保护动机理论在戒毒所吸毒人员艾滋病预防行为预测中的应用

Sadegh Zhalegholi, P. Kasmaei, F. Bakhshi, E. Fattahi, M. Jadgal, F. Mehrabian, N. Rouhani-Tonekaboni
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摘要

背景:今天,成瘾,特别是注射成瘾,是艾滋病、丙型肝炎和乙型肝炎等病毒性疾病通过血液传播的最重要的危险因素。目的:本研究基于保护动机理论(PMT)在伊朗北部拉什特市戒毒所生活的吸毒者中确定艾滋病预防行为的预测因素。材料与方法:本研究采用横断面描述性研究方法,对320名生活在拉什特市戒毒所的药物依赖患者进行研究。采用简单随机抽样法选取样本。通过问卷调查收集所需数据,然后使用多元线性回归模型进行分析。结果:HIV预防行为与PMT的知觉自我效能(r=0.20)、知识(r=0.16)、奖励(r=0.15)、知觉反应成本(r=0.14)、知觉反应效率、恐惧(r=0.11)等构念存在极弱的显著相关。PMT模型占艾滋病毒预防行为变异的7%。然而,该模型解释了38%的保护动机方差。结论:PMT模型不能预测HIV预防行为。还有许多其他因素,如低意图,可能会干扰采取期望的行为。因此,建议在未来的研究中探索更广泛的社会心理因素。
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The application of Protection Motivation Theory in predicting AIDS prevention behaviors in drug addicts living in addiction treatment camps
Background: Today, addiction, especially injectable addiction, is the most important risk factor for viral diseases transmitted through blood, such as AIDS, hepatitis C and B. Objectives: The present study was conducted with the aim of determining the predictive factors of AIDS prevention behaviors based on the protection motivation theory (PMT) in drug addicts living in addiction treatment camps in city of Rasht, North of Iran. Materials & Methods: This cross-sectional-descriptive study was conducted on 320 drug-dependent patients living in addiction treatment camps in Rasht city. The samples were selected by simple random sampling method. The required data was collected through a questionnaire and then analyzed using multivariate linear regression model. Results: There was a very weak significant correlation between the HIV prevention behaviors and constructs of PMT including perceived self-efficacy (r=0.20), knowledge (r=0.16), reward (r=0.15), perceived response cost (r=0.14), perceived response efficiency, and fear (r=0.11). The PMT model accounted for 7% of variation in HIV prevention behaviors. Though, the model explained 38% of variance of protection motivation. Conclusion: The PMT model could not predict HIV prevention behaviors. There are many other factors such as low intention that may interfere for adopting the desired behaviors. So, it is suggested to explore a wider range of psychosocial factors in future research.
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