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今天我会使用避孕套,但明天谁又能知道呢:一项关于避孕套使用预测因素变异性的每日过程研究。

Today I'll use a condom, but who knows about tomorrow: a daily process study of variability in predictors of condom use.

作者信息

Kiene Susan M, Tennen Howard, Armeli Stephen

机构信息

Department of Medicine, Alpert Medical School of Brown University, USA.

出版信息

Health Psychol. 2008 Jul;27(4):463-72. doi: 10.1037/0278-6133.27.4.463.

Abstract

OBJECTIVE

Most models of health behavior change applied to condom use behavior have focused on individual differences in theoretical constructs to explain condom use or nonuse, while ignoring the possibility that day-to-day within-person changes in these constructs may contribute to understanding behavior. The goal of the present study was to investigate day-to-day variability in condom use attitudes, self-efficacy, and behavioral intentions and assess the utility of this variability in predicting the likelihood of condom use each day.

DESIGN

A 30-day Web-based structured daily diary was used to collect daily reports of sexual behaviors and data on theoretical predictors of condom use behavior from sexually active college students (N = 116).

MAIN OUTCOME MEASURES

The authors investigated whether condom use attitudes, self-efficacy, and behavioral intentions vary day to day; whether this within-person variability predicts condom use behavior; and whether negative affective states explain this variability.

RESULTS AND CONCLUSIONS

Within-person variability was found for each of the constructs. Within-person day-to-day changes in behavioral intentions and attitudes predicted the instances in which an individual used a condom and daily negative affect partially explained within-person day-to-day changes in behavioral intentions and self-efficacy. Implications for models of health behavior change and for behavior change interventions are discussed.

摘要

目的

大多数应用于避孕套使用行为的健康行为改变模型都聚焦于理论结构中的个体差异来解释避孕套的使用或不使用情况,却忽略了这些结构在个体内每天的变化可能有助于理解行为这一可能性。本研究的目的是调查避孕套使用态度、自我效能感和行为意图在每天的变化情况,并评估这种变化在预测每天使用避孕套可能性方面的效用。

设计

采用基于网络的30天结构化每日日记,收集性活跃大学生(N = 116)的性行为每日报告以及避孕套使用行为理论预测因素的数据。

主要结局指标

作者调查了避孕套使用态度、自我效能感和行为意图是否每天都有变化;这种个体内的变化是否能预测避孕套使用行为;以及消极情绪状态是否能解释这种变化。

结果与结论

发现每个结构都存在个体内变化。行为意图和态度在个体内的每日变化预测了个体使用避孕套的情况,并且每日消极情绪部分解释了行为意图和自我效能感在个体内的每日变化。文中讨论了对健康行为改变模型和行为改变干预措施的启示。

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