Gonorrhea and chlamydia screening among young women: Stage of change, decisional balance, and self-efficacy
Gonorrhea and chlamydia screening among young women: Stage of change, decisional balance, and self-efficacy
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DOI：
10.1016/s1054-139x(02)00706-1
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发表时间：
2003-04-01
影响因子：
7.6
通讯作者：
Smith, PB
中科院分区：
文献类型：
--
作者：
Banikarim, C;Chacko, MR;Smith, PB
目的：评估感知的性传播疾病（STD）（淋病和衣原体）筛查行为的年轻女性在性病的风险，通过评估准备，利弊和自我效能，寻求性病筛查在没有症状。方法：240名年轻的城市妇女（平均18.8 ± 1.59岁）连续在城市生殖门诊就诊的妇女自愿完成了一份关于性病筛查行为的67项问卷，包括改变的阶段（SOC），决策平衡，自我效能以及性行为和伴侣关系。资料以描述性统计、多因素变异数分析、卡方检定及Wilcoxon符号秩和检定进行分析。参与者在无保护性行为后，随着伴侣的改变而不是主要伴侣，进一步沿着STD筛查的SOC，（p < .001）。性病筛查的利弊根据性病筛查的SOC而变化，改变了伴侣和主要伴侣。自我效能沿着SOC线性增加STD筛查（p <0.001）。结论：大多数年轻女性认识到性病筛查的重要性，但目前没有被测试时，在性病的风险。性病筛查行为的变化，根据合作伙伴的关系，这突出了阶段和合作伙伴匹配的咨询，以促进性病筛查的重要性，特别是在性病的风险。(C)青少年医学协会，2003年。
Purpose: To assess perceived sexually transmitted disease (STD) (gonorrhea and chlamdydia) screening behaviors among young women at risk for STDs by evaluating readiness, pros and cons, and self-efficacy to seek STD screening in the absence of symptoms.Methods: Two hundred forty young urban women (mean 18.8 years +/- 1.59) consecutively attending an urban reproductive clinic voluntarily completed a 67-item questionnaire on STD screening behaviors that included the stages of change (SOCs), decisional balance, and self-efficacy as well as sexual practices and partner relationships. The data were analyzed using descriptive statistics, multivariate analyses of variance, Chi-square tests, and Wilcoxon signed rank test.Results: Ninety-five percent of the participants would be willing to obtain STD screening for early disease detection. Participants were further along the SOCs for STD screening following unprotected sex with a change in partner than main partner, (p < .001). Pros and cons of STD screening varied according to the SOCs for STD screening with a change in partner and main partner. Self-efficacy increased linearly along the SOCs for STD screening (p < .001).Conclusion: Most young women recognize the importance of STD screening but are not currently being tested when at risk for STDs. STD screening behaviors varied according to the partner relationship, which highlights the importance of stage- and partner-matched counseling to promote STD screening particularly when at risk for STDs. (C) Society for Adolescent Medicine, 2003.