Decision-making style and gender moderation of the self-efficacy-condom use link among adolescents and young adults: informing targeted STI/HIV prevention programs.

Decision-making style and gender moderation of the self-efficacy-condom use link among adolescents and young adults: informing targeted STI/HIV prevention programs.
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DOI:
10.1001/archpediatrics.2011.17
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发表时间:
2011-04
影响因子:
--
通讯作者:
Sussman, Steve
Sussman, Steve
中科院分区:
其他
文献类型:
--
作者:
Black, David S.;Sun, Ping;Rohrbach, Louise A.;Sussman, Steve

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探讨决策风格和性别对性活跃青少年安全套使用自我效能感与安全套使用行为之间关系的调节作用。横断面研究。加州的24所补习高中。数据收集于2008年2月至2009年6月,样本为1304名性活跃的青少年和年轻人。参与者的平均(SD)年龄为16.8(0.9)岁,41%为女性,种族频率为西班牙裔,65%;混合,13%;白色,11%;黑人,6%;其他,5%。所使用的工具是CUSE,决策自信和决策方法。最近一次性交(称为最后一次性交)时使用避孕套。45%的性活跃参与者在最后一次性行为中使用避孕套。决策自信和决策方式对CUSE对安全套使用的影响具有显著的调节作用。CUSE和安全套使用之间的正相关关系是相对较强的男性和女性报告高与低决策自信。在女性中,CUSE和安全套使用在最后一次性行为之间的关系是较弱的那些报告高与低的决策方法。在高水平的CUSE下观察到这两种效应。包括CUSE内容在内的性传播感染/人类免疫缺陷病毒预防方案可以通过针对决策风格和性别的干预措施来增加青少年和年轻成年人的安全套使用。
To test the moderating effects of decision-making style and gender on the relationship between condom use self-efficacy (CUSE) and condom use behavior among sexually active adolescents and young adults. Cross-sectional study. Twenty-four continuation high schools in California. Data were collected between February 2008 to June 2009 from a sample of 1304 sexually active adolescents and young adults. The mean (SD) age of the participants was 16.8 (0.9) years, 41% were female, and the ethnicity frequencies were Hispanic, 65%; mixed, 13%; white, 11%; black, 6%; and other, 5%. The tools used were CUSE, decision-making–self-confidence, and decision-making–approach. Condom use during the most recent sexual intercourse (termed last sex). Forty-five percent of sexually active participants used condoms at last sex. Decision-making–self-confidence and decision-making–approach significantly moderated the effect of CUSE on condom use. The positive relationship between CUSE and condom use was relatively stronger for males and females reporting high vs low decision-making–self-confidence. Among females, the relationship between CUSE and condom use at last sex was weaker for those reporting high vs low decision-making–approach. Both of these effects were observed at high levels of CUSE. Programs for sexually transmitted infection/human immunodeficiency virus prevention including CUSE content may increase adolescent and young adult condom use by targeting interventions to decision-making style and gender.
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