Resumen
Male clients of female sex workers (FSWs) in Tijuana,Mexico engage in high levels of unprotected sex. While behavioral change theories posit that self-efficacy predicts condom use, correlates of self-efficacy for condom use remain largely
unstudied. We examined these correlates among male clients of FSWs in Tijuana. Eligible male clients were at least 18 years of age, HIV-negative, lived in Tijuana or San Diego, reported unprotected sex with a Tijuana FSWat least once in the
past 4months, and agreed to be treated for sexually transmitted infections (STIs). Participants completed an interviewer-administered questionnaire including demographics, substance use, psychosocial and psychosexual characteristics (e.g.,outcome expectancies for negotiationof safer sex, social support, and sexual sensation seeking), and sexual behaviors. Participants also underwent
HIV/STI testing. A stepwise hierarchical multiple regression analysis
Identified correlates of self-efficacy for condom use. Of 393male clients, median age was 37 years. Participants were mostly Spanish-speaking and employed. Factors independently associated with higher self-efficacy for condom use were higher
positive outcome expectancies for negotiation of safer sex, lower
sexual sensation seeking scores, and higher social support scores.
Both psychosocial and psychosexual factors may influence self efficacy
for condom use among male clients of FSWs. These factors represent central constructs in sociocognitive models that explain behavioral change and could be intervention
targets for improving self-efficacy for condom use and, ultimately,
safer sex behavior. (Extraído del documento)