Lescano Celia M, Brown Larry K, Miller Paul M, Puster Kristie L
Brown University School of Medicine, Bradley/Hasbro Research Center, Providence, RI 02903, USA.
J Prev Interv Community. 2007;33(1-2):51-62. doi: 10.1300/J005v33n01_05.
The purpose of this study was to investigate the relationships among self-efficacy for condom use during distress (SE-Condom Distress), self-efficacy related to general HIV prevention skills (SE-HIV), and HIV risk behaviors, attitudes, and knowledge. Two hundred and twenty two adolescents with psychiatric disorders between 13 and 18 years-old participated. Participants completed measures related to HIV Self-Efficacy, HIV Attitudes, and Sexual Behaviors. Self-efficacy for condom use during distress (SE-Condom Distress) was significantly associated with more HIV protective behaviors. Controlling for observed covariates, SE-Condom Distress was the only variable significantly associated with consistent condom use in a multiple logistic regression (OR=2.43). Self-efficacy regarding condom use during affective arousal is closely associated with HIV-related attitudes and behaviors. Clinicians need to be alert to subtle signs of distress as adolescents contemplate safer sexual behavior.
本研究的目的是调查在困境中使用避孕套的自我效能感（SE-避孕套困境）、与一般艾滋病毒预防技能相关的自我效能感（SE-艾滋病毒）以及艾滋病毒风险行为、态度和知识之间的关系。222名年龄在13至18岁之间患有精神疾病的青少年参与了研究。参与者完成了与艾滋病毒自我效能感、艾滋病毒态度和性行为相关的测量。在困境中使用避孕套的自我效能感（SE-避孕套困境）与更多的艾滋病毒防护行为显著相关。在控制观察到的协变量后，在多元逻辑回归中，SE-避孕套困境是与持续使用避孕套显著相关的唯一变量（OR=2.43）。情感唤起期间使用避孕套的自我效能感与艾滋病毒相关的态度和行为密切相关。当青少年考虑更安全的性行为时，临床医生需要警惕细微的痛苦迹象。
