Gullette Donna L, Lyons Margaret A
University of Arkansas for Medical Sciences, College of Nursing, Little Rock, AR, USA.
J Assoc Nurses AIDS Care. 2006 Sep-Oct;17(5):23-31. doi: 10.1016/j.jana.2006.07.001.
This descriptive correlational study examined the relationships of sexual sensation seeking, self-esteem, and self-efficacy in condom use, stages of change, and alcohol consumption to HIV risk-taking behaviors among college students. A total of 159 students completed an online survey in 2004. Instruments included the Sexual Sensation Seeking Scale, College Alcohol Problems Scale, Condom Use Scale, and Rosenberg Self-Esteem Scale. High sensation seekers had higher self-esteem, more self-efficacy in condom usage, fewer problems associated with alcohol consumption, and belonged to Greek organizations (F [1,158] = 12.54; p < .0005). Women who were high sensation seekers perceived more advantages (F [1, 116] = 1.67; p = .05) than disadvantages (F [1, 116] = 2.01; p = .01) to using condoms. Men consumed significantly more alcohol and had more social problems related to alcohol use than women (F [1, 158] = 5.04; p < .03). Students in Greek organizations had significantly more positive attitudes (X(2) [1] = 4.55; p < .03) and more respect for themselves (X(2) [1] = 11.22; p < .0008) than other students and were more likely to be tested for HIV (X(2) [1] = 3.85; p < .05). Students with low self-esteem consumed more alcohol, had more sexual partners, and had more HIV risk-taking behaviors than other students. Even though students were reported to be efficacious in condom usage, they used them inconsistently with their sexual partners and were in the earlier stages of change. Interventions are needed in the community to help sexually active individuals take responsibility for their sexual health and to increase the awareness of the need to be tested for HIV.
这项描述性相关研究考察了大学生中，性感觉寻求、自尊、使用避孕套的自我效能感、改变阶段以及酒精消费与艾滋病病毒风险行为之间的关系。2004年共有159名学生完成了一项在线调查。所使用的工具包括性感觉寻求量表、大学生酒精问题量表、避孕套使用量表和罗森伯格自尊量表。高感觉寻求者具有更高的自尊、在使用避孕套方面有更强的自我效能感、与酒精消费相关的问题更少，并且属于兄弟会或姐妹会组织（F[1,158]=12.54；p<.0005）。高感觉寻求的女性认为使用避孕套的好处（F[1,116]=1.67；p=.05）多于坏处（F[1,116]=2.01；p=.01）。男性比女性饮酒量显著更多，且与酒精使用相关的社会问题更多（F[1,158]=5.04；p<.03）。兄弟会或姐妹会组织的学生比其他学生有更积极的态度（X(2)[1]=4.55；p<.03）、更尊重自己（X(2)[1]=11.22；p<.0008），并且更有可能接受艾滋病病毒检测（X(2)[1]=3.85；p<.05）。自尊较低的学生比其他学生饮酒更多、性伴侣更多，且有更多艾滋病病毒风险行为。尽管据报告学生们在使用避孕套方面有成效，但他们与性伴侣使用避孕套的情况并不一致，且处于改变的早期阶段。社区需要进行干预，以帮助性活跃个体对自己的性健康负责，并提高对接受艾滋病病毒检测必要性的认识。
