Basen-Engquist K
Center for Health Promotion Research and Development, School of Public Health, University of Texas Health Science Center, Houston.
AIDS Educ Prev. 1992 Summer;4(2):120-34.
This study tested a model of safer sex behavior using variables from social learning theory, the health belief model, the theory of reasoned action, and theories of cognitive coping style. Two types of safer sex behavior were measured: frequency of condom use and the discussion of AIDS and past partners with a sexual partner. The participants--275 undergraduate students--completed an anonymous written questionnaire. The variables (behavioral intention, perceived susceptibility, barriers, self-efficacy, monitoring, blunting, and social support) predicted 35% of the variance in condom use and 13% of the variance in discussion (adjusted R2s). Intention was the strongest predictor of both types of safer sex behavior. Perceived susceptibility and perceived barriers were associated with intention to use a condom; perceived barriers was inversely related to condom use. Self-efficacy was associated with the intention to discuss and reported discussion of AIDS and past partners with a sexual partner; social support was related to the intention to discuss. An information-avoiding coping style was negatively associated with condom use. Implications for future research and intervention efforts in the area of AIDS prevention are discussed.
本研究运用社会学习理论、健康信念模型、理性行动理论以及认知应对风格理论中的变量，对安全性行为模型进行了测试。研究测量了两种类型的安全性行为：使用避孕套的频率以及与性伴侣讨论艾滋病和过往性伴侣的情况。参与者为275名本科生，他们完成了一份匿名书面问卷。这些变量（行为意图、感知易感性、障碍、自我效能感、监测、情感迟钝和社会支持）预测了避孕套使用情况中35%的方差以及讨论情况中13%的方差（调整后的R²值）。意图是两种类型安全性行为的最强预测因素。感知易感性和感知障碍与使用避孕套的意图相关；感知障碍与避孕套使用呈负相关。自我效能感与讨论意图相关，并报告了与性伴侣讨论艾滋病和过往性伴侣的情况；社会支持与讨论意图相关。信息回避应对风格与避孕套使用呈负相关。本文还讨论了对未来艾滋病预防领域研究和干预工作的启示。
