Wang Ruey-Hsia, Chiou Chii-Jun
College of Nursing, Kaohsiung Medical University, Taiwan.
J Nurs Scholarsh. 2008;40(2):131-6. doi: 10.1111/j.1547-5069.2008.00217.x.
To explore the relative contribution of intrapersonal factors (demographic data, sexual history, and self-efficacy for contraception) and partner factors (perceptions of support from sexual partners for contraception, and relationship power) to contraceptive behaviors among sexually active female adolescents in Taiwan.
A cross-sectional design. Female adolescents who have had a steady male sexual partner in the past 3 months (N=375) were recruited as participants.
Questionnaires including demographic data, sexual history, contraceptive behavior, self-efficacy for contraception, perceptions of support from sexual partner for contraception, and perceptions of relationship power were submitted anonymously for this study.
Participants who had their first sexual experience at less than 14 years of age and were from one-parent families had the least comprehensive contraceptive behavior than did other participants. Number of steady sexual partners was significantly negatively correlated with contraceptive behavior. Self-efficacy, perceptions of support from sexual partner for contraception, and relationship power all were positively correlated with contraceptive behavior. The important explanatory variables of contraceptive behavior were self-efficacy, age of first sexual intercourse, intervals between sexual intercourse, and perceptions of support from sexual partner for contraception. These accounted for 39.1% of variance in contraceptive behavior.
Intrapersonal factors (self-efficacy, age of first sexual intercourse, and intervals between sexual intercourse) were more important than were partner factors (perceptions of support from sexual partners for contraception and relationship power) in influencing contraceptive behavior among sexually active female adolescents in Taiwan.
Intervention to increase contraceptive behavior among female adolescents should be focused more on intrapersonal factors than on partner factors.
探讨个人因素（人口统计学数据、性史及避孕自我效能感）和伴侣因素（对性伴侣避孕支持的认知以及关系权力）对台湾性活跃女性青少年避孕行为的相对影响。
横断面设计。招募过去3个月内有稳定男性性伴侣的女性青少年（N = 375）作为研究对象。
本研究采用匿名方式发放问卷，内容包括人口统计学数据、性史、避孕行为、避孕自我效能感、对性伴侣避孕支持的认知以及对关系权力的认知。
首次性行为发生在14岁以下且来自单亲家庭的参与者的避孕行为不如其他参与者全面。稳定性伴侣的数量与避孕行为呈显著负相关。自我效能感、对性伴侣避孕支持的认知以及关系权力均与避孕行为呈正相关。避孕行为的重要解释变量为自我效能感、首次性交年龄、性交间隔以及对性伴侣避孕支持的认知。这些变量解释了避孕行为39.1%的变异。
在影响台湾性活跃女性青少年的避孕行为方面，个人因素（自我效能感、首次性交年龄和性交间隔）比伴侣因素（对性伴侣避孕支持的认知和关系权力）更重要。
旨在增加女性青少年避孕行为的干预措施应更多地关注个人因素而非伴侣因素。
