埃塞俄比亚亚的斯亚贝巴青年性活动及使用避孕套意愿的社会心理决定因素
Psychosocial determinants of sexual activity and condom use intention among youth in Addis Ababa, Ethiopia.
作者信息
Taffa N, Klepp K I, Sundby J, Bjune G
机构信息
Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, PO Box 1130 Blindern, N-0318 Oslo, Norway.
出版信息
Int J STD AIDS. 2002 Oct;13(10):714-9. doi: 10.1258/095646202760326480.
Determinants of sexual activity and intentions for condom use were examined guided by the Attitude, Social influences, and Self-efficacy (ASE) model as a theoretical framework. A total of 561 in and out-of-school youth (15-24 years) in Addis Ababa completed a self-administered questionnaire. A third of them reported sexual intercourse in the past and half of the sexually active used condoms during recent intercourse. Being out-of-school, male, aged 20-24 years, alcohol use and khat (amphetamine-like substance) consumption predicted the likelihood of engagement in sexual activity. Of these variables, however, male sex was more associated with reported condom use during recent sexual intercourse. Self-efficacy, skills, and barriers predicted 23% of the variance in intentions to use condoms. Self-efficacy was also associated with past condom use. Psychosocial constructs predicted more variations in condom use intention for males than for females. In general, self-efficacy was found to be the strongest predictor of the constructs, whereas attitude and social influences were the weakest. The study implies that HIV/AIDS prevention programmes for young people in Ethiopia need to emphasize building assertive communication skills in sexual negotiations and condom use. Minimizing the gender gap in sexual relationships forms the cornerstone for such educational strategies.
以态度、社会影响和自我效能感(ASE)模型为理论框架,对性活动的决定因素及使用避孕套的意图进行了研究。亚的斯亚贝巴共有561名15至24岁的在校和校外青年完成了一份自填式问卷。其中三分之一的人报告过去有过性行为,在最近一次性行为中,有一半性活跃者使用了避孕套。失学、男性、年龄在20至24岁、饮酒和咀嚼恰特草(一种类似安非他明的物质)预示着参与性活动的可能性。然而,在这些变量中,男性与最近一次性行为中报告使用避孕套的关联更大。自我效能感、技能和障碍预测了使用避孕套意图中23%的方差。自我效能感也与过去使用避孕套的情况有关。心理社会结构对男性避孕套使用意图的预测差异比对女性的更大。总体而言,自我效能感被发现是这些结构中最强的预测因素,而态度和社会影响则是最弱的。该研究表明,埃塞俄比亚针对年轻人的艾滋病毒/艾滋病预防项目需要强调在性谈判和使用避孕套方面培养坚定的沟通技巧。缩小性关系中的性别差距是此类教育策略的基石。