HIV Risk Behavior and Condom Use: Collecting Data for Prevention; Final rept., 1 Sep 2000-31 Oct 2004

摘要

The purpose of this document is to survey Navy personnel regarding: (1) sexual behaviors that put them at risk for acquiring human immunodeficiency virus (HIV) or other sexually transmitted diseases (STDs), (2) condom use, and (3) psychosocial and contextual factors that influence condom use and risky sexual behavior. These data could be used to design prevention interventions, particularly culture-specific interventions, based on identified predictors of condom use. Sample: Active-duty, enlisted, male Naval personnel serving on four U.S. aircraft carriers within the Pacific Fleet (n = 3,425). Surveys were distributed to potential respondents in a sealable envelope toward the end of participants deployment. Participants were anonymous; informed consent was indicated by completion of the survey. Data were analyzed with both parametric and nonparametric equivalent statistics. Sexual behavior was less frequent and condom use more frequent in foreign ports (p < .0001). Men involved with both steady and casual partners used condoms less consistently than those involved only with casual partners (p < .05). Sexual behavior also varied by type of partner (p < .0001). Parmer norm and condom self-efficacy correlated with consistent condom use in all subgroups. The effect of other variables (e.g., alcohol use, marital status) varied with ethnicity. These findings suggest that condom use in home and foreign ports with casual partners is not 'every time'. This pattern highlights the potential for personnel becoming infected with HIV or other STDs and infecting their steady partners as they move between foreign and home ports. To encourage safe sex practices by naval personnel, nurses must consider the social context in which risky sexual behaviors occur.