Tschann Jeanne M, Adler Nancy E, Millstein Susan G, Gurvey Jill E, Ellen Jonathan M
Department of Psychiatry, University of California, San Francisco, San Francisco, California 94143-0848, USA.
J Adolesc Health. 2002 Jul;31(1):17-25. doi: 10.1016/s1054-139x(01)00418-9.
To examine how the relative power of adolescent sexual partners in the domain of emotional intimacy is related to condom use.
Interviewed 228 adolescents who visited an STD clinic in San Francisco. Adolescents were aged 14-19 years, 69% were female, and they were ethnically diverse. We developed a measure of relative power in the domain of emotional intimacy, by adapting five items from existing measures and developing three items ourselves. The partner who had less desire for emotional intimacy was considered to have more power in that domain. We also measured relative decision-making power. Data were analyzed using logistic regression and Student's t-tests.
Adolescents who had more power than their partners in the domain of emotional intimacy were more likely to get their way about condom use than adolescents who had less power in this domain. Decision-making power was not related to whether adolescents got their way about condom use. Young men reported greater emotional intimacy power and greater decision-making power than young women. However, gender was not related to getting one's way about condom use.
The results suggest the importance of assessing relative power in the sexual relationships of adolescents when predicting condom use.
探讨青少年性伴侣在情感亲密领域的相对权力与避孕套使用之间的关系。
对228名前往旧金山一家性病诊所就诊的青少年进行了访谈。这些青少年年龄在14至19岁之间，69%为女性，且种族多样。我们通过改编现有量表中的五个项目并自行编制三个项目，制定了一种情感亲密领域相对权力的测量方法。在情感亲密方面欲望较低的伴侣被认为在该领域拥有更大的权力。我们还测量了相对决策权。使用逻辑回归和学生t检验对数据进行了分析。
在情感亲密领域比伴侣拥有更大权力的青少年，比起在该领域权力较小的青少年，更有可能在避孕套使用问题上如愿以偿。决策权与青少年在避孕套使用问题上是否如愿以偿无关。年轻男性报告的情感亲密权力和决策权比年轻女性更大。然而，性别与在避孕套使用问题上如愿以偿无关。
结果表明，在预测避孕套使用情况时，评估青少年性关系中的相对权力具有重要意义。
