Roberts Susan T, Kennedy Barbara L
Licensed Vocational Nursing Program, Mira Costa College, Oceanside, CA 92056-3899, USA.
Arch Psychiatr Nurs. 2006 Feb;20(1):32-40. doi: 10.1016/j.apnu.2005.08.008.
Young multiethnic college women (YMCW) are at risk for STDs and HIV secondary to high-risk sexual behaviors that are related to developmental issues such as invincibility, low perceived risk, and substance use.
One hundred YMCW on a southern California university campus completed surveys that examined variables that impacted their sexual risk.
The study yielded many significantly correlated variables. Women with low perceived risk, lower use of drugs and alcohol, and who had parental involvement had lower sexual behavior risk. Women that were sexually assertive, had intentions to use condoms, and did not use substances used condoms more often. Older students in advanced grades who had steady partners used substances less and had decreased sexual risk, however, they experienced partner resistance to condoms, which canceled out any reduced risk. In a multiple regression analysis, condom use intention and substance use predicted condom use, perceived risk and substance use predicted sexual behavior risk. White women had significantly higher substance use, perceived sexual risk, and sexual behavior risk than did Latinas and African Americans.
Despite their assertiveness and intentions, many participants had multiple sexual partners, and 64% of the YMCW were inconsistent condom users. Despite knowing the elevated risks, 52% used drugs and alcohol during sex. Negative attitudes (61%) about condoms were also demonstrated as a key factor in the lack of condom use.
年轻的多民族女大学生（YMCW）由于与诸如无敌感、低感知风险和物质使用等发育问题相关的高风险性行为而面临性传播疾病和艾滋病毒感染的风险。
南加州大学校园里的100名年轻多民族女大学生完成了调查，这些调查考察了影响她们性风险的变量。
该研究得出了许多显著相关的变量。感知风险低、药物和酒精使用较少且有父母参与的女性性行为风险较低。性自信、打算使用避孕套且不使用物质的女性更经常使用避孕套。高年级且有固定伴侣的年龄较大的学生物质使用较少，性风险降低，然而，她们的伴侣对避孕套有抵触情绪，这抵消了任何降低的风险。在多元回归分析中，使用避孕套的意图和物质使用可预测避孕套的使用情况，感知风险和物质使用可预测性行为风险。白人女性的物质使用、感知性风险和性行为风险显著高于拉丁裔和非裔美国女性。
尽管她们很自信且有意愿，但许多参与者有多个性伴侣，64%的年轻多民族女大学生使用避孕套的情况不一致。尽管知道风险较高，但52%的人在性行为期间使用药物和酒精。对避孕套的负面态度（61%）也被证明是不使用避孕套的一个关键因素。
