Predictors of reported condom use in central Harlem youth as conceptualized by the Health Belief Model
Predictors of reported condom use in central Harlem youth as conceptualized by the Health Belief Model
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DOI：
10.1016/s1054-139x(97)00142-0
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发表时间：
1997-11-01
影响因子：
7.6
通讯作者：
Diamond, B
中科院分区：
文献类型：
--
作者：
Laraque, D;McLean, DE;Diamond, B
目的：研究报告的安全套使用的关系，以具体的社会人口统计学，社会心理变量，和安全套使用的概念化的健康信念Model.Methods的看法和动机：本研究进行了一项横断面调查的557名青少年参加了一个以医院为基础的怀孕预防计划在城市社区医院（哈莱姆医院）。多元Logistic回归分析研究的显着的心理社会变量，以一致的避孕套use.Results的组合关系：男性不太可能比女性报告青少年父母的冲突和抑郁症，更有可能报告支持节育，参与社群活动，和有利的态度推迟生育。与健康信念模型一致，调整年龄后，持续使用安全套的最强预测因素是伴侣对安全套的偏好、避免怀孕的感知益处、男性性别和对节育的支持（通常由父母）。结论：关于这个主要是非洲裔美国人的城市青少年样本的数据表明，对使用保护的具体动机的影响是重要的，希望避免怀孕、人体免疫机能丧失病毒/后天免疫机能丧失综合症和性传播疾病，尽管其机制尚不清楚。此外，性别以及父母和伴侣支持使用避孕套的影响对报告的青少年使用避孕套的情况有很大影响。这些因素（除了心理社会因素，如抑郁症）可能是重要的，在规划干预措施，以增加性活跃的青少年使用避孕套。(C)青少年医学协会，1997年。
Purpose: To examine the relationship of reported condom use to specific sociodemographics, psychosocial variables, and perceptions of and motivations for condom use as conceptualized by the Health Belief Model.Methods: This study performed a cross-sectional survey of 557 adolescents enrolled in a hospital-based pregnancy prevention program in an urban community hospital (Harlem Hospital). Multiple logistic regression analysis examined the combined relationship of the significant psychosocial variables to consistent condom use.Results: Males were less likely than females to report teen-parent conflict and depression and more likely to report support for birth control, participation in community activities, and favorable attitudes toward delaying parenthood. Consistent with the Health Belief Model, adjusting for age, the strongest predictors of consistent condom use were partner preference for condoms, perceived benefit of avoidance of pregnancy, male gender, and support for birth control (usually by a parent).Conclusions: The data on this urban, predominantly African-American sample of adolescents suggest the importance of the influences on specific motivations to use protection-that is, the wish to avoid pregnancy, human immunodeficiency virus/acquired immunodeficiency syndrome, and sexually transmitted diseases, although the mechanisms are still unclear. In addition, gender and the modifying effects of parental and partner support of the use of protection strongly influence the reported use of condoms by adolescents. These factors (in addition to psychosocial factors such as depression) may be important in planning interventions to increase condom use by sexually active teens. (C) Society for Adolescent Medicine, 1997.