Understanding Condom Use Decision Making Among Homeless Youth Using Event-Level Data.
Understanding Condom Use Decision Making Among Homeless Youth Using Event-Level Data.
复制标题
使用事件级数据了解无家可归青少年的安全套使用决策。
DOI：
10.1080/00224499.2014.961185
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发表时间：
2015
影响因子：
3.6
通讯作者：
Tucker,JoanS
中科院分区：
文献类型：
--
作者：
Rana,Yashodhara;Brown,RyanA;Kennedy,DavidP;Ryan,GeryW;Stern,Stefanie;Tucker,JoanS
这是第一个定性的基于事件的研究，以了解多种因素影响安全套使用决策无家可归的青年之间的各种机制之一。事件层面的采访，探索周围的性事件的环境特征进行了29名青年被要求描述最近的两次性接触。在对各种事件的数据进行专题分析时，青年人提出的进行无保护性行为的理由包括期望发生性行为和使用其他避孕方法。影响安全套使用决策的其他非事件因素与伴侣关系的属性有关（例如，测试，信任和爱，以及风险评估）和青年的属性（例如，对疾病的认识、对怀孕的担忧以及使用避孕套的不适）。对同一个体进行的额外事件分析发现，决策受到多种相互作用因素的影响，事件和非事件因素的作用途径不同。未来的干预措施应考虑采取多层次和个性化的方法，重点是基于事件的决定因素，在这一人群中的危险性行为。
This is one of the first qualitative event-based studies to understand the various mechanisms through which multiple factors influence condom use decision making among homeless youth. Event-level interviews that explore characteristics of the environment surrounding sexual events were conducted with 29 youth who were asked to describe two recent sexual encounters. In thematic analyses of data across events, reasons that youth gave for engaging in unprotected sex included the expectation of having sex and use of alternative methods of protection against pregnancy. Other nonevent factors that influenced condom use decision making were related to attributes of the partnership (e.g., testing, trust and love, and assessments of risk) and attributes of the youth (e.g., perceptions of diseases, concerns over pregnancy, and discomfort using condoms). Additional event analyses conducted within the same individuals found that decision making was influenced by multiple interacting factors, with different pathways operating for event and nonevent factors. Future interventions should consider taking a multilevel and individualized approach that focuses on event-based determinants of risky sex in this population.