Predictors of consistent condom use based on the Information-Motivation-Behavior Skill (IMB) model among senior high school students in three coastal cities in China.
Predictors of consistent condom use based on the Information-Motivation-Behavior Skill (IMB) model among senior high school students in three coastal cities in China.
复制标题
基于信息-动机-行为技能（IMB）模型的中国三个沿海城市高中生持续使用安全套的预测因素
DOI：
10.1186/1471-2334-13-262
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发表时间：
2013-06-04
影响因子：
3.7
通讯作者：
Huang H
中科院分区：
文献类型：
--
作者：
Cai Y;Ye X;Shi R;Xu G;Shen L;Ren J;Huang H
背景危险性行为的高发生率以及信息、技能和预防支持的缺乏意味着青少年面临艾滋病毒/艾滋病的高风险。本研究应用信息-动机-行为技能（IMB）模型来检验中国三个沿海城市高中生持续使用安全套的预测因素，并阐明模型结构之间的关系。方法采用横断面研究来评估中国三个沿海城市高中生艾滋病毒/艾滋病相关信息、动机、行为技能和预防行为。使用结构方程模型 (SEM) 来评估 IMB 模型。 结果 在 12313 名参与者中，4.5% (95% CI: 4.2–5.0) 报告有过婚前性行为，其中 25.0% (95% CI: 21.2–29.1) 报告在首次性行为时使用了安全套。只有大约九分之一的参与者表示一直使用安全套。最终的 IMB 模型提供了可接受的数据拟合（CFI = 0.981，RMSEA = 0.014）。动机（β = 0.175，P< 0.01）和行为技能（β = 0.778，P< 0.01）显着预测安全套的持续使用。信息间接预测安全套的持续使用，并由行为技能介导（β = 0.269，P< 0.05）。结论结果凸显了在中国高中生中开展艾滋病预防健康促进的重要性。 IMB 模型可以预测持续使用安全套，并建议未来的干预措施应侧重于提高动机和行为技能。
BackgroundHigh prevalence of risky sexual behaviors and lack of information, skills and preventive support mean that, adolescents face high risks of HIV/AIDS. This study applied the information-motivation-behavioral skills (IMB) model to examine the predictors of consistent condom use among senior high school students from three coastal cities in China and clarify the relationships between the model constructs.MethodsA cross-sectional study was conducted to assess HIV/AIDS related information, motivation, behavioral skills and preventive behaviors among senior high school students in three coastal cities in China. Structural equation modelling (SEM) was used to assess the IMB model.ResultsOf the 12313 participants, 4.5% (95% CI: 4.2–5.0) reported having had premarital sex and among them 25.0% (95% CI: 21.2–29.1) reported having used a condom in their sexual debut. Only about one–ninth of participants reported consistent condom use. The final IMB model provided acceptable fit to the data (CFI = 0.981, RMSEA = 0.014). Consistent condom use was significantly predicted by motivation (β = 0.175,P< 0.01) and behavioral skills (β = 0.778,P< 0.01). Information indirectly predicted consistent condom use, and was mediated by behavioral skills (β = 0.269,P< 0.05).ConclusionsThe results highlight the importance of conducting HIV/AIDS preventive health promotion among senior high school students in China. The IMB model could predict consistent condom use and suggests that future interventions should focus on improving motivation and behavioral skills.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
7.6
作者：
Cheng, Yan;Lou, Chao-Hua;Gao, Er-Sheng
通讯作者：
Gao, Er-Sheng
影响因子：
1.4
作者：
Li, S.;Huang, H.;Shen, X.
通讯作者：
Shen, X.
影响因子：
7.6
作者：
Palen, Lori-Ann;Smith, Edward A.;Mpofu, Elias
通讯作者：
Mpofu, Elias
影响因子：
4.4
作者：
Song, Yi;Ji, Cheng-Ye
通讯作者：
Ji, Cheng-Ye