Salazar Laura F, DiClemente Ralph J, Wingood Gina M, Crosby Richard A, Harrington Kathy, Davies Susan, Hook Edward W, Oh M Kim
Department of Psychiatry and Behavioral Sciences, School of Medicine, Emory University, Atlanta, Georgia, USA.
Prev Sci. 2004 Sep;5(3):137-49. doi: 10.1023/b:prev.0000037638.20810.01.
During adolescence, girls form self-concepts that facilitate the transition to adulthood. This process may entail engaging in risky sexual behaviors resulting in STD infection and pregnancy. This study assessed the relation between self-concept and unwanted, unprotected sex refusal among 335 African American adolescent girls. The second aim was to determine whether attributes of partner communication about sex would act as a mediating mechanism on this hypothesized relationship. These assessments were made within the context of several theoretical models (social cognitive theory and theory of gender and power). Self-concept was composed of self-esteem, ethnic identity, and body image, whereas attributes of partner communication about sex was conceptualized as frequency of communication, fear of condom use negotiation, and self-efficacy of condom use negotiation. Structural equation modeling was used to analyze data. The results showed that self-concept was associated with partner communication attributes about sex, which in turn, was associated with frequency of unprotected sex refusal. The hypothesized mediating role of partner communication was also supported. STD-HIV preventive interventions for this population may be more effective if they target self-concept as opposed to only self-esteem, incorporate an Afrocentric approach, and focus on enhancing several attributes of partner communication about sex.
在青春期，女孩形成有助于向成年期过渡的自我概念。这一过程可能包括从事危险性行为，从而导致性传播疾病感染和怀孕。本研究评估了335名非裔美国少女的自我概念与拒绝意外、无保护性行为之间的关系。第二个目标是确定关于性的伴侣沟通属性是否会在这一假设关系中起到中介机制的作用。这些评估是在几种理论模型（社会认知理论以及性别与权力理论）的背景下进行的。自我概念由自尊、种族认同和身体形象组成，而关于性的伴侣沟通属性则被概念化为沟通频率、对使用避孕套进行协商的恐惧以及使用避孕套进行协商的自我效能感。采用结构方程模型对数据进行分析。结果表明，自我概念与关于性的伴侣沟通属性相关，而这又与拒绝无保护性行为的频率相关。伴侣沟通的假设中介作用也得到了支持。针对这一人群的性传播疾病 - 艾滋病毒预防干预措施，如果以自我概念而非仅自尊为目标，采用以非洲中心的方法，并专注于增强关于性的伴侣沟通的几个属性，可能会更有效。
