Attitude as a Mediator between Acculturation and Behavioral Intention

被引:7
|
作者
Ebrahim, Nasser B. [1 ]
Davis, Sharon [2 ]
Tomaka, Joe [3 ]
机构
[1] Keimyung Univ, Dept Publ Hlth, 1095 Dalgubeol Daero, Daegu 704701, South Korea
[2] Texas Tech Hlth Ctr, Paul L Foster Sch Med, Dept Surg, El Paso, TX USA
[3] New Mexico State Univ, Coll Hlth & Social Serv, Dept Publ Hlth Sci, Las Cruces, NM 88003 USA
关键词
acculturation; attitude; condoms; HIV; immigrants; intention; mediation; UNITED-STATES; PLANNED BEHAVIOR; CARDIOVASCULAR-DISEASE; REPRODUCTIVE HEALTH; CONDOM USE; HIV; SCALE; YOUTH; BORN;
D O I
10.1111/phn.12281
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
ObjectiveImmigrants, specifically African-born black persons, are affected by the HIV epidemic in the U.S. The low level of condom use among immigrants is a risk factor for contracting HIV and STIs. Immigrants go through acculturation process in their new adopted countriesa process reported to influence many health risks and protective factors; however, the mechanism through which acculturation influences health behaviors is not well understood. Thus, study examined the mediating role of attitude in the relationship between acculturation and the intention to use male condoms in steady heterosexual relationships among Somali and Ethiopian immigrants in Minnesota. Design and SampleThe study was a regression analysis and the method of data collection cross-sectional. Participants were (n=205) Somali and Ethiopian immigrants in Minnesota who volunteered for the study. MeasuresStudy participants responded to questions on attitudes, behavioral intention, and acculturation levels. ResultsThe indirect effect of acculturation through the mediator, attitude, was not significant, product coefficient (axb)=0.04, 95% CI: [0.00, 0.11]; hence attitude did not mediate the relationship between acculturation and the intention to use condoms in the study population. However, there were significant direct and total effects of acculturation (c=.27, p<.05; c=.31, p<.05), respectively, on intention to use condoms. ConclusionResults of the study may suggest that public health intervention strategies targeting condom use among immigrants should incorporate programs that improve English language training tailored to the cultural practices and values of the immigrants, and consider the effect of acculturation on condom use.
引用
收藏
页码:558 / 564
页数:7
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