van Empelen P, Kok G, Jansen M W, Hoebe C J
Universiteit Maastricht, The Netherlands.
AIDS Care. 2001 Jun;13(3):309-18. doi: 10.1080/09540120120043964.
Abstract In this study we examine determinants of intended condom use with casual and steady sex partners among drug users. Our aim was to find out whether anticipated regret and psychopathology represent additional factors in explaining condom use behaviour, on top of the constructs defined in traditional psychosocial models of behaviour. A questionnaire measuring intentions, attitude, beliefs, personal norm, subjective norm, descriptive norm, self-efficacy and anticipated regret toward condom use with steady and casual sex partners, and the Symptom Checklist '90 (to measure dimensions of psychopathology) were handed out to 150 Dutch drug users. The results showed that intended condom use with steady sex partners was mainly predicted by self-efficacy, personal norm and anticipated regret (total R2 = 0.41). Lower feelings of hostility and a more positive personal norm, subjective norm and attitude significantly predicted intended condom use with casual sex partners (total R2 = 0.24). The results also showed that intended condom use with steady sex partners seems to result from anticipating possible barriers, whereas condom use with casual sex partners is largely a matter of having safe sex norms. Practical implications of this study for Aids-preventive campaigns are also discussed.
摘要 在本研究中，我们调查了吸毒者与临时性和固定性伴侣使用避孕套意愿的决定因素。我们的目的是探究除传统社会心理行为模型所定义的因素外，预期后悔和精神病理学是否是解释避孕套使用行为的其他因素。一份问卷被发放给150名荷兰吸毒者，该问卷测量了与固定性伴侣和临时性伴侣使用避孕套的意愿、态度、信念、个人规范、主观规范、描述性规范、自我效能感和预期后悔，以及症状自评量表90（用于测量精神病理学维度）。结果显示，与固定性伴侣使用避孕套的意愿主要由自我效能感、个人规范和预期后悔预测（总R² = 0.41）。较低的敌意情绪以及更积极的个人规范、主观规范和态度显著预测了与临时性伴侣使用避孕套的意愿（总R² = 0.24）。结果还表明，与固定性伴侣使用避孕套的意愿似乎源于对可能障碍的预期，而与临时性伴侣使用避孕套在很大程度上是有安全性行为规范的问题。本研究对艾滋病预防活动的实际意义也进行了讨论。
