Predicting protected sexual behaviour using the Information-Motivation-Behaviour skills model among adolescent substance abusers in court-ordered treatment.
Predicting protected sexual behaviour using the Information-Motivation-Behaviour skills model among adolescent substance abusers in court-ordered treatment.
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DOI：
10.1080/13548500220139368
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发表时间：
2002-01-01
期刊：
影响因子：
--
通讯作者：
Feaster, D J
中科院分区：
文献类型：
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作者：
Kalichman, S;Stein, J A;Feaster, D J
信息-动机-行为技能模型（Fisher & Fisher, 1992）用于预测在法院命令的药物滥用住院治疗项目中居住的青少年（N = 271； 181名男性和90名女性，主要是少数民族）使用安全套的情况。在预测结构方程模型中，人口统计学变量、HIV传播知识、支持安全套规范和态度的动机变量以及感知易感性预测了安全套使用技能和安全套使用自我效能。与模型中的其他变量一样，避孕套技能和避孕套自我效能被假设为预测三个月内避孕套的使用情况。研究发现，年龄越大、赞成使用避孕套的态度越强、易受感染程度越高，都能预测避孕套使用技能。避孕套自我效能由性别、支持避孕套的规范和避孕套的态度来预测。支持安全套规范和更强的安全套自我效能显著预测了安全套的使用。使用避孕套的技能和知识并不能显著预测避孕套的使用。重要的人口统计学预测因素包括更大的年龄和性别。结果表明，改变个人对避孕套的态度，并在重要人群中加强支持避孕套的信念，将鼓励艾滋病毒和其他性传播疾病高风险的青少年使用避孕套。
The Information-Motivation-Behavioural skills model (Fisher & Fisher, 1992) was used to predict condom use among adolescents residing in a court-ordered inpatient substance abuse treatment programme (N = 271; 181 male and 90 female, primarily of minority ethnicity). In a predictive structural equation model, demographic variables, HIV transmission knowledge, and motivational variables of pro-condom norms and attitudes, and perceived susceptibility predicted condom use skills and condom use self-efficacy. Along with the other variables in the model, condom skills and condom self-efficacy were hypothesized to predict condom use over a three-month period. It was found that condom skills were predicted by greater age, pro-condom attitudes and greater perceived susceptibility. Condom self-efficacy was predicted by gender, pro-condom norms and condom attitudes. Condom use was significantly predicted by pro-condom norms and stronger condom self-efficacy. Both condom skills and knowledge did not significantly predict condom use. Significant demographic predictors of condom use included greater age and gender. Results suggest that changing personal attitudes about condoms and reinforcing the power of pro-condom beliefs among significant others will encourage condom use among adolescents who are at high risk for HIV and other STDs.