To use or not to use: a stage-based approach to understanding condom use among homeless youth.
To use or not to use: a stage-based approach to understanding condom use among homeless youth.
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使用或不使用：了解无家可归青少年使用安全套的分阶段方法。
DOI：
10.1080/09540121.2013.841834
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发表时间：
2014
期刊：
影响因子：
1.7
通讯作者：
Wenzel,SuzanneL
中科院分区：
文献类型：
--
作者：
Tucker,JoanS;Ober,Allison;Ryan,Gery;Golinelli,Daniela;Ewing,Brett;Wenzel,SuzanneL
这项研究采用基于阶段的方法来了解 309 名性活跃的无家可归青少年的代表性样本的安全套使用行为，这些青少年是从洛杉矶县的避难所、收容中心和街道站点招募的。重点关注青少年最近的性行为，考察安全套使用的三个阶段：（1）性伴侣在性行为之前是否决定使用安全套； (2) 活动现场是否提供安全套； (3) 活动中是否使用安全套。逻辑回归分析用于识别这三个阶段中每个阶段的态度、关系和情境相关性。提前决定使用安全套与西班牙裔、教育水平、安全套态度和各种关系特征（例如伴侣类型、一夫一妻制、关系虐待）有关，这些关联的性质根据决定类型（即决定使用、决定不使用）而变化。如果该活动在某种程度上被描述为特殊，或者如果该活动缺乏隐私，则男性更有可能报告安全套的可用性。在对安全套态度更积极的青少年和提前决定使用安全套的青少年中，使用安全套的可能性更大，但在一夫一妻制关系中或在性行为前使用硬性药物的青少年中，使用安全套的可能性较小。性交是否受到保护，是性伴侣一系列决定和行动的最终结果。这项研究的结果说明了如何通过分解各个阶段并确定每个阶段的影响因素来更好地理解安全套的使用。每个阶段本身都可能成为干预无家可归青少年的重要目标。
This study used a stage-based approach to understand condom use behavior in a representative sample of 309 sexually active homeless youth recruited from shelters, drop-in centers, and street sites in Los Angeles County. Focusing on the youth's most recent sexual event, the three stages of condom use examined were: (1) whether the partners decided prior to the event about using condoms; (2) whether a condom was available at the event; and (3) whether a condom was used at the event. Logistic regression analysis was used to identify attitudinal, relationship, and contextual correlates of each of these three stages. Deciding ahead of time about condom use was associated with being Hispanic, level of education, condom attitudes, and various relationship characteristics (e.g., partner type, monogamy, relationship abuse), with the nature of these associations varying depending on the type of decision (i.e., deciding to use, deciding to not use). Condom availability was more likely to be reported by males, if the event was described as being special in some way, or if the event lacked privacy. Condom use was more likely among youth with more positive condom attitudes and among youth who decide ahead of time to use a condom, but less likely among those in monogamous relationships or when hard drugs were used prior to sex. Whether sexual intercourse is protected or unprotected is the end result of a series of decisions and actions by sexual partners. Results from this study illustrate how condom use can be better understood by unpacking the stages and identifying influential factors at each stage. Each stage may, in and of itself, be an important target for intervention with homeless youth.