UNDERSTANDING THE DECISION TO USE CONDOMS

这项纵向研究将调查妇女成员的避孕套使用情况 三个新出现的性病和艾滋病高危群体：青少年， 妓女和有多个性伴侣的异性恋成年人。 受试者将是金县性传播疾病的客户 诊所和监狱卫生服务处。以菲什拜恩和阿杰森的理论为指导 理性行动模式、具体结果和规范性信念 与避孕套的使用、对使用避孕套的态度和规范有关，以及 使用避孕套的意向将被测量。几种超乎寻常的态度 可能独立影响避孕套使用的预测因素包括 事先使用避孕套，感知控制，以及吸毒和酗酒，也会 被测量。使用避孕套的潜在信念将是 跨组以及组内性别、年龄和 还将进行种族比较。信仰的能力， 我们将比较预测每组人意向的态度和规范。 我们将比较标准的Fishbein模型和扩展的模型 包括态度外的预测者，使用结构方程 建模技术。我们还将比较人们对 与新的和固定的性伴使用避孕套。 第二份问卷将发放给三名相同的受试者 几个月后。本问卷将重新评估在以下位置测量的变量 时间1，还会询问前三次使用避孕套的情况 月份。态度和意图变量集合的能力 预测随后的行为将被测试，并在 包含超态度的标准模型和扩展模型 跨风险组和跨风险组内的子组的预测者， 适用于新的和稳定的性伴侣，如上。我们还将 能够将此时间2数据与时间1数据进行比较，并跟踪 随着时间的推移，这些高危人群中的特定信仰和态度。 这项研究的发现应该提出具体的态度改变 将导致妇女成员增加避孕套使用的干预措施 这些高危人群。标准FISBEIN与扩展FISBEIN的测试 模型还将有益于性病和艾滋病的研究，以及对 其他行为控制的健康威胁，通过促进 开发一种有前景的决策模型。

This longitudinal study will investigate condom use among members of three emerging high-risk groups for STDs and AIDS: adolescents, prostitutes, and heterosexual adults with multiple sexual partners. Subjects will be clients of the King County Sexually Transmitted Disease Clinic and Jail Health Services. Guided by Fishbein and Ajzen's Theory of Reasoned Action model, the specific outcome and normative beliefs associated with condom use, attitudes and norms toward using condoms, and intention to use condoms will be measured. Several extra-attitudinal predictors that may contribute independently to condom use, including prior condom use, perceived control, and drug and alcohol use, will also be measured. The beliefs underlying intention to use condoms will be examined and compared across groups, and within-group sex, age, and ethnicity comparisons will also be made. The ability of beliefs, attitudes and norms to predict intention for each group will be compared. We will compare the standard Fishbein model with an expanded model including extra-attitudinal predictors, using structural equation modeling techniques. We will also compare beliefs and attitudes toward using condoms with new vs. steady sexual partners. A second questionnaire will be administered to the same subjects three months later. This questionnaire will reassess the variables measured at time 1, and will also ask about use of condoms in the preceding three months. The ability of the set of attitudinal and intention variables to predict subsequent behavior will be tested, and comparisons made between the standard model and the expanded model including extra-attitudinal predictors, across risk groups and across sub-groups within risk groups, and for use with new vs. steady sexual partners, as above. We will also be able to compare this time 2 data with time 1 data and track changes in specific beliefs and attitudes in these high risk groups over time. The findings of this study should suggest specific attitude-change interventions that will lead to increased condom use among members of these high-risk groups. Tests of the standard vs. expanded Fishbein model will also benefit STD and AIDS research, as well as research on other behaviorally-controlled threats to health, by contributing to the development of a promising model of decision-making.