Mustanski Brian, Donenberg Geri, Emerson Erin
Institute for Juvenile Research, University of Illinois at Chicago, 60608, USA.
AIDS Behav. 2006 Nov;10(6):753-62. doi: 10.1007/s10461-006-9098-2.
Youth continue to show high HIV infection rates, and adolescents with mental health problems are especially at risk. We used longitudinal data to test a cognitive-behavioral model of risky sexual behavior among 175, ethnically diverse urban adolescents seeking mental health services. Path analyses of the cross-sectional data revealed that Motivation was a strong predictor of Behavioral Skills and Sexual Risk Taking. The model explained 42% of the variance in Sexual Risk Taking with age included-29% without age. In the longitudinal path analyses, Motivation had a significant negative effect on levels of Sexual Risk Taking 6 months later, controlling for Information, Behavioral Skills, age, and baseline levels of Sexual Risk Taking. These longitudinal effects explained 60% of the variance in Sexual Risk Taking. These results underscore the need to address motivational factors in HIV prevention programs designed for adolescents with mental health problems.
青少年的艾滋病毒感染率持续居高不下，有心理健康问题的青少年尤其面临风险。我们利用纵向数据，对175名寻求心理健康服务、来自不同种族的城市青少年的危险行为认知行为模型进行了测试。横断面数据的路径分析显示，动机是行为技能和性冒险行为的有力预测指标。该模型解释了性冒险行为中42%的方差变异（纳入年龄因素时）——不纳入年龄因素时为29%。在纵向路径分析中，在控制了信息、行为技能、年龄和性冒险行为的基线水平后，动机对6个月后的性冒险行为水平有显著的负面影响。这些纵向效应解释了性冒险行为中60%的方差变异。这些结果强调，在为有心理健康问题的青少年设计的艾滋病毒预防项目中，有必要解决动机因素问题。
