Peltzer K
Department of Psychology, University of the North, Sovenga, South Africa.
Cent Afr J Med. 2000 Nov;46(11):302-8. doi: 10.4314/cajm.v46i11.8575.
The aim of the study was to investigate factors affecting condom use among senior secondary school pupils in South Africa. Objectives were to identify the sociodemographic characteristics and sexual history, knowledge about correct condom use, source of condom information, AIDS health beliefs, self efficacy of condom use, correlates and predictors of condom use in Grade 12 students.
Cross sectional survey.
460 Grade 12 secondary school pupils from three rural schools.
The sample included 460 Grade 12 secondary school pupils, 170 (37%) males and 290 (63%) females in the age range of 16 to 30 years (mean age 19.7 yrs, SD = 2.5).
Self reported sexual activity and condom use (12 items); source of 'condom' information (12 items); knowledge of correct condom use (10 items); a 16 item AIDS Health Belief Scale and a 28 item Condom Use Self-Efficacy Scale.
About half of those sexually active (52.6% males and 40.5% females) reported never having used condoms. About 90% levels of correct answers on condom knowledge were found for the items of "protection against AIDS" and "expire date of condoms". Knowing someone with HIV/AIDS was related to current condom use and a history of STD with lifetime condom use. The four AIDS beliefs sub-scales were all related to self efficacy of condom use. Behavioural norm to use condoms, attitudes towards condom use, normative beliefs to use of condoms and subjective norm to use condoms were all related to condom use intention. Normative beliefs and subjective norms to use condoms were both negatively related with lifetime condom use, current condom use, and self efficacy in condom use. Normative beliefs, attitudes and subjective norms about condoms predicted condom use intention, AIDS susceptibility and AIDS benefits predicted condom use with last sexual partner, and AIDS benefits and AIDS barriers predicted condom use intention.
Findings have relevant implications and are discussed in the context of developing an educational or intervention programme.
本研究旨在调查影响南非高中生使用避孕套的因素。目标是确定社会人口学特征和性史、正确使用避孕套的知识、避孕套信息来源、艾滋病健康信念、使用避孕套的自我效能感、12年级学生使用避孕套的相关因素和预测因素。
横断面调查。
来自三所农村学校的460名12年级高中生。
样本包括460名12年级高中生，年龄在16至30岁之间（平均年龄19.7岁，标准差=2.5），其中170名（37%）为男性，290名（63%）为女性。
自我报告的性活动和避孕套使用情况（12项）；“避孕套”信息来源（12项）；正确使用避孕套的知识（10项）；一个16项的艾滋病健康信念量表和一个28项的避孕套使用自我效能量表。
约一半有性行为的人（男性为52.6%，女性为40.5%）报告从未使用过避孕套。对于“预防艾滋病”和“避孕套保质期”等项目，避孕套知识的正确答案水平约为90%。认识感染艾滋病毒/艾滋病的人与当前使用避孕套以及有终身使用避孕套的性传播感染病史有关。艾滋病信念的四个子量表均与使用避孕套的自我效能感有关。使用避孕套的行为规范、对使用避孕套的态度、使用避孕套的规范信念和使用避孕套的主观规范均与使用避孕套的意图有关。使用避孕套的规范信念和主观规范均与终身使用避孕套、当前使用避孕套以及使用避孕套的自我效能感呈负相关。关于避孕套的规范信念、态度和主观规范预测了使用避孕套的意图，艾滋病易感性和艾滋病益处预测了与最后一次性伴侣使用避孕套的情况，而艾滋病益处和艾滋病障碍预测了使用避孕套的意图。
研究结果具有相关意义，并在制定教育或干预计划的背景下进行了讨论。
