Condom Use Among Young Women: Modeling the Theory of Gender and Power
Condom Use Among Young Women: Modeling the Theory of Gender and Power
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DOI：
10.1037/a0022871
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发表时间：
2011-05-01
影响因子：
4.2
通讯作者：
DiClemente, Ralph
中科院分区：
文献类型：
--
作者：
DePadilla, Lara;Windle, Michael;DiClemente, Ralph
目的：本研究试图阐明性别和权力理论的结构之间的途径，以及它们与性行为的关联。设计：在一项随机对照的艾滋病预防试验中，在干预前收集数据。参与者是701名性活跃，未婚的非洲裔美国女性，年龄在14-20岁之间，没有怀孕，并从美国东南部城市的三个健康诊所招募。结构方程模型用于分析。主要结果测量：自我报告的避孕套使用情况。结果：理论关联在初始和交叉验证样本中产生了良好拟合的结构模型。一个显着的方差解释了避孕套的使用（R-2 = 0.31，0.18），合作伙伴的沟通（R-2 = 0.30，0.26），在性行为中使用的物质（R-2 = 0.32，0.51），和负面的个人影响（R-2 = 0.36，0.48）的变量。伴侣沟通（.35，.38）是最强的预测安全套的使用，消极的个人情感（-.41，-.37）是最强的预测伴侣沟通，和身体风险（.54，.54）是最强的预测消极的个人情感。结论：该模型提供的证据支持社会和行为危险因素与安全套使用之间的直接和间接关联。性别和权力结构理论与安全套使用之间的关联可以促进基于这一理论的干预措施的未来发展和分析。
Objective: This study sought to articulate pathways between constructs from the theory of gender and power and their associations with sexual behavior. Design: The data were collected preintervention during a randomized controlled HIV prevention trial. Participants were 701 sexually active, unmarried African American females, aged 14-20, who were not pregnant, and were recruited from three health clinics in a southeastern US city. Structural equation modeling was used for the analyses. Main Outcome Measure: Self-reported condom use. Results: Theoretical associations yielded a well-fitting structural model across initial and cross-validation samples. A significant amount of variance was explained for the variables of condom use (R-2 = .31, .18), partner communication (R-2 = .30, .26), substance use during sex (R-2 = .32, .51), and negative personal affect (R-2 = .36, .48). Partner communication (.35, .38) was the strongest predictor of condom use, negative personal affect (-.41, -.37) was the strongest predictor of partner communication, and physical risk (.54, .54) was the strongest predictor of negative personal affect. Conclusion: This model provides evidence to support both direct and indirect associations between social and behavioral risk factors and condom use. Associations between theory of gender and power constructs and condom use can facilitate future development and analyses of interventions based on this theory.