full_unstemmed Predictors of condom use behaviors based on the Health Belief Model (HBM) among female sex workers: a cross-sectional study in Hubei Province, China.
title_sort predictors of condom use behaviors based on the health belief model (hbm) among female sex workers: a cross-sectional study in hubei province, china.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/3744cde3ec2b4349a36a99a53f88e091
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