Sexual Communication and Sexual Consent Self-Efficacy Among College Students: Implications for Sexually Transmitted Infection Prevention.
Sexual Communication and Sexual Consent Self-Efficacy Among College Students: Implications for Sexually Transmitted Infection Prevention.
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DOI：
10.1016/j.jadohealth.2021.08.012
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发表时间：
2022-03
影响因子：
7.6
通讯作者：
Hill, Ashley, V
中科院分区：
文献类型：
--
作者：
Edison, Briana;Coulter, Robert W. S.;Miller, Elizabeth;Stokes, Lynissa R.;Hill, Ashley, V
获得肯定同意是大学校园性暴力预防教育的标志，可能会影响性交流和安全套使用等行为。这项研究调查了美国大学生样本中获得性同意的自我效能与性健康沟通和行为之间的关系。数据来自 2015 年至 2017 年在 28 所大学校园进行的一项整群随机对照试验，招募了 2,291 名学生。学生报告了他们在获得性同意、性健康沟通和性健康行为方面的自我效能。多变量逻辑回归，根据学校集群、暴力受害史和性传播感染史、性同意自我效能和性健康沟通的估计比值比 (OR) 和 95% 置信区间 (CI) 进行调整。女性 (n=1150) 报告获得同意的自我效能高于男性 (b1=0.32, CI 95% 0.23, 0.41)，但关于安全套使用 (AOR 0.75, CI 95% 0.60, 0.96) 和艾滋病毒预防 (AOR 0.63, CI 95% 0.48, 0.81) 的沟通几率较低。与白人学生相比，黑人和其他种族学生进行艾滋病毒/性传播感染预防沟通的几率更高。在报告安全套使用沟通和获得性同意的高自我效能感的学生中，持续使用安全套的几率最高（AOR 1.99，CI 95% 1.58，2.51）。狭隘地关注获得性同意的校园性侵犯预防教育可能会错过广泛加强性健康沟通的机会，包括安全套和避孕药具使用讨论以促进整体性健康。
Obtaining affirmative consent, a hallmark of sexual violence prevention education on college campuses, may influence sexual communication and behaviors such as condom use. This study examined the relationship between self-efficacy to obtain sexual consent with sexual health communication and behaviors among a sample of U.S. college students. Data were from 2,291 students enrolled in a cluster-randomized controlled trial conducted on 28 college campuses from 2015-2017. Students reported their self-efficacy to obtain sexual consent, communication about sexual health, and sexual health behaviors. Multivariable logistic regression, adjusted for school clustering, history of violence victimization, and STI history, estimated odds ratios (OR) and 95% confidence intervals (CI) for sexual consent self-efficacy and sexual health communication. Females (n=1150) reported higher self-efficacy to obtain consent than males (b1=0.32, CI 95% 0.23, 0.41), but lower odds of communication about condom use (AOR 0.75, CI 95% 0.60, 0.96) and HIV prevention (AOR 0.63, CI 95% 0.48, 0.81). Black and other race students reported higher odds of HIV/STI prevention communication compared to White students. Odds of consistent condom use were highest among students reporting condom use communication and high self-efficacy to obtain sexual consent (AOR 1.99, CI 95% 1.58, 2.51). Campus sexual assault prevention education that focuses narrowly on obtaining sexual consent may be missing an opportunity to enhance sexual health communication broadly, including condom and contraceptive use discussion to promote overall sexual health.
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影响因子：
4.5
作者：
Espada JP;Morales A;Guillén-Riquelme A;Ballester R;Orgilés M
通讯作者：
Orgilés M
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