Donenberg Geri R, Schwartz Rebecca Moss, Emerson Erin, Wilson Helen W, Bryant Fred B, Coleman Gloria
Institute for Juvenile Research at the University of Illinois at Chicago, 60608, USA.
AIDS Educ Prev. 2005 Jun;17(3):200-16. doi: 10.1521/aeap.17.4.200.66532.
This study examined the utility of cognitive and behavioral constructs (AIDS information, motivation, and behavioral skills) in explaining sexual risk taking among 172 12-20-year-old ethnically diverse urban youths in outpatient psychiatric care. Structural equation modeling revealed only moderate support for the model, explaining low to moderate levels of variance in global sexual risk taking. The amount of explained variance improved when age was included as a predictor in the model. Findings shed light on the contribution of AIDS information, motivation, and behavioral skills to risky sexual behavior among teens receiving outpatient psychiatric care. Results suggest that cognitive and behavioral factors alone may not explain sexual risk taking among teens whose cognitive and emotional deficits (e.g., impaired judgment, poor reality testing, affect dysregulation) interfere with HIV preventive behavior. The most powerful explanatory model will likely include a combination of cognitive, behavioral, developmental, social (e.g., family), and personal (e.g., psychopathology) risk mechanisms.
本研究考察了认知和行为结构（艾滋病信息、动机及行为技能）在解释172名年龄在12至20岁、来自不同种族的城市青少年门诊精神科患者的性冒险行为方面的效用。结构方程模型仅为该模型提供了适度支持，解释了总体性冒险行为中低至中等程度的方差。当将年龄作为模型中的一个预测变量纳入时，解释的方差量有所改善。研究结果揭示了艾滋病信息、动机和行为技能对接受门诊精神科护理的青少年的危险性性行为的影响。结果表明，仅认知和行为因素可能无法解释那些认知和情感缺陷（如判断力受损、现实检验能力差、情绪调节障碍）干扰艾滋病毒预防行为的青少年的性冒险行为。最有效的解释模型可能会包括认知、行为、发育、社会（如家庭）和个人（如精神病理学）等多种风险机制的组合。
