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女性青少年和年轻成年人与新伴侣首次性交时使用避孕套的情况:认知规划及性行为动机的作用。

Condom use at first intercourse with a new partner in female adolescents and young adults: the role of cognitive planning and motives for having sex.

作者信息

Gebhardt Winifred A, Kuyper Lisette, Dusseldorp Elise

机构信息

Section of Clinical and Health Psychology, Leiden University, Leiden, The Netherlands.

出版信息

Arch Sex Behav. 2006 Apr;35(2):217-23. doi: 10.1007/s10508-005-9003-5. Epub 2006 Apr 26.

Abstract

This study examined the extent to which cognitive planning and motives for sex can explain condom use at first intercourse with young females' most recent partner. A total of 133 female adolescents completed a questionnaire on cognitive planning (i.e., mentally preparing oneself for discussing condom use and for managing condoms), motives for having sex (i.e., having sex to express love, to experience pleasure, to enhance mood, and to please others), and condom use at this particular occasion. Logistic regression analyses showed that condom use was positively related to cognitive planning with respect to discussing condom use and negatively related to the motive for having sex to enhance mood. Cognitive planning for the management of condoms did not have a significant overall effect on condom use, but it did appear to be very effective for those adolescents who had a low score on the motive for having sex to express love. It thus appears useful to strengthen the skills of adolescents to discuss the use of condoms. Furthermore, stressing the negative affective consequences of unsafe sex may be particularly effective for those who are inclined to have sex to enhance mood, while encouraging adolescents to make plans for the management of condoms is likely to positively affect the use of condoms among those who are not primarily motivated to express love by having sex.

摘要

本研究考察了认知规划和性行为动机在多大程度上能够解释年轻女性与最近一位伴侣首次性交时的避孕套使用情况。共有133名女性青少年完成了一份关于认知规划(即内心为讨论避孕套使用和管理避孕套做好准备)、性行为动机(即为表达爱意、体验愉悦、改善情绪和取悦他人而发生性行为)以及此次特定情况下避孕套使用情况的问卷。逻辑回归分析表明,在讨论避孕套使用方面,避孕套使用与认知规划呈正相关,而与为改善情绪而发生性行为的动机呈负相关。避孕套管理方面的认知规划对避孕套使用没有显著的总体影响,但对于那些为表达爱意而发生性行为动机得分较低的青少年来说,它似乎非常有效。因此,加强青少年讨论避孕套使用的技能似乎是有益的。此外,强调不安全性行为的负面情感后果对于那些倾向于为改善情绪而发生性行为的人可能特别有效,而鼓励青少年制定避孕套管理计划可能会对那些并非主要出于通过性行为表达爱意动机的人使用避孕套产生积极影响。

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