Chambers Kathryn B, Rew Lynn
University of Texas at Austin, Austin, Texas, USA.
Issues Compr Pediatr Nurs. 2003 Jul-Sep;26(3):129-43. doi: 10.1080/01460860390223853.
Adolescent women are at risk for unintended pregnancies and sexually transmitted diseases, including human immune deficiency virus (HIV)/acquired immunodeficiency deficiency syndrome (AIDS), if they do not engage in safer sexual practices. Adolescent women are biologically, behaviorally, and socially more at risk for sexually transmitted diseases (STDs) and HIV than adolescent men. Although abstinence is the safest sexual health practice for adolescent women, once sexual activity begins, safer sexual practices involve condom and contraceptive use, and communicating with sexual partners to negotiate condom use. A number of implicit and explicit decisions are involved in these activities. A number of researchers have examined safer sexual decisions of adolescent women, some of whom have used theory models such as the Transtheoretical Model of Change. Although these findings have contributed to the knowledge base about safer sexual decision making, many questions remain unanswered about how adolescent women make safer sexual decisions. The Conflict Model of Decision Making is presented and discussed as a framework for enhanced understanding of safer sexual decision making by adolescent women.
如果不采取更安全的性行为，青春期女性面临意外怀孕和性传播疾病的风险，包括人类免疫缺陷病毒（HIV）/获得性免疫缺陷综合征（AIDS）。青春期女性在生物学、行为和社会层面上比青春期男性更容易感染性传播疾病（STD）和HIV。虽然禁欲对青春期女性来说是最安全的性健康行为，但一旦开始性行为，更安全的性行为包括使用避孕套和避孕措施，以及与性伴侣沟通以协商使用避孕套。这些活动涉及许多隐含和明确的决定。一些研究人员研究了青春期女性更安全的性决策，其中一些人使用了诸如行为改变阶段理论模型等理论模型。虽然这些研究结果为更安全性决策的知识库做出了贡献，但关于青春期女性如何做出更安全性决策仍有许多问题未得到解答。本文提出并讨论了决策冲突模型，作为增强对青春期女性更安全性决策理解的框架。
